| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT RD STE 240 SAINT CLOUD, MN 563016363 | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | $26K | — | $26K | 0.50% |
| MARSH & MCLENNAN AGENCY LLC3 | 505 BROADWAY N STE 100 FARGO, ND 581024489 | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | $26K | — | $26K | 0.50% |
| NORTH RISK PARTNERS LLC3 | 2010 CENTRE POINTE BLVD SAINT PAUL, MN 55120 | DELTA DENTAL OF MINNESOTA | $21K | — | $21K | 6.02% |
| MARSH & MCLENNAN AGENCY LLC3 | 6160 GOLDEN HILLS DRIVE MINNEAPOLIS, MN 55416 | DELTA DENTAL OF MINNESOTA | $14K | — | $14K | 4.00% |
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT RD STE 240 SAINT CLOUD, MN 563016363 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $2K | $10K | 8.45% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W BLDG 16 STE 320 BLUE BELL, PA 194222239 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $202 | $1K | 1.06% |
| MARSH & MCLENNAN AGENCY LLC3 | 505 BROADWAY N STE 100 FARGO, ND 581024489 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $53 | $53 | 0.05% |
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT RD STE 240 SAINT CLOUD, MN 563016363 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $539 | $2K | 7.60% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W BLDG 16 STE 320 BLUE BELL, PA 194222239 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $262 | $2K | 5.54% |
| MARSH & MCLENNAN AGENCY LLC3 | 505 BROADWAY N STE 100 FARGO, ND 581024489 | METROPOLITAN LIFE INSURANCE COMPANY | $440 | $59 | $499 | 1.76% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 250 PEHLE AVE STE400 PARK 80 PLAZA2 SADDLE BROOK, NJ 076635826 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $23 | $23 | 0.08% |
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT RD STE 240 SAINT CLOUD, MN 563016363 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $401 | $2K | 8.66% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W BLDG 16 STE 320 BLUE BELL, PA 194222239 | METROPOLITAN LIFE INSURANCE COMPANY | $242 | $48 | $290 | 1.03% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE STE 203 ORLANDO, FL 328013277 | METROPOLITAN LIFE INSURANCE COMPANY | $184 | $0 | $184 | 0.65% |
| MARSH & MCLENNAN AGENCY LLC3 | 505 BROADWAY N STE 100 FARGO, ND 581024489 | METROPOLITAN LIFE INSURANCE COMPANY | $12 | $53 | $65 | 0.23% |
| LIAZON BENEFITS INC5 | 199 SCOTT ST FL 8 BUFFALO, NY 142042265 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $21 | $21 | 0.07% |
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT RD, STE 240 ST CLOUD, MN 563016363 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $328 | $2K | 8.83% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W BLDG 16 STE 320 BLUE BELL, PA 194222239 | METROPOLITAN LIFE INSURANCE COMPANY | $205 | $41 | $246 | 1.00% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE STE 203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | $109 | $0 | $109 | 0.44% |
| MARSH & MCLENNAN AGENCY LLC3 | 505 BROADWAY N STE 100 FARGO, ND 581024489 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $53 | $53 | 0.22% |
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 | 442 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 443 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | 609 | $5.3M |
| Dental | DELTA DENTAL OF MINNESOTA | 616 | $347K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 297 | $114K |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 469 | $142K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 297 | $114K |
| Other(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 469 | $167K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 616 | — |
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.