| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF COLORADO LLC | — | UNITEDHEALTHCARE | $12K | — | $12K | 1.87% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES, INC. | — | UNITEDHEALTHCARE | $7K | — | $7K | 1.11% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF COLORADO LLC | — | KAISER FOUNDATION CO | $9K | — | $9K | 2.45% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES INC | — | KAISER FOUNDATION CO | $3K | — | $3K | 0.92% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF COLORADO LLC | — | UNITEDHEALTHCARE | $8K | — | $8K | 6.13% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES INC | — | DELTA DENTAL | $953 | — | $953 | 1.32% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS NEW ENGLAND, INC | — | DELTA DENTAL | $670 | — | $670 | 0.93% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF CO | — | UNITED OF OMAHA | $3K | $1K | $4K | 14.74% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES INC | — | UNITED OF OMAHA | $2K | — | $2K | 5.30% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES INC | — | PRINCIPAL | $2K | — | $2K | 6.20% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF COLORADO LLC | — | PRINCIPAL | $200 | $680 | $880 | 3.31% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | — | PRINCIPAL | — | $134 | $134 | 0.50% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF CO | — | UNITED OF OMAHA | $2K | $2K | $4K | 17.50% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES INC | — | UNITED OF OMAHA | $1K | — | $1K | 5.26% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF CO | — | EYEMED VISION CARE | $570 | — | $570 | 6.96% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNER OF CO | — | UNITED OF OMAHA | $719 | $381 | $1K | 14.36% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES INC | — | UNITED OF OMAHA | $430 | — | $430 | 5.61% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF CO | — | UNITED OF OMAHA | $355 | $277 | $632 | 11.46% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES INC | — | UNITED OF OMAHA | $197 | — | $197 | 3.57% |
| CHRISTOPHER C FEAZEL3 | — | AFLAC | $253 | $66 | $319 | 10.92% |
| DAVID J MCCLELLAN3 Filed as: DAVID HALLETT | — | AFLAC | $45 | $15 | $60 | 2.05% |
| LYNN FEAZEL3 Filed as: LYNN S FEAZEL | — | AFLAC | $11 | — | $11 | 0.38% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 114 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | UNITEDHEALTHCARE | 80 | $1.0M |
| Dental(4 contracts, 3 carriers) | UNITEDHEALTHCARE | 146 | $281K |
| Vision(4 contracts, 3 carriers) | UNITEDHEALTHCARE | 99 | $218K |
| Life insurance(5 contracts, 3 carriers) | UNITEDHEALTHCARE | 112 | $223K |
| Short-term disability | UNITED OF OMAHA | 112 | $21K |
| Long-term disability | UNITED OF OMAHA | 112 | $29K |
| Other(4 contracts, 2 carriers) | UNITEDHEALTHCARE | 112 | $196K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 146 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.