| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ELLINGSON INSURANCE GROUP LLC3 Filed as: ELLINGSON INSURANCE GROUP, LLC | 1016 CIVIC CENTER DRIVE NW SUITE 102 ROCHESTER, MN 55901 | BLUE CROSS AND BLUE SHIELD OF MINNESOTA | $18K | — | $18K | 2.90% |
| ELLINGSON INSURANCE GROUP LLC3 Filed as: ELLINGSON INSURANCE GROUP, INC. | 1016 CIVIC DRIVE NW SUITE 102 ROCHESTER, MN 55901 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 9.07% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | 5510 N. 40TH STREET, SUITE 234 PHOENIX, AZ 85018 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 3.94% |
| ELLINGSON INSURANCE GROUP LLC3 Filed as: ELLINGSON INSURANCE GROUP, LLC | 1016 CIVIC DRIVE NW SUITE 102 ROCHESTER, MN 55901 | DELTA DENTAL OF MINNESOTA | $5K | — | $5K | 10.09% |
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 | 126 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF MINNESOTA | 126 | $632K |
| Dental | DELTA DENTAL OF MINNESOTA | 156 | $47K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 476 | $84K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 476 | $84K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 476 | $84K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 476 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 476 | — |
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."
No prospect flags tripped on this filing.