Form 5500 · Employee benefit plan · GRAND FORKS, ND
ACME ELECTRIC CAFETERIA PLAN
The filing calls this plan ACME ELECTRIC HEALTH INSURANCE AND CAFETERIA PLAN.
ACME ELECTRIC CAFETERIA PLAN of GRAND FORKS, ND is a 564-participant retail employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is STREAMLINE ENT LLC DBA CANOPY NATIO. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-0283814 · plan 501 · plan year 2025, filed Dec 17, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
14 other employer plans in North Dakota have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 3 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 503 people.
Reported premium across the insured contracts is $1,713,603, with $192,083 in disclosed broker commissions — about 11% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
STREAMLINE ENT LLC DBA CANOPY NATIO is the broker of record on all 3 contracts.
Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY and SUN LIFE ASSURANCE COMPANY OF CANADA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SUN LIFE ASSURANCE COMPANY OF CANADA | Dental, Vision, Life, Disability | 578 | Jul 1, 2025 | $808,002 | $114,880 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 503 | Jul 1, 2025 | $863,682 | $69,045 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | — | 86 | Jul 1, 2025 | $41,919 | $8,158 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 703 employees, 16 recordable cases, 9 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
14 other employer plans in North Dakota are July 1 renewals (policy year ends June).
Their policy years end in June, like this plan’s, so most renew July 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
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