| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MINNESOTA BENEFIT ADVISORS INC3 | ALAN R NAGEL 17956 718TH AVE DASSEL, MN 55325 | MEDICA INSURANCE COMPANY | $30K | $2K | $31K | 2.63% |
| NORTH RISK PARTNERS LLC3 | ADAM M OLSON 2010 CENTRE POINTE BLVD SAINT PAUL, MN 55120 | MEDICA INSURANCE COMPANY | $6K | — | $6K | 0.50% |
| MINNESOTA BENEFIT ADVISORS INC3 | 17965 718TH AVE DASSEL, MN 55325 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 15.01% |
| NORTH RISK PARTNERS LLC3 Filed as: NORTH RISK PARTNERS, LLC | 10405 6TH AVE N STE 300 PLYMOUTH, MN 55441 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $530 | — | $530 | 1.62% |
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 | 140 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEDICA INSURANCE COMPANY | 111 | $1.2M |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 140 | $33K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 140 | $33K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 140 | $33K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 140 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 140 | — |
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.