Form 5500 · Employee benefit plan · FARGO, ND
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA of FARGO, ND is a 900-participant finance and insurance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is AZURANCE GROUP, INC.. Coverage is written through UNUM LIFE INSURANCE COMPANY OF AMERICA. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-0173185 · plan 502 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering life and disability; the largest, with UNUM LIFE INSURANCE COMPANY OF AMERICA, covers 5,713 people.
Reported premium is $2,818,930; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
AZURANCE GROUP, INC. is the broker of record on all 2 contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 5,713 | December | $2,113,246 | $0 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 1,178 | December | $705,684 | $0 |
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