| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DILLON HEALTH, LLC3 Filed as: DILLON HEALTH INC | 329 FLINT STREET RENO, NV 89501 | HMO COLORADO, INC | $6K | $4K | $10K | 1.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DILLON INSURANCE SERVICES EIN 47-4214062 PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | 329 FLINT STREET RENO, NV 89501 | $350K |
| ABC NEVADA CHAPTER EIN 88-0126253 PLAN SERVICE PROVIDER | Plan Administrator Service code 14 | 240 SOUTH ROCK BOULEVARD SUITE 121 RENO, NV 89502 | $224K |
| LUCENT HEALTH SOLUTIONS, LLC EIN 47-1931003 PLAN SERVICE PROVIDER | Contract Administrator Service code 13 | 424 CHURCH ST SUITE 2300 NASHVILLE, TN 37219 | $131K |
| GAROFOLO & RAMSDELL, LLP EIN 81-4503218 PLAN SERVICE PROVIDER | Legal Service code 29 | 3443 GOLDEN GATE WAY SUITE H LAFAYETTE, CA 94549 | $84K |
| R & J INSURANCE SERVICES, LLC EIN 20-3425010 PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | PO BOX 34625 RENO, NV 89533 | $26K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 AUDITOR | Accounting (including auditing) Service code 10 | 915 HIGHLAND POINTE DRIVE SUITE 300 ROSEVILLE, CA 95678 | $25K |
| L/P INSURANCE SERVICES, INC. EIN 27-3054238 PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | 300 EAST 2ND STREET SUITE 1300 RENO, NV 89501 | $23K |
| TMG INSURANCE COMPANY, INC. EIN 53-0565897 PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | 1915 PROSPERITY ST RENO, NV 89502 | $18K |
| EMPLOYERS BENEFITS DESIGN, INC. EIN 88-0335316 PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | 330 E WARM SPRINGS RD LAS VEGAS, NV 89119 | $18K |
| INSURANCE OFFICE OF AMERICA, INC. EIN 59-2472656 PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | 2180 HARVARD STREET SUITE 450 SACRAMENTO, CA 95815 | $13K |
| MARK AVILA INSURANCE SERVICES PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | 2320 FIRESIDE CIRCLE RENO, NV 89509 | $12K |
| BOB MORALES PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | 679 SIERRA ROSE DRIVE SUITE B RENO, NV 89511 | $10K |
| INTERWEST INSURANCE SERVICES, LLC EIN 68-0266090 PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | 8950 CAL CENTER DRIVE BUILDING 3 SUITE 200 SACRAMENTO, CA 95826 | $8K |
| GLB INSURANCE GROUP OF NEVADA EIN 83-1214626 PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | 4455 S PECOS ROAD LAS VEGAS, NV 89121 | $8K |
| ISOLVED BENEFIT SERVICES PLAN SERVICE PROVIDER | Contract Administrator Service code 13 | PO BOX 889 COLDWATER, MI 49036 | $6K |
| DISTINCTIVE INSURANCE EIN 83-1729785 PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | 8375 W FLAMINGO RD UNIT 102 LAS VEGAS, NV 89147 | $6K |
| DUROCHER INSURANCE EIN 46-2887495 PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | 190 W HUFFAKER LN SUITE 406 RENO, NV 89511 | $6K |
| TIRENA JONES ACCOUNTANT | Accounting (including auditing) Service code 10 | 240 SOUTH ROCK BLVD SUITE 121 RENO, NV 89502 | $6K |
| GALLAGHER BENEFIT SERVICES, INC. EIN 36-4291971 PLAN SERVICE PROVIDER | Insurance agents and brokers Service code 22 | 6300 S SYRACUSE WAY SUITE 700 CENTENNIAL, CO 80111 | $5K |
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 | 1,475 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,480 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | 1,227 | $5.7M |
| Dental(2 contracts) | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | 732 | $251K |
| Vision(2 contracts) | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | 785 | $79K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 37 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,227 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.