| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SVCS | 1900 GRANT ST STE 650 DENVER, CO 80203 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $20K | $0 | $20K | 4.57% |
| PATRIOT GROWTH INSURANCE SERVICES4 Filed as: PATRIOT GROWTH INSURANCE SVCS | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $18K | $6K | $24K | 19.69% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INS DBA INTREPID CO | 1900 N GRANT STE 650 DENVER, CO 80203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $2K | $11K | 21.46% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SVCS | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $253 | $253 | 0.51% |
| PATRIOT GROWTH INSURANCE SERVICES3 | 1900 GRANT ST STE 650 DENVER, CO 80203 | DELTA DENTAL OF COLORADO | $5K | $0 | $5K | 9.74% |
| BETA HEALTH ASSOCIATION3 Filed as: BETA HEALTH ASSOCIATION (OVERRIDE) | 6200 S SYRACUSE WAY STE 460 GREENWOOD VILLAGE, CO 80111 | DELTA DENTAL OF COLORADO | $2K | $0 | $2K | 3.18% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 6143 S WILLOW DR STE 200 GREENWOOD VILLAGE, CO 80111 | DELTA DENTAL OF COLORADO | $354 | $0 | $354 | 0.72% |
| PATRIOT GROWTH INSURANCE SERVICES3 | 501 OFFICE CENTER STE 215 FT. WASHINGTON, PA 19034 | EYEMED VISION CARE | $705 | $0 | $705 | 8.79% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 1125 17TH ST DENVER, CO 80202 | EYEMED VISION CARE | -$9 | $0 | -$9 | -0.11% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: ANCE SERVICES, LLC PATRIOT GROWTH | 4635 SOUTHWEST FWY STE 750 HOUSTON, TX 77027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $264 | — | $264 | 5.73% |
| GREGORY G WAY3 | 13074 COFFEE TREE ST PARKER, CO 80134 | CONTINENTAL AMERICAN INSURANCE COMPANY | $98 | — | $98 | 2.13% |
| DAYTON LLC3 | 5445 DTC PARKWAY STE 1036 GREENWOOD VILLAGE, CO 80111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $21 | — | $21 | 0.46% |
| INTREPID3 Filed as: INTREPID BENEFITS INC. | 1900 GRANT ST STE 650 DENVER, CO 80203 | BETA HEALTH | $231 | $0 | $231 | 9.53% |
| ROGERS BENEFIT GROUP INC4 Filed as: MICHEAL J ROGERS | PO BOX 853 GEORGETOWN, CO 80444 | PREPAID LEGAL SERVICES INC DBA LEGALSHIELD | $118 | $0 | $118 | 14.73% |
| PATRIOT GROWTH INSURANCE SERVICES4 Filed as: PATRIOT GROWTH INSURANCE SVCS | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | PREPAID LEGAL SERVICES INC DBA LEGALSHIELD | $80 | $0 | $80 | 9.99% |
| RHONDA S UNSELL INC4 | 6525 GUNPARK DR STE 370-152 BOULDER, CO 80301 | PREPAID LEGAL SERVICES INC DBA LEGALSHIELD | $36 | $0 | $36 | 4.49% |
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 | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 84 | $560K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF COLORADO | 135 | $51K |
| Vision | EYEMED VISION CARE | 110 | $8K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 103 | $50K |
| Short-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 103 | $55K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 103 | $50K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 103 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 135 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.