| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS LLC | 302 W SUPERIOR ST, STE 400 DULUTH, MN 55802 | MEDICA INSURANCE COMPANY | $35K | $704 | $36K | 4.08% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS LLC | 4200 UNIVERSITY AVE, STE 200 WEST DES MOINES, IA 50266 | DELTA DENTAL OF MINNESOTA | $932 | — | $932 | 2.03% |
| JOHNSON INSURANCE CONSULTANTS3 | 302 W. SUPERIOR STREET, STE 400 DULUTH, MN 55802 | USABLE LIFE | $147 | — | $147 | 8.09% |
| BENEUSA LLC3 | 261 SCHOOL AVE, STE 350 EXCELSIOR, MN 55331 | USABLE LIFE | $90 | — | $90 | 4.95% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS LLC | 4200 UNIVERSITY AVE, STE 200 WEST DES MOINES, IA 50266 | USABLE LIFE | $33 | — | $33 | 1.82% |
| JOHNSON INSURANCE CONSULTANTS3 | 302 W. SUPERIOR STREET, STE 400 DULUTH, MN 55802 | USABLE LIFE | $156 | — | $156 | 8.59% |
| BENEUSA LLC3 | 261 SCHOOL AVE, STE 350 EXCELSIOR, MN 55331 | USABLE LIFE | $95 | — | $95 | 5.23% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS LLC | 4200 UNIVERSITY AVE, STE 200 WEST DES MOINES, IA 50266 | USABLE LIFE | $34 | — | $34 | 1.87% |
| JOHNSON INSURANCE CONSULTANTS3 | 302 W. SUPERIOR STREET, STE 400 DULUTH, MN 55802 | USABLE LIFE | $142 | — | $142 | 8.96% |
| BENEUSA LLC3 | 261 SCHOOL AVE, STE 350 EXCELSIOR, MN 55331 | USABLE LIFE | $82 | — | $82 | 5.18% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS LLC | 4200 UNIVERSITY AVE, STE 200 WEST DES MOINES, IA 50266 | USABLE LIFE | $22 | — | $22 | 1.39% |
| JOHNSON INSURANCE CONSULTANTS3 | 302 W. SUPERIOR STREET, STE 400 DULUTH, MN 55802 | USABLE LIFE | $125 | — | $125 | 8.31% |
| BENEUSA LLC3 | 261 SCHOOL AVE, STE 350 EXCELSIOR, MN 55331 | USABLE LIFE | $75 | — | $75 | 4.99% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS LLC | 4200 UNIVERSITY AVE, STE 200 WEST DES MOINES, IA 50266 | USABLE LIFE | $25 | — | $25 | 1.66% |
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 | 63 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 64 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEDICA INSURANCE COMPANY | 101 | $878K |
| Dental | DELTA DENTAL OF MINNESOTA | 114 | $46K |
| Life insurance(4 contracts) | USABLE LIFE | 18 | $7K |
| Other(4 contracts) | USABLE LIFE | 18 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 114 | — |
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.