| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSOCIATED FINANCIAL GROUP LLC3 | 6000 CLEARWATER DR MINNETONKA, MN 55343 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $21K | $3K | $24K | 11.27% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 6000 CLEARWATER DR MINNETONKA, MN 55343 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $1K | $1K | 1.58% |
| ASSOCIATED FINAICIAL GROUP LLC3 | 6000 CLEARWATER DR MINNETONKA, MN 55343 | VISION SERVICE PLAN | $0 | $1K | $1K | 4.18% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 6000 CLEARWATER DR MINNETONKA, MN 55343 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $485 | $3K | 10.75% |
| ASSOCIATED FINANCIAL GROUP LLC4 | 6000 CLEARWATER DR MINNETONKA, MN 55343 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $2K | — | $2K | 12.01% |
| STEVE BAKER4 | 153 ESTHER DR COCOA BEACH, FL 32931 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $887 | — | $887 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MN EIN 41-0984460 CONTRACT ADMINISTRATOR | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Other fees Service code 12 | PO BOX 64560 ST. PAUL, MN 55164 | $549K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 740 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 17 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 757 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 256 | $35K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 740 | $212K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 331 | $30K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 737 | $73K |
| Other | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | 71 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 740 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.