| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRUSTED ACRES3 | 8011 34TH AVE S SUITE 148 BLOOMNGTON, MN 55424 | RELIANCE STANDARD LIFE INSURANCE CO. | $2K | $0 | $2K | 4.00% |
| TRUSTED ACRES3 | 8011 34TH AVENUE S. SUITE 148 BLOOMINGTON, MN 55424 | RELIANCE STANDARD LIFE INSURANCE CO. | $3K | $0 | $3K | 6.10% |
| TRUSTED ACRES3 | 8011 34TH AVE S SUITE 148 BLOOMINGTON, MN 55424 | RELIANCE STANDARD LIFE INSURANCE CO. | $9K | $0 | $9K | 22.00% |
| TRUSTED ACRES3 | 8011 34TH AVE S SUITE 148 BLOOMINGTON, MN 55424 | RELIANCE STANDARD LIFE INSURANCE CO | $2K | $0 | $2K | 10.00% |
| TRUSTED ACRES3 | 8011 34TH AVENUE S SUITE 148 BLOOMINGTON, MN 55424 | RELIANCE STANDARD LIFE INSURANCE CO. | $1K | $0 | $1K | 10.00% |
| TRUSTED ACRES3 | 8011 34TH AVE S SUITE 148 BLOOMINGTON, MN 55424 | RELIANCE STANDARD LIFE INSURANCE CO. | $1K | $0 | $1K | 10.00% |
| TRUSTED ACRES3 | 8011 34TH AVE S SUITE 148 BLOOMINGTON, MN 55424 | RELIANCE STANDARD LIFE INSURANCE CO. | $162 | $0 | $162 | 4.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PREFERRED ONE EIN 41-1846481 NONE | Contract Administrator; Claims processing Service code 12 | 6105 GOLDEN HILLS DRIVE GOLDEN VALLEY, MN 55416 | $101K |
| TRUSTED ACRES EIN 82-3689697 NONE | Insurance agents and brokers Service code 22 | 8011 34TH AVE S SUITE 148 BLOOMINGTON, MN 55424 | $57K |
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 | 398 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 398 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | RELIANCE STANDARD LIFE INSURANCE CO | 142 | $19K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE CO. | 397 | $50K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE CO. | 119 | $58K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE CO. | 92 | $41K |
| Other(3 contracts) | RELIANCE STANDARD LIFE INSURANCE CO. | 127 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 397 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.