| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FLOOD & PETERSON BENEFITS LLC3 Filed as: FLOOD & PETERSON INSURANCE INC | PO BOX 578 GREELEY, CO 80632 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 5.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FLOOD & PETERSON INS. INC. EIN 84-0475762 AGENT FEES | Insurance agents and brokers Service code 22 | — | $50K |
| LUCENT HEALTH SOLUTIONS LLC EIN 39-1997579 ADMIN | Plan Administrator Service code 14 | — | $37K |
| CONNECTICUT GENERAL LIFE INS. EIN 60-0303370 PPO CHARGE | Claims processing Service code 12 | — | $25K |
| TELADOC INC. EIN 04-3705970 ALT CARE | Claims processing Service code 12 | — | $3K |
| CAREOPERATIVE LLC EIN 46-4399706 HCBB | Claims processing Service code 12 | — | $151 |
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 | 154 | 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) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | 419 | $136K |
| Vision | VISION SERVICE PLAN | 142 | $23K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 281 | $57K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 281 | $57K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 154 | $1.3M |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 281 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 419 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.