| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SHEFFIELD OLSON & MCQUEEN, INC3 Filed as: SHEFFIELD OLSON & MCQUEEN | 2145 FORD PARKWAY SUITE 200 ST PAUL, MN 55116 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.77% |
| TRUSTED ACRES3 | 8011 34TH AVENUE S SUITE 148 BLOOMINGTON, MN 55425 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $350 | $0 | $350 | 0.68% |
| SHEFFIELD OLSON & MCQUEEN, INC3 Filed as: SHEFFIELD OLSON & MCQUEEN | 2145 FORD PARKWAY SUITE 200 ST PAUL, MN 55116 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | $0 | $7K | 19.87% |
| TRUSTED ACRES3 | 8011 34TH AVENUE S SUITE 148 BLOOMINGTON, MN 55425 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 3.69% |
| SHEFFIELD OLSON & MCQUEEN, INC3 Filed as: SHEFFIELD OLSON & MCQUEEN | 2145 FORD PARKWAY SUITE 200 ST PAUL, MN 55116 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 8.01% |
| TRUSTED ACRES3 | 8011 34TH AVENUE S SUITE 148 BLOOMINGTON, MN 55425 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $593 | $0 | $593 | 1.90% |
| SHEFFIELD OLSON & MCQUEEN, INC3 Filed as: SHEFFIELD OLSON & MCQUEEN | 2145 FORD PARKWAY SUITE 200 ST PAUL, MN 55116 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 15.86% |
| TRUSTED ACRES3 | 8011 34TH AVENUE S SUITE 148 BLOOMINGTON, MN 55425 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $139 | $0 | $139 | 1.63% |
| SHEFFIELD OLSON & MCQUEEN, INC3 Filed as: SHEFFIELD OLSON & MCQUEEN | 2145 FORD PARKWAY SUITE 200 ST PAUL, MN 55116 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 15.74% |
| TRUSTED ACRES3 | 8011 34TH AVENUE S SUITE 148 BLOOMINGTON, MN 55425 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $124 | $0 | $124 | 1.66% |
| SHEFFIELD OLSON & MCQUEEN, INC3 Filed as: SHEFFIELD OLSON & MCQUEEN | 2145 FORD PARKWAY SUITE 200 ST PAUL, MN 55116 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $106 | $0 | $106 | 5.56% |
| TRUSTED ACRES3 | 8011 34TH AVENUE S SUITE 148 BLOOMINGTON, MN 55425 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $16 | $0 | $16 | 0.84% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EBSO, INC EIN 39-1277023 NONE | Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Participant communication; Claims processing; Insurance brokerage commissions and fees Service code 12 | 2145 FORD PARKWAY SUITE 200 ST PAUL, MN 55116 | $134K |
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 | 357 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 357 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 351 | $31K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 71 | $33K |
| Other(5 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 351 | $101K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 351 | — |
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.