| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROPER INSURANCE & FINANCIAL SVCS.3 Filed as: ROPER INSURANCE AND FINANCIAL SERVI | 9559 S KINGSTON COURT ENGLEWOOD, CO 80112 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $1K | $1K | $3K | 0.14% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF COLORADO, INC. | 2170 S PARKER RD STE 251 DENVER, CO 80231 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | $0 | $5K | 4.94% |
| RITA JANE LENZ3 | 2170 S PARKER RD STE 251 DENVER, CO 80231 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | — | $1K | 1.20% |
| JENNIFER L FREEMAN3 | 4672 CHARING CT CASTLE ROCK, CO 80109 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8K | — | $8K | 10.29% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ORADO, INC. BROWN & BROWN OF COLORA | 4532 BOARDWALK DRIVE SUITE 200 FORT COLLINS, CO 80522 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | — | $6K | 7.82% |
| TIFFANY ANNE KING3 Filed as: TIFFANY A KING | 1010 LAKE ST SUITE 430 OAK PARK, IL 60301 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 2.24% |
| REGINA K SANTANGELO3 | 6892 S WEBSTER WAY LITTLETON, CO 80128 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.73% |
| BEVERLY L WEAVER3 | 3541 WINNEBAGO DR SEDALIA, CO 80135 | CONTINENTAL AMERICAN INSURANCE COMPANY | $394 | — | $394 | 0.50% |
| LINDSAY A LIJEWSKI3 | 6500 S. QUEBEC ST. SUITE 250 CENTENNIAL, CO 80111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $368 | — | $368 | 0.47% |
| RYAN L ZIMMER3 | 16550 30TH ST SW BLOMKEST, MN 56216 | CONTINENTAL AMERICAN INSURANCE COMPANY | $290 | — | $290 | 0.37% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ORADO, INC. BROWN & BROWN OF COLORA | 675 SNAP DRAGON WAY UNIT 200 STEAMBOAT SPRINGS, CO 80487 | CONTINENTAL AMERICAN INSURANCE COMPANY | $264 | — | $264 | 0.33% |
| NICHOLAS A FREEMAN3 | 675 BISHOP PINE WAY CASTLE ROCK, CO 80104 | CONTINENTAL AMERICAN INSURANCE COMPANY | $261 | — | $261 | 0.33% |
| TIMOTHY B ASBY3 | 9247 N MERIDIAN ST STE 205 INDIANAPOLIS, IN 46260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $172 | — | $172 | 0.22% |
| JONATHAN SAMUEL KIRKLAND3 Filed as: JONATHAN S KIRKLAND | 4245 MILGEN RD COLUMBUS, GA 31907 | CONTINENTAL AMERICAN INSURANCE COMPANY | $127 | — | $127 | 0.16% |
| CE AGCY LLC KIEFER GROUP INSURANCE3 | 12002 SOUTH MILONA DRIVE DRAPER, UT 84020 | CONTINENTAL AMERICAN INSURANCE COMPANY | $48 | — | $48 | 0.06% |
| SHANNON M CRAVOTTA3 | 9034 E EASTER PL STE 202 CENTENNIAL, CO 80112 | CONTINENTAL AMERICAN INSURANCE COMPANY | $45 | — | $45 | 0.06% |
| TINA WAY3 Filed as: TINA R WAY | 155 INVERNESS DRIVE WEST SUITE 300 ENGLEWOOD, CO 80122 | CONTINENTAL AMERICAN INSURANCE COMPANY | $44 | — | $44 | 0.06% |
| JOSE DE LOS SANTOS III3 | 155 INVERNESS DRIVE WEST SUITE 300 ENGLEWOOD, CO 80112 | CONTINENTAL AMERICAN INSURANCE COMPANY | $41 | — | $41 | 0.05% |
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 | 337 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 337 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 337 | $2.0M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 119 | $102K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 119 | $102K |
| Life insurance | CONTINENTAL AMERICAN INSURANCE COMPANY | 157 | $79K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 157 | $79K |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 157 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 337 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.