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Form 5500 · Employee benefit plan · MINNEAPOLIS, MN

MOSS & BARNETT, A PROFESSIONAL ASSOCIATION

The filing calls this plan MOSS & BARNETT BENEFITS PLAN.

MOSS & BARNETT, A PROFESSIONAL ASSOCIATION of MINNEAPOLIS, MN insures health, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is BROWN & BROWN INS. SERVICES, INC.. Coverage is written through BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 41-0943845 · plan 589 · plan year 2025, filed Jun 16, 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.

All participants at the start of the year
115
Active at start of year
115
Active at end of year
0
Disclosed commissions
$52,748
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS156 of 115 participants
Dentaldeclared, no contract here says it covers this
Visioninsured — VISION SERVICE PLAN58 of 115 participants (50%)
Lifeinsured — LIFE INSURANCE COMPANY OF NORTH AMERICA79 of 115 participants (69%)
Disabilityinsured — LIFE INSURANCE COMPANY OF NORTH AMERICA79 of 115 participants (69%)

One contract on this filing does not say which benefits it covers, so a line above may be insured by it.

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 4 insured contracts covering health, vision, life and disability; the largest, with BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS, covers 156 people.

The filing declares health, vision, life, disability and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.

Reported premium across the insured contracts is $2,406,101, with $52,748 in disclosed broker commissions — about 2.2% 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.

BROWN & BROWN INS. SERVICES, INC. is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUSHealth156Jan 1, 2026$2,275,082$37,470
LIFE INSURANCE COMPANY OF NORTH AMERICALife, Disability79Jan 1, 2026$112,964$13,555
VISION SERVICE PLANVision58Jan 1, 2026$10,453$1,254
UNUM INSURANCE COMPANY—18Jan 1, 2026$7,602$469

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
MOSS & BARNETT, A PROFESSIONAL ASSOCIATION
EIN 41-0943845

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

How this plan compares

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