| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AHMANN MARTIN3 | 12600 WHITEWATER DR SUITE 100 HOPKINS, MN 55343 | MEDICA INSURANCE COMPANY | $104K | $2K | $106K | 3.56% |
| AHMANN MARTIN3 | 12600 WHITEWATER DRIVE SUITE 100 HOPKINS, MN 55343 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $49K | — | $49K | 13.92% |
| BENEFIT ADVISORS NETWORK LLC3 | 6830 COCHRAN ROAD SOLON, OH 44139 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $2K | $2K | 0.50% |
| AHMANN MARTIN3 | 12600 WHITEWATER DR SUITE 100 HOPKINS, MN 55343 | DELTA DENTAL OF MINNESOTA | $12K | — | $12K | 5.00% |
| AHMANN MARTIN3 | 12600 WHITEWATER DR SUITE 100 HOPKINS, MN 55343 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 10.84% |
| AHMANN MARTIN3 | 12600 WHITEWATER DR SUITE 100 HOPKINS, MN 553439450 | HARTFORD LIFE AND ACCIDENT | $941 | — | $941 | 20.00% |
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 | 273 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 277 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEDICA INSURANCE COMPANY | 583 | $3.0M |
| Dental | DELTA DENTAL OF MINNESOTA | 574 | $241K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 332 | $31K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 287 | $355K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 287 | $355K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 287 | $355K |
| Other(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 287 | $360K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 583 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.