| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIDUCIA BENEFITS GROUP INC3 Filed as: FIDUCIA BENEFITS GROUP | 517 NW 4TH STREET BRAINERD, MN 56401 | BCBSMN, INC. DBA BLUE CROSS AND BLUE SHIELD MINNESOTA | $204K | — | $204K | 22.30% |
| FIDUCIA BENEFITS GROUP INC3 | 517 NW 4TH ST BRAINERD, MN 56401 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 10.57% |
| GARY WALTERS3 Filed as: GARY W WALTERS | 517 NW 4TH STREET BRAINERD, MN 56401 | UNUM LIFE INSURANCE COMAPNY OF AMERICA | $2K | — | $2K | 10.75% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BCBSMN, INC. DBA BLUE CROSS AND BLU EIN 41-0984460 CONTRACT ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other fees; Claims processing Service code 12 | PO BOX 64668 ST. PAUL, MN 55164 | $363K |
| WESTBERG EISCHENS, PLLP EIN 41-1792388 ACCOUNTANT-AUDITOR | Accounting (including auditing) Service code 10 | 2630 1ST ST S WILLMAR, MN 56201 | $59K |
| PRUCO SECURITIES, LLC EIN 23-2384840 INVESTMENT ADVISOR | Investment advisory (plan) Service code 27 | PO BOX 15070 NEW BRUNSWICK, NJ 089065070 | $34K |
| FIDUCIA BENEFITS GROUP EIN 20-0257666 CONTRACT ADMINISTRATION | Contract Administrator Service code 13 | 517 NW 4TH STREET BRAINERD, MN 56401 | $33K |
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 | 1,046 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 46 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,092 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | STANDARD INSURANCE COMPANY | 433 | $27K |
| Stop-loss / reinsurancereinsurance | BCBSMN, INC. DBA BLUE CROSS AND BLUE SHIELD MINNESOTA | 2,064 | $914K |
| Other | UNUM LIFE INSURANCE COMAPNY OF AMERICA | 346 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,064 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.