| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 Filed as: IMA INC | 1705 17TH STREET SUITE 100 DENVER, CO 80202 | AETNA LIFE INSURANCE COMPANY | $65K | — | $65K | 4.05% |
| IMA, INC.3 Filed as: IMA INC | 8200 EAST 32ND STREET NORTH WICHITA, KS 67226 | AETNA LIFE INSURANCE COMPANY | — | $265 | $265 | 0.02% |
| IMA, INC.3 Filed as: IMA INC | 8200 EAST 32ND STREET NORTH WICHITA, KS 67226 | HARTFORD LIFE AND ACCIDENT | $14K | $2K | $16K | 10.94% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH STREET SUITE 100 DENVER, CO 80202 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $1K | $5K | 5.42% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH STREET SUITE 100 DENVER, CO 80202 | MUTUAL OF OMAHA INSURANCE COMPANY | $3K | — | $3K | 13.62% |
| THE MAXON COMPANY3 | 76 NORTH BROADWAY IRVINGTON, NY 10533 | MUTUAL OF OMAHA INSURANCE COMPANY | — | $1K | $1K | 5.19% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | $130 | $2K | 8.93% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH STREET SUITE 100 DENVER, CO 80202 | MUTUAL OF OMAHA INSURANCE COMPANY | $2K | — | $2K | 15.00% |
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 | 128 | 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) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 266 | $1.6M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 160 | $96K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 135 | $18K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 390 | $144K |
| Short-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 390 | $168K |
| Long-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 390 | $159K |
| Other | HARTFORD LIFE AND ACCIDENT | 390 | $144K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 390 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.