| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 6300S SYRACUSE WAY, SUITE 700 CENNTENIAL, CO 80111 | SUN LIFE ASSURANCE COMPANY OF CANADA | $159 | $0 | $159 | 0.05% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP | 80 SOUTH 8TH STREET, SUITE 700 MINNEAPOLIS, MN 55402 | SUN LIFE ASSURANCE COMPANY OF CANADA | $109 | $0 | $109 | 0.03% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 NONE | Named fiduciary; Direct payment from the plan; Participant communication; Other services; Float revenue; Contract Administrator; Non-monetary compensation; Claims processing Service code 12 | — | $651K |
| CHRISTINE DENIO CORPORATE BENEFITS MGR | Employee (plan) Service code 30 | 10188 I-25 FRONTAGE ROAD FIRESTONE, CO 80504 | $103K |
| GALLAGHER BENEFIT SERVICES, INC. NONE | Claims processing Service code 12 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | $60K |
| WEB BENEFITS DESIGN CORP WEB DESIGN | Other services Service code 49 | 472 WEST SAND LAKE ROAD ORLANDO, FL 32819 | $47K |
| LINDA JOHNSON CORPORATE BENEFITS MGR | Employee (plan) Service code 30 | 10188 I-25 FRONTAGE ROAD FIRESTONE, CO 80504 | $43K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Accounting (including auditing) Service code 10 | — | $18K |
| CIGNA BEHAVIORAL HEALTH, INC. EIN 41-1648670 NONE | Contract Administrator; Direct payment from the plan; Participant communication; Claims processing Service code 12 | — | $13K |
| RETIREMENT PLANNING SERVICES, INC. EIN 84-1096179 NONE | Claims processing Service code 12 | — | $7K |
| SUN LIFE ASSURANCE COMPANY OF CANAD EIN 38-1082080 CONSULTANT | Consulting (pension) Service code 17 | — | $6K |
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 | 695 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 702 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 624 | $109K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 702 | $323K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 702 | $323K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 702 | $323K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,574 | $819K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 702 | $323K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,574 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.