| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HALVORSON BENEFITS PLUS INC3 Filed as: HALVORSON BENEFITS PLUS | PO BOX 2125 FARGO, ND 58107 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 8.00% |
| NORIDIAN INSURANCE SERVICES INC3 Filed as: NORIDIAN | 4510 13TH AVE SW FARGO, ND 58121 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $5K | $5K | 7.18% |
| HALVORSON BENEFITS PLUS INC3 Filed as: HALVORSON BENEFITS PLUS | 3320 WESTRAC DRIVE SOUTH SUITE D FARGO, ND 58103 | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | $3K | — | $3K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ND EIN 45-0173185 | Contract Administrator; Other fees Service code 13 | — | $8K |
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 | 207 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 43 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | 355 | $516K |
| Dental | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | 383 | $0 |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 207 | $67K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 207 | $67K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | 355 | $516K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 207 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 383 | — |
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.