| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSURED EQUITY MANAGEMENT CORP3 | 1800 GLENARM PLACE, SUITE 900 DENVER, CO 80202 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $61K | $0 | $61K | 10.21% |
| ASSURED EQUITY MANAGEMENT CORP3 | 1800 GLENARM PL., SUITE 900 DENVER, CO 80202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 9.20% |
| ASSURED EQUITY MANAGEMENT CORP3 | 1800 GLENARM DENVER, CO 80202 | EYEMED VISION CARE | $2K | $0 | $2K | 9.99% |
| BETA HEALTH ASSOCIATION5 Filed as: BETA HEALTH ASSOCIATION BOR | 9725 EAST HAMPDEN AVE #400 DENVER, CO 80231 | EYEMED VISION CARE | $0 | $2K | $2K | 7.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE EIN 59-1031071 ADMINISTRATOR | Direct payment from the plan; Float revenue; Contract Administrator; Non-monetary compensation; Claims processing; Participant communication; Other services Service code 12 | — | $76K |
| CIGNA HEALTH & LIFE INSURANCE CO | Non-monetary compensation; Claims processing; Contract Administrator; Named fiduciary; Float revenue; Participant communication; Other services; Direct payment from the plan Service code 12 | — | $0 |
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 | 132 | 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) | 132 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 149 | $594K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 149 | $594K |
| Vision | EYEMED VISION CARE | 409 | $19K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 132 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 409 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.