| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SERVICE | 700 W 47TH ST STE 1100 KANSAS CITY, MO 64112 | BLUE CROSS BLUE SHIELD OF ND | $28K | — | $28K | 0.99% |
| GAIL PLUMMER3 | 4372 43RD AVE SOUTH FARGO, ND 58104 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $5K | $91 | $5K | 11.38% |
| TERI L SWARTZENDRUBER3 | 4130 GIRARD AVE N MINNEAPOLIS, MN 55412 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $221 | $80 | $301 | 0.71% |
| COORDINATED BENEFIT ADVISORS3 | 600 US 169 ST LOUIS PARK, MN 55426 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $189 | $71 | $260 | 0.61% |
| JON SCOTT SWARTZENDRUBER3 | 600 HWY 169 SOUTH MINNEAPOLIS, MN 55426 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $160 | $1 | $161 | 0.38% |
| REBECCA COSTE3 | 619 5TH ST E WEST FARGO, ND 58078 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $123 | — | $123 | 0.29% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL DBA CASCADE PROF | 100 FINANCIAL DRIVE #110 KALISPELL, MT 59901 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 5.57% |
| CASCADE PROFESSIONAL CENTER3 | 100 FINANCIAL DRIVE #110 KALISPELL, MT 59901 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $443 | $2K | 14.15% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ND EIN 45-0173185 NONE | Contract Administrator Service code 13 | — | $297K |
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 | 281 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 284 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ND | 471 | $2.9M |
| Dental | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (DENTAL) | 471 | $179K |
| Vision | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (VISION) | 420 | $39K |
| Life insurance(3 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | 374 | $86K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | 374 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 471 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
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.