| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FLAGSHIP INSURANCE SERVICES INC3 | 131 SIXTH ST N PO BOX 99 WINSTED, MN 55395 | BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS | $24K | $0 | $24K | 1.50% |
| FLAGSHIP INSURANCE SERVICES INC3 Filed as: FLAGSHIP INSURANCE SERVICES | PO BOX 99 131 6TH ST N WINSTED, MN 55395 | PRINCIPAL LIFE INSURANCE COMPANY | $12K | $3K | $15K | 12.88% |
| BENEUSA LLC3 | 261 SCHOOL AVENUE STE 350 EXCELSIOR, MN 55331 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $4K | $4K | 3.08% |
| FLAGSHIP INSURANCE SERVICES INC3 Filed as: FLAGSHIP INS SVCS INC | PO BOX 99 WINSTED, MN 55395 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | $0 | $3K | 15.00% |
| BENEUSA LLC3 | PO BOX 1240 WATERTOWN, MN 55388 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $953 | $953 | 5.00% |
| FLAGSHIP INSURANCE SERVICES INC3 Filed as: FLAGSHIP INS SVCS INC | PO BOX 99 WINSTED, MN 55395 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| BENEUSA LLC3 | PO BOX 1240 WATERTOWN, MN 55388 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $609 | $609 | 5.00% |
No Schedule C service providers reported on this filing.
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 | 135 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS | 238 | $1.6M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 255 | $117K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 255 | $117K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 348 | $19K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 132 | $12K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 348 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 348 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.