| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | STANDARD INSURANCE COMPANY | $34K | — | $34K | 1.25% |
| AON CONSULTING INC3 | SUITE 525 5 TRIAD CTR SALT LAKE CITY, UT 84180 | STANDARD INSURANCE COMPANY | $22K | — | $22K | 0.80% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | STANDARD INSURANCE COMPANY | $68K | — | $68K | 4.58% |
| AON CONSULTING INC3 | SUITE 525 5 TRIAD CTR SALT LAKE CITY, UT 84180 | STANDARD INSURANCE COMPANY | $12K | — | $12K | 0.81% |
| AMWINS5 Filed as: AMWINS GROUP BENEFITS LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | ENVISION RETIREE RX PRESCRIPTION DRUG PLAN | $77K | — | $77K | 6.25% |
| AON CONSULTING INC5 Filed as: AON CONSULTING, INC. | 200 E. RANDOLPH ST. CHICAGO, IL 60601 | ENVISION RETIREE RX PRESCRIPTION DRUG PLAN | $50K | — | $50K | 4.12% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $403 | $403 | 0.79% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ROCKY MOUNTAIN HOSPITAL & MEDICAL EIN 84-0747736 | Other services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $3.8M |
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 | 4,823 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 585 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,408 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 744 | $5.2M |
| Dental(3 contracts, 3 carriers) | AMERITAS LIFE INSURANCE CORP. | 895 | $547K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 4,858 | $1.3M |
| Life insurance | STANDARD INSURANCE COMPANY | 7,025 | $2.7M |
| Long-term disability | STANDARD INSURANCE COMPANY | 4,464 | $1.5M |
| Prescription drug | ENVISION RETIREE RX PRESCRIPTION DRUG PLAN | 580 | $1.2M |
| Stop-loss / reinsurancereinsurance | ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVICE, INC | 4,505 | $3.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,025 | — |
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.