| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT RD STE 240 ST CLOUD, MN 56301 | BLUE CROSS BLUE SHIELD OF MINNESOTA | $57K | — | $57K | 12.85% |
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT RD STE 240 ST CLOUD, MN 56301 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $1K | $8K | 17.74% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $527 | $3K | 6.06% |
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT RD STE 240 ST CLOUD, MN 56301 | DELTA DENTAL OF MINNESOTA | $2K | — | $2K | 11.10% |
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT RD STE 240 ST CLOUD, MN 56301 | VISION SERVICE PLAN | $455 | — | $455 | 9.94% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MINNESOTA EIN 41-0984460 ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Other fees; Contract Administrator Service code 12 | PO BOX 64560 ST PAUL, MN 55164 | $49K |
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) | BLUE CROSS BLUE SHIELD OF MINNESOTA | 140 | $441K |
| Dental | DELTA DENTAL OF MINNESOTA | 64 | $19K |
| Vision | VISION SERVICE PLAN | 41 | $5K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 190 | $44K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 190 | $44K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 190 | $44K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 190 | $44K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.