Form 5500 · Employee benefit plan · GRAND FORKS, ND
ACME ELECTRIC 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 · as of Aug 2026
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 CO OF CANADA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SUN LIFE ASSURANCE CO OF CANADA | Dental, Vision, Life, Disability | 578 | June | $808,002 | $114,880 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 503 | June | $863,682 | $69,045 |
| SUN LIFE ASSURANCE CO OF CANADA | — | 86 | June | $41,919 | $8,158 |
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