| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NORTH RISK PARTNERS LLC5 | 622 ROOSEVELT RD STE 204 SAINT CLOUD, MN 563016363 | SUN LIFE ASSURANCE COMPANY OF CANADA | $33K | — | $33K | 9.29% |
| MGIS5 | 111 S MAIN ST STE 400 SALT LAKE CITY, UT 841112176 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $180 | $180 | 0.05% |
| NORTH RISK PARTNERS LLC3 | 2048 SUPERIOR DR NW ROCHESTER, MN 559015028 | DELTA DENTAL OF IOWA | $11K | $3K | $14K | 10.43% |
| SELECT NETWORKS5 | 317 6TH AVE STE 1440 DES MOINES, IA 503094131 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 11.00% |
| NORTH RISK PARTNERS LLC5 Filed as: NORTH RISK PARTNERS | 10405 6TH AVE N STE 300 PLYMOUTH, MN 554416383 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WESTERN SKIES MGU LLC EIN 83-4261166 REINSURER | Insurance services Service code 23 | 9300 SUN CITY BLVD STE 105 LAS VEGAS, NV 891341704 | $519K |
| ASSURED BENEFIT ADMINISTRATORS EIN 74-2403409 THIRD PARTY ADMINISTRATOR | Claims processing Service code 12 | 12221 MERIT DR STE 1800 DALLAS, TX 752512292 | $140K |
| NORTH RISK PARTNER LLC EIN 46-1375576 BROKER | Insurance agents and brokers Service code 22 | 2048 SUPERIOR DR NW STE 1 ROCHESTER, MN 559015027 | $81K |
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 | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 276 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF IOWA | 234 | $134K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 161 | $22K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 276 | $359K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 276 | $359K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 276 | $359K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 276 | — |
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.