| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ARNESON OVSAK AGENCY INC3 | 1001 CENTER AVENUE #G MOORHEAD, MN 56560 | BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS | $17K | — | $17K | 1.41% |
| MAHOWALD INSURANCE AGENCY3 | 916 ST GERMAIN ST. BOX 129 ST CLOUD, MN 56302 | BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS | $7K | — | $7K | 0.59% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF ROAD 11TH FLOOR ROLLING MDWS, IL 60008 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $1K | $5K | 7.73% |
| MAHOWALD INSURANCE AGENCY3 Filed as: MAHOWALD INSURANCE AGENCY LLP | 916 W GERMAIN ST., STE 100 SAINT CLOUD, MN 563014096 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 3.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF ROAD 11TH FLOOR ROLLING MDWS, IL 60008 | PRINCIPAL LIFE INSURANCE COMPANY | $751 | $143 | $894 | 8.85% |
| MAHOWALD INS AGENCY LLP3 | 916 W GERMAIN ST., STE 100 SAINT CLOUD, MN 563014096 | PRINCIPAL LIFE INSURANCE COMPANY | $764 | — | $764 | 7.56% |
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 | 150 | 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. |
| Total participants (= "Plan participants" tile) | 150 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS | 144 | $1.2M |
| Life insurance(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 150 | $80K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 150 | $70K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 150 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 150 | — |
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."
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.