Form 5500 · Employee benefit plan · VALLEY CITY, ND
OPEN DOOR CENTER
The filing calls this plan OPEN DOOR CENTER EMPLOYEE BENEFITS PLAN.
Public Form 5500 records show how OPEN DOOR CENTER of VALLEY CITY, ND, a other services employer, structures its employee benefits. Its broker of record is NATIONAL INSURANCE SERVICES OF WI. Coverage is written through VISION SERVICE PLAN and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-0277603 · plan 501 · plan year 2025, filed May 14, 2026
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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
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
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 4 insured contracts covering dental, vision and life; the largest, with VISION SERVICE PLAN, covers 115 people.
The filing declares dental, vision, life and health. Health 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 $45,050, with $623 in disclosed broker commissions — about 1.4% 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.
NATIONAL INSURANCE SERVICES OF WI is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| MADISON NATIONAL LIFE INSURANCE COMPANY | Life | 146 | Jul 1, 2025 | $8,906 | $623 |
| VISION SERVICE PLAN | Vision | 115 | Jul 1, 2025 | $24,153 | $0 |
| LIVE WELL SOLUTIONS, LLC. | — | 125 | Jul 1, 2025 | $7,356 | $0 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Dental | 115 | Jul 1, 2025 | $4,635 | $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: 197 employees, 5 recordable cases, 0 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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