Black Gold Potato Sales Inc
Updated Filing received by DOL
Black Gold Potato Sales Inc, an agriculture, forestry, fishing employer in Grand Forks, North Dakota, reported 138 participants in its health and welfare plan for plan year 2025. Its Form 5500 shows 7 insurance contracts with no premium reported and $28,655 in broker commissions and fees. The plan is fully insured (an insurance carrier pays claims). The Department of Labor received the filing on May 5, 2026, before the deadline.
Who was paid on Black Gold Potato Sales Inc's plan
Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Black Gold Potato Sales Inc filed for 2025.
| Broker or agent | Commissions | Fees | Total | Contracts |
|---|---|---|---|---|
| North Risk Partners LLC | $22,605 | $2,368 | $24,973 | 2 |
| Hajostek, Patricia a · Crookston, MN | $1,862 | $0 | $1,862 | 1 |
| Patricia Hajostek · Crookston, MN | $1,279 | $0 | $1,279 | 4 |
| National Enrollment Partners LLC · Cranston, RI | $101 | $71 | $172 | 4 |
| Deacon Charles Kavanaugh · The Colony, TX | $137 | $13 | $150 | 3 |
| Robert Scott Bruner · New Prague, MN | $66 | $50 | $116 | 4 |
| Charles Deacon Kavanaugh · The Colony, TX | $24 | $3 | $27 | 1 |
| Blue SKY Benefit Solutions Inc · Quartzsite, AZ | $24 | $0 | $24 | 2 |
| Michelle J Haller · Jordan, MN | $18 | $0 | $18 | 2 |
| Brenda Lee Canning · Saint Cloud, MN | $10 | $0 | $10 | 1 |
| Natalie Suzanne Fonville · Golden Valley, MN | $7 | $0 | $7 | 1 |
| Carrie S Flaten · North Field, MN | $5 | $0 | $5 | 1 |
Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2025, as published in EBSA's 2025 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.
Insurance contracts and carriers
Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.
| Carrier · coverage | Covered | Premium | Broker pay | Rate |
|---|---|---|---|---|
| Blue Cross Blue Shield of North Dakota (bcbsnd)health | 228 | — | $18,607 | — |
| Starmount Life Insurance Companyvision | 90 | — | $1,862 | — |
| Colonial Life and Accident Insurance Companycoverage not coded | 32 | — | $1,178 | — |
| Colonial Life and Accident Insurance Companycoverage not coded | 1 | — | $51 | — |
| Colonial Life and Accident Insurance Companycoverage not coded | 3 | — | $279 | — |
| Colonial Life and Accident Insurance Companycoverage not coded | 2 | — | $312 | — |
| United of Omaha Life Insurance Companylife, short-term disability | 140 | — | $6,366 | — |
Source: DOL Form 5500 Schedule A, plan year 2025. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.
How Black Gold Potato Sales Inc compares
Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.
Not computable: no insured medical premium on the filing.
Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.
Year over year
| 2024 | 2025 | Change | |
|---|---|---|---|
| Participants | 142 | 138 | −2.8% |
| Premiums filed | $0 | $0 | not comparable |
| Broker commissions + fees | $21,999 | $28,655 | +30.3% |
| Commission rate | — | — | — |
Source: DOL Form 5500 filings for plan years 2024 and 2025.
Filings and timeliness
Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.
| Plan | Plan year end | Received by DOL | Timing | Participants |
|---|---|---|---|---|
| Black Gold Potato Sales Group Benefit Plan#501 · insurance | December 31, 2025 | May 5, 2026 | before deadline | 138 |
Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.
How much did Black Gold Potato Sales Inc pay in health insurance broker commissions in 2025?
Black Gold Potato Sales Inc's 2025 Form 5500 reports $28,655 in broker commissions and fees across 7 insurance contracts ($26,150 in commissions, $2,505 in fees), with North Risk Partners LLC receiving the largest share.
Is Black Gold Potato Sales Inc's health plan self-funded or fully insured?
The 2025 filing indicates the plan is fully insured (an insurance carrier pays claims). Medical coverage is written by Blue Cross Blue Shield of North Dakota (bcbsnd).
How does Black Gold Potato Sales Inc's broker compensation compare with similar employers?
A commission-to-premium ratio cannot be computed for Black Gold Potato Sales Inc because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 100-199 participants that disclosed broker pay reported a median of $53,852.
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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.