| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | 2300 REMAOSSAMCE BLVD KING OF PRUSSIA, PA 19406 | HARTFORD LIFE AND ACCIDENT | $0 | $12K | $12K | 3.98% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | PO BOX 30638 BILLINGS, MT 59107 | HARTFORD LIFE AND ACCIDENT | $0 | — | $0 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 4386 MISSOURLA, MT 59809 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $541 | $7K | 6.97% |
| DAWN T SUCHECKI3 Filed as: DAWN RENEE MORGAN | 6413 DUNMOOR DR PLANO, TX 75093 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $130 | $6K | 5.87% |
| PEAK1 ADMINISTRATION3 Filed as: PEAK1 ADMINISTRATION LLC | 3903 E PRIMROSE LANE POST FALLS, ID 83854 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 2.00% |
| TIM L WILLIAMS3 | PO BOX 268 BILLINGS, MT 59103 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $495 | $5 | $500 | 0.52% |
| WASLEY DALE GINSBACH3 | 18704 KNUTSON RD NEWELL, SD 57760 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $407 | — | $407 | 0.42% |
| FOREVER EMPLOYER LTD3 | 375 EAST HORSETOOTH RD FORT COLLINS, CO 80525 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $383 | — | $383 | 0.40% |
| JG BENEFITS CONSULTANTS3 | 12300 FORD ROAD STE 450 FARMERS BRANCH, TX 75234 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $51 | — | $51 | 0.05% |
| VALORIE L STRICKLAND3 | 1437 CIMARRON PL RICHLAND, WA 99352 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $30 | — | $30 | 0.03% |
| MARK J ROBISON3 Filed as: MARK J ROBINSON | 1255 KIENAS RD KALISPELL, MT 59901 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.01% |
| MARSH & MCLENNAN AGENCY LLC3 | 2925 PALMER STREET MISSOULA, MT 59808 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | — | $0 | 0.00% |
| TROY KANE3 | 3289 GABEL RD BILLINGS, MT 591027371 | UNITED HERITAGE LIFE INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| PEAKL ADMINISTRATION LLC3 | 508 NW BLVD STE 200 COEUR D ALENE, ID 83814 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | — | $0 | 0.00% |
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 | 750 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 764 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 121 | $96K |
| Dental | STANDARD INSURANCE COMPANY | 647 | $663K |
| Vision | UNITED HERITAGE LIFE INSURANCE COMPANY | 434 | $67K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,488 | $295K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 1,488 | $295K |
| Other(4 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 1,488 | $522K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,488 | — |
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."
No prospect flags tripped on this filing.