| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 9605 S KINGSTON CT STE 150 ENGLEWOOD, CO 80112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $1K | $11K | 16.95% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 5.00% |
| ACRISURE LLC3 | 9605 S KINGSTON CT STE 150 ENGLEWOOD, CO 80112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $1K | $7K | 12.20% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA BENEFIT | HEALTH ADVISOR 9605 S KINGSTON CT, STE 150 ENGLEWOOD, CO 80112 | VISION SERVICE PLAN | $4K | — | $4K | 8.50% |
| GROUP BENEFITS LTD3 Filed as: GROUP BENEFITS, LTD. | 12006 RIDGEMONT DR URBANDALE, IA 50323 | VISION SERVICE PLAN | $2K | — | $2K | 3.84% |
| ACRISURE LLC3 Filed as: ACRISURE NORTHWEST PARTNERS | INSURANCE SERVICES, LLC 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | VISION SERVICE PLAN | $475 | — | $475 | 0.94% |
| JEREMY M EANES3 | 21729 E MARCER PL AURORA, CO 80018 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 8.68% |
| GREGORY G WAY3 | 13074 COFFE TREE ST PARKER, CO 80134 | CONTINENTAL AMERICAN INSURANCE COMPANY | $560 | — | $560 | 1.50% |
| JEREMY M EANES3 | 21729 E MERCER PL AURORA, CO 80018 | CONTINENTAL AMERICAN INSURANCE COMPANY | $527 | — | $527 | 1.41% |
| REGINA K SANTANGELO3 | 6892 S WEBSTER WAY LITTLETON, CO 80128 | CONTINENTAL AMERICAN INSURANCE COMPANY | $371 | — | $371 | 0.99% |
| DAYTON LLC3 | 5445 DTC PARKWAY SUITE 1036 GREENWOOD VILLAGE, CO 80111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $333 | — | $333 | 0.89% |
| LINDSAY A LIJEWSKI3 | 6500 S QUEBEC ST. SUITE 250 CENTENNIAL, CO 80111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $248 | — | $248 | 0.66% |
| JENNIFER L FREEMAN3 | 4672 CHARING CT CASTLE ROCK, CO 80109 | CONTINENTAL AMERICAN INSURANCE COMPANY | $214 | — | $214 | 0.57% |
| BARRY R WHITESIDES3 | 17575 E. DEWBERRY CIRCLE PARKER, CO 80134 | CONTINENTAL AMERICAN INSURANCE COMPANY | $193 | — | $193 | 0.52% |
| JO ANNE ALLEN LLC3 Filed as: JO ANNE ALLEN | 6110 LAGOLONDRI NA CT WHITE WATER, CO 81527 | CONTINENTAL AMERICAN INSURANCE COMPANY | $138 | — | $138 | 0.37% |
| ROBERT K WHITT3 | 7712 SHOAL CREEK BLVD AUSTIN, TX 78757 | CONTINENTAL AMERICAN INSURANCE COMPANY | $110 | — | $110 | 0.29% |
| TIMOTHY B ASBY3 | 9247 N MERIDIAN ST STE 205 INDIANAPOLIS, IN 46260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $93 | — | $93 | 0.25% |
| JENNIFER L FOSS3 | 3807 TRANQUILITY TRAIL CASTLE ROCK, CO 80109 | CONTINENTAL AMERICAN INSURANCE COMPANY | $81 | — | $81 | 0.22% |
| MARY B SALMON3 | 3401 DENVER DR MCKINNEY, TX 75070 | CONTINENTAL AMERICAN INSURANCE COMPANY | $51 | — | $51 | 0.14% |
| DEBRA K TORNBERG3 | 26065 N 68TH DR PEORIA, AZ 85383 | CONTINENTAL AMERICAN INSURANCE COMPANY | $45 | — | $45 | 0.12% |
| SUSAN C BANKS3 | 604 WILLOW BROOKE RD BRR SILVERTHORNE, CO 80498 | CONTINENTAL AMERICAN INSURANCE COMPANY | $32 | — | $32 | 0.09% |
| AMANDA RISNER3 | 7316 NABORS LANE MCKINNEY, TX 75071 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | — | $26 | 0.07% |
| MYWHY LLC3 | 225 FOSTER LANE WHITEWATER, CO 81527 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | — | $23 | 0.06% |
| JOSE DE LOS SANTOS III3 Filed as: JOSE DE LOS SANTOS | 155 INVERNESS DRIVE WEST SUITE 300 ENGLEWOOD, CO 80112 | CONTINENTAL AMERICAN INSURANCE COMPANY | $20 | — | $20 | 0.05% |
| TINA WAY3 Filed as: TINA R WAY | 155 INVERNESS DRIVE WEST SUITE 300 ENGLEWOOD, CO 80122 | CONTINENTAL AMERICAN INSURANCE COMPANY | $19 | — | $19 | 0.05% |
| JEROME JEFFREY PESEK3 Filed as: JEROME J PESEK | 330 TORRINGTON DR AUSTIN, TX 78737 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17 | — | $17 | 0.05% |
| JANIE VELDE BENEFITS GROUP LLC3 | 1900 WICKERSHAM LANE CORINTH, TX 76210 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17 | — | $17 | 0.05% |
| SHANNON L BRITTENHAM3 Filed as: SHANNON BRITTENHAM | 134 W BOWMAN DR KALISPELL, MT 59901 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | — | $14 | 0.04% |
| RYAN KADAVY3 | 8542 W FOOTHILL DR PEORIA, AZ 85383 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | — | $13 | 0.03% |
| AMY M BUCHANAN3 Filed as: AMY BUCHANAN | 2277 WEST 3RD AVENUE DURANGO, CO 81301 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.03% |
| SHAWN D HOLTORF3 | 5522 WEST NORTHWOOD DR GLENDALE, AZ 85310 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.03% |
| KEVIN BINKLEY3 | 645 E. TOMAHAWK CIR GRAND JUNCTION, CO 81501 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.03% |
| KP R VAN DYK3 | 456 SOUTH DEPEW ST LAKEWOOD, CO 80225 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.02% |
| CODY V CHAPMAN3 | 106 MISSION DR NEW BRAUNFELS, TX 78130 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8 | — | $8 | 0.02% |
| NANCY LAPHAM3 Filed as: NANCY L HARMON | 3925 S QUATAR ST AURORA, CO 80018 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | — | $7 | 0.02% |
| JAMES D RUDER3 | 1775 TRAPPENS COURT DELTA, CO 81410 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.02% |
| LARRY HIGMAN3 | 34723 COUNTY ROAD 21 ELIZABETH, CO 80107 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| ASPEN R LLC3 | 752 MAIN AVE SUITE 202 DURANGO, CO 81301 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| CYNTHIA MYER3 Filed as: CYNTHIA A MYER | 2333 CR 250 DURANGO, CO 81301 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| SCOTT G GOFF3 | 12311 COLBY CIRCLE TYLER, TX 75707 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| ASHLEIGH GEORGE3 | 2685 PALMER STREET STE E MISSOULA, MT 59801 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| JEFFREY S GIBSON3 | 9292 E TOPEKA DRIVE SCOTTSDALE, AZ 85255 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| DON C SUNDAY3 | 2037 S GARY DR LAKEWOOD, CO 80227 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| CHAD P SCHNEIDER3 | 1 W SUPERIOR ST #1301 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JEFF KLENMAN3 | 33202 N 45TH WAY CAVE CREEK, AZ 85131 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JONATHAN SAMUEL KIRKLAND3 Filed as: JONATHAN KIRKLAND | 4245 MILGEN RD COLUMBUS, GA 31907 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| SCOTT WEBB3 | 2355 W PINNACLE PEAK RD STE 350 PHOENIX, AZ 85027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JAMES ROB BLAKEY3 Filed as: JAMES BLAKEY | 410 NE LOOP 410 STE 405 SAN ANTONIO, TX 78318 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| ACRISURE LLC3 | 9605 S KINGSTON CT STE 150 ENGLEWOOD, CO 80112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $1K | $7K | 18.46% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| JEREMY M EANES3 | 21729 E MERCER PL AURORA, CO 80018 | AFLAC | $4K | $49 | $4K | 15.66% |
| GREGORY G WAY3 | 1828 SHADOW CREEK DR CASTLE ROCK, CO 80104 | AFLAC | $678 | — | $678 | 2.39% |
| DAYTON LLC3 | 5445 DTC PKWY, STE 1036 GREENWOOD VILLAGE, CO 80111 | AFLAC | $385 | $7 | $392 | 1.38% |
| JOANNE ALLEN LLC3 | 6110 LAGOLONDRINA CT WHITEWATER, CO 81527 | AFLAC | $378 | $10 | $388 | 1.37% |
| LINDSAY A LIJEWSKI3 | 6025 S QUEBEC ST STE 360 ENGLEWOOD, CO 80111 | AFLAC | $258 | — | $258 | 0.91% |
| AMY M EANES3 | 21729 E MERCER PL AURORA, CO 80018 | AFLAC | $156 | $3 | $159 | 0.56% |
| REGINA K SANTANGELO3 | 6892 S WEBSTER WAY LITTLETON, CO 80128 | AFLAC | $99 | — | $99 | 0.35% |
| DEBRA K TORNBERG3 | 26065 N 68TH DR PEORIA, AZ 85383 | AFLAC | $48 | — | $48 | 0.17% |
| MARY B SALMON3 | 286 DIAMOND RD WHITEWRIGHT, TX 75491 | AFLAC | $46 | — | $46 | 0.16% |
| MYWHY LLC3 | PO BOX 276 WHITEWATER, CO 81527 | AFLAC | $39 | $2 | $41 | 0.14% |
| WILLIS TOWERS WATSON US LLC3 Filed as: DEBORAH WILLIS | PO BOX 1173 BLAIRSVILLE, GA 30514 | AFLAC | $35 | — | $35 | 0.12% |
| ROBERT K WHITT3 | 21013 NIMITZ AVE LAGO VISTA, TX 78645 | AFLAC | $33 | — | $33 | 0.12% |
| KEVIN BINKLEY3 | 645 E TOMAHAWK CIR GRAND JUNCTION, CO 81504 | AFLAC | $30 | — | $30 | 0.11% |
| JENNIFER L FOSS3 | 3177 W INDIAN SUMMER LN CASTLE ROCK, CO 80109 | AFLAC | $29 | — | $29 | 0.10% |
| AMY M BUCHANAN3 | 348 SIR CHANDLER DR KILL DEVIL HILLS, NC 27948 | AFLAC | $26 | $2 | $28 | 0.10% |
| TIMOTHY B ASBY3 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IN 46077 | AFLAC | $25 | — | $25 | 0.09% |
| SHANNON L BRITTENHAM3 | 134 W BOWMAN DR KALISPELL, MT 59901 | AFLAC | $25 | — | $25 | 0.09% |
| AMANDA LEAH RISNER3 | 6849 ELM ST FRISCO, TX 75034 | AFLAC | $24 | — | $24 | 0.08% |
| RYAN KADAVY3 Filed as: RYAN L KADAVY | 8542 W FOOTHILL DR PEORIA, AZ 85383 | AFLAC | $22 | — | $22 | 0.08% |
| JONATHAN SAMUEL KIRKLAND3 | 1270 HOPEWELL CRST ALPHARETTA, GA 30004 | AFLAC | $19 | — | $19 | 0.07% |
| ROBERT MOLLENDOR3 | 625 MINDY CT STERLING, CO 80751 | AFLAC | $18 | — | $18 | 0.06% |
| BRITTANY ANN BUCKLEY3 | PO BOX 1786 IDAHO SPRINGS, CO 80452 | AFLAC | $14 | — | $14 | 0.05% |
| JENNIFER L FREEMAN3 | 5520 MELANIE CR ELIZABETH, CO 80107 | AFLAC | $13 | — | $13 | 0.05% |
| SUZANNE LEWIS3 | 101 E PARK BLVD PLANO, TX 75074 | AFLAC | $12 | — | $12 | 0.04% |
| CYNTHIA MYER3 | 26005 COLONY DRIVE SALVO, NC 27972 | AFLAC | $12 | — | $12 | 0.04% |
| KATHERINE ANDERSON3 | 2050 E 101ST CT THORNTON, CO 80229 | AFLAC | $11 | — | $11 | 0.04% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $10 | — | $10 | 0.04% |
| JEROME JEFFREY PESEK3 | 12566 MESA VERDE DR AUSTIN, TX 78737 | AFLAC | $10 | — | $10 | 0.04% |
| INSURANCE AGENCY OF CO INC3 | 350 INDIANA ST STE 750 GOLDEN, CO 80401 | AFLAC | $10 | — | $10 | 0.04% |
| ADRIANE N NEWMAN3 | 1206 VERDE TRAILS DR HOUSTON, TX 77073 | AFLAC | $9 | — | $9 | 0.03% |
| SUPPLEMENTAL SPECIALISTS INC3 | PO BOX 1173 BLAIRSVILLE, GA 30514 | AFLAC | $8 | — | $8 | 0.03% |
| DEBRA KAY GAPP3 Filed as: DEBRA K GAPP | 20302 STONE FALLS CT CYPRESS, TX 77433 | AFLAC | $8 | — | $8 | 0.03% |
| ZACHARY DANIEL HOLLON3 Filed as: ZACHARY DANEIL HOLLON | 2891 W LONG CIR APT H LITTLETON, CO 80120 | AFLAC | $7 | — | $7 | 0.02% |
| JOSE DE LOS SANTOS III3 | 15550 E COOPER CREEK LN PARKER, CO 80134 | AFLAC | $7 | — | $7 | 0.02% |
| TINA WAY3 | 15550 E COOPER CREEK LN PARKER, CO 80134 | AFLAC | $7 | — | $7 | 0.02% |
| JOHN P THOMPSON3 | 6395 S KEWAUNEE WAY STE 425 AURORA, CO 80016 | AFLAC | $6 | — | $6 | 0.02% |
| JAMES M GARNER3 | 10701 MELODY DR NORTHGLENN, CO 80234 | AFLAC | $5 | — | $5 | 0.02% |
| CHRISTOPHER WALLACE HOFF3 Filed as: CHRISTOPHER HOFF PROF LLC | 56 MARATHON KEY WAY PONTE VEDRA, FL 32081 | AFLAC | $5 | — | $5 | 0.02% |
| CODY V CHAPMAN3 | 431 KILDARE CIBOLO, TX 78108 | AFLAC | $5 | — | $5 | 0.02% |
| MARK K HASLEY3 | 20905 W COURT ST BUCKEYE, AZ 85396 | AFLAC | $4 | — | $4 | 0.01% |
| RYAN P URBAN3 | 5550 FLAG WAY COLORADO SPRINGS, CO 80919 | AFLAC | $4 | — | $4 | 0.01% |
| JONATHAN G HERDT3 | 5519 ORO GRANDE DR COLORADO SPRINGS, CO 80918 | AFLAC | $4 | — | $4 | 0.01% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA A CHAMBLISS | 2059 PINE RIVER DR KINGWOOD, TX 77339 | AFLAC | $3 | — | $3 | 0.01% |
| SCOTT WEBB3 | 26729 N 91ST DR PEORIA, AZ 85383 | AFLAC | $3 | — | $3 | 0.01% |
| KEITH A WILLIAMSON3 | 5705 LINGER WAY COLORADO SPRINGS, CO 80919 | AFLAC | $3 | — | $3 | 0.01% |
| DANNY R DUARTE3 | 1713 PATTY DR CANYON LAKE, TX 78133 | AFLAC | $3 | — | $3 | 0.01% |
| MICHAEL J MCNAUGHTON3 | 33 JB RATCLIFF RD RAYVILLE, LA 71269 | AFLAC | $1 | — | $1 | 0.00% |
| KIEFER GROUP INSURANCE AGCY LLC3 | 155 INVERNESS DR W STE 300 ENGLEWOOD, CO 80112 | AFLAC | $1 | — | $1 | 0.00% |
| MICHAEL G GLADNICK3 | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $1 | — | $1 | 0.00% |
| NATALIE MALHAM3 | 5822 N 13TH ST PHOENIX, AZ 85014 | AFLAC | $1 | — | $1 | 0.00% |
| JEFFREY A KLEINMAN SR3 | 515 E CAREFREE HWY PMB 323 PHOENIX, AZ 85085 | AFLAC | $1 | — | $1 | 0.00% |
| HEATHER F SEIBERT3 | 86 COUNTY ROAD 303 SHINER, TX 77984 | AFLAC | $1 | — | $1 | 0.00% |
| ACRISURE LLC3 | 9605 S KINGSTON CT STE 150 ENGLEWOOD, CO 80112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $515 | $4K | 17.25% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 5.00% |
| ALINK INSURANCE SERVICES3 | 10851 S CROSSROADS DRIVE UNIT A PARKER, CO 80134 | TRUSTMARK INSURANCE COMPANY | $771 | — | $771 | 6.96% |
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 | 343 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 343 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 238 | $50K |
| Life insurance(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 339 | $97K |
| Short-term disability(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 156 | $74K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 343 | $56K |
| Other(4 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 339 | $151K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 343 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.