| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KRAUS-ANDERSON INSURANCE3 Filed as: KRAUS-ANDERSON INSURANCE AGENCY INC | JENNIFER L PINE 420 GATEWAY BLVD BURNSVILLE, MN 55337 | MEDICA INSURANCE COMPANY | $34K | $0 | $34K | 2.76% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES (MN) INC. | DIANA L WILLIAMS 505 WATERFORD PARK HWY 169 N 1100 PLYMOUTH, MN 55441 | MEDICA INSURANCE COMPANY | $3K | $0 | $3K | 0.24% |
| KRAUS-ANDERSON INSURANCE3 Filed as: KRAUS-ANDERSON INSURANCE AGENCY INC | JENNIFER L PINE 420 GATEWAY BLVD BURNSVILLE, MN 55337 | MEDICA INSURANCE COMPANY | $11K | $0 | $11K | — |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES (MN) INC. | DIANA L WILLIAMS 505 WATERFORD PARK HWY 169 N 1100 PLYMOUTH, MN 55441 | MEDICA INSURANCE COMPANY | $1K | $0 | $1K | — |
| KRAUS-ANDERSON INSURANCE3 Filed as: KRAUS-ANDERSON INSURANCE AGENCY INC | JULIE R MUNKELWITZ 420 GATEWAY BLVD BURNSVILLE, MN 55337 | MEDICA INSURANCE COMPANY | $1K | $0 | $1K | — |
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 | 134 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 134 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | MEDICA INSURANCE COMPANY | 182 | $1.2M |
| Prescription drug(2 contracts) | MEDICA INSURANCE COMPANY | 182 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 182 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.