Form 5500 · Employee benefit plan · FARGO, ND
FARGO GLASS & PAINT CO.
The filing calls this plan FARGO GLASS & PAINT CO. HEALTH PLAN.
Public Form 5500 records show how FARGO GLASS & PAINT CO. of FARGO, ND, a wholesale trade employer, structures its employee benefits. Its broker of record is MARSH AND MCLENNAN AGENCY. Coverage is written through BLUE CROSS BLUE SHIELD OF NORTH DAKOTA and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-0129600 · plan 506 · plan year 2025, filed Jun 17, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: death benefits.
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 5 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF NORTH DAKOTA, covers 206 people.
Reported premium across the insured contracts is $1,867,582, with $36,381 in disclosed broker commissions — about 1.9% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
MARSH AND MCLENNAN AGENCY is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF NORTH DAKOTA, STARMOUNT LIFE INSURANCE COMPANY and UNUM LIFE INSURANCE COMPANY OF AMERICA. BLUE CROSS BLUE SHIELD OF NORTH DAKOTA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | Health | 206 | Jan 1, 2026 | $1,638,936 | $21,086 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 63 | Jan 1, 2026 | $58,992 | $8,849 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 90 | Jan 1, 2026 | $42,976 | $6,446 |
| STARMOUNT LIFE INSURANCE COMPANY | Dental | 130 | Jan 1, 2026 | $112,817 | $0 |
| STARMOUNT LIFE INSURANCE COMPANY | Vision | 95 | Jan 1, 2026 | $13,861 | $0 |
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: 147 employees, 12 recordable cases, 62 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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