| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSOCIATED FINANCIAL GROUP LLC3 | 6000 CLEARWATER DR MINNETONKA, MN 55343 | BCBSMN, INC DBA BLUE CORSS AND BLUE SHIELD OF MINNESOTA | $24K | $1K | $25K | 6.27% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 6000 CLEARWATER DR MINNETONKA, MN 55343 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | — | $7K | 6.06% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICE LLC | 6000 CLEARWATER DR MINNETONKA, MN 55343 | SUN LIFE ASSURANCE COMPANY OF CANADA | $923 | — | $923 | 0.84% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 6000 CLEARWATER DR MINNETONKA, MI 55343 | FIDELITY SECURITY LIKE INSURANCE COMPANY | $538 | — | $538 | 6.64% |
| DIRECT BENEFITS INC3 Filed as: DIRECT BENEFITS, INC | 55 E 5TH STREET, SUITE 500 ST PAUL, MN 55101 | FIDELITY SECURITY LIKE INSURANCE COMPANY | $486 | — | $486 | 6.00% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 6000 CLEARWATER DR MINNETONKA, MN 55343 | SUN LIFE ASSURANCE COMPANY OF CANADA | $140 | — | $140 | 4.50% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICE LLC | 6000 CLEARWATER DR MINNETONKA, MN 55343 | SUN LIFE ASSURANCE COMPANY OF CANADA | $11 | — | $11 | 0.35% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BCBSMN, INC EIN 41-0984460 INSURANCE CARRIER | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Legal; Claims processing; Contract Administrator Service code 12 | PO BOX 64560 ST PAUL, MN 55164 | $117K |
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 | 116 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BCBSMN, INC DBA BLUE CORSS AND BLUE SHIELD OF MINNESOTA | 267 | $400K |
| Dental | DDMN ASO, LLC | 310 | $5K |
| Vision | FIDELITY SECURITY LIKE INSURANCE COMPANY | 106 | $8K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 126 | $110K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 130 | $3K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 126 | $110K |
| Stop-loss / reinsurancereinsurance | BCBSMN, INC DBA BLUE CORSS AND BLUE SHIELD OF MINNESOTA | 267 | $400K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 310 | — |
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.