| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| 20/20 ADVISOR GROUP3 | 3500 VICKSBURG LANE STE 178 MINNEAPOLIS, MN 554470000 | BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS | $89K | — | $89K | 3.90% |
| 20/20 ADVISOR GROUP3 | 3500 VICKSBURG LANE STE 178 PLYMOUTH, MN 554470000 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | — | $8K | 12.01% |
| EXCELSIOR BENEFITS LLC3 Filed as: EXCELSIOR INSURANCE BROKERAGE | 23505 SMITHTOWN RD STE 200 EXCELSIOR, MN 553310000 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $693 | $2K | 3.74% |
| 20/20 ADVISOR GROUP3 | 3500 VICKSBURG LANE STE 178 PLYMOUTH, MN 554470000 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
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 | 184 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 185 | 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 | 311 | $2.3M |
| Dental | BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS | 311 | $2.3M |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 211 | $11K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 212 | $64K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 212 | $64K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 212 | $64K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 311 | — |
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.