| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PEAK INC3 Filed as: PEAK BENEFITS LLC | 8122 SOUTHPARK LANE LITTLETON, CO 80111 | DELTA DENTAL | $8K | $0 | $8K | 6.47% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICE IN | 6143 WILLOW DR. STE.200 GREENWOOD VILLAGE, CO 80111 | DELTA DENTAL | $3K | $0 | $3K | 2.59% |
| PEAK INC3 Filed as: PEAK BENEFITS LLC | 21250 E 31ST CIR A, CO 80011 | MUTUAL OF OMAHA | $9K | $0 | $9K | 20.00% |
| PEAK INC Filed as: PEAK BENEFITS LLC | 8122 SOUTHPARK LANE 210 LITTLETON, CO 80120 | VISION SERVICE PLAN | $1K | $0 | $1K | 4.53% |
| PEAK INC3 Filed as: PEAK BENEFITS LLC | 21250 E 31ST CIR AURORA, CO 80011 | MUTUAL OF OMAHA | $3K | $0 | $3K | 15.00% |
| PEAK INC3 Filed as: PEAK BENEFITS LLC | 21250 E 31ST CIR AURORA, CO 80011 | MUTUAL OF OMAHA | $4K | $0 | $4K | 20.19% |
| MELISSA A KOLL3 | 216 CLIMAX DR DILLON, CO 80435 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $871 | $265 | $1K | 7.73% |
| PEAK INC3 Filed as: PEAK BENEFITS LLC | 8122 SOUTHPARK LANE LITTLETON, CO 80120 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 7.34% |
| EVAN D BURDEN3 | PO BOX 6903 DENVER, CO 80206 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $476 | $0 | $476 | 3.24% |
| VOLUNTARY SOLUTIONS INC3 | BRIGHTON BRIGHTON, CO 80602 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $216 | $57 | $273 | 1.86% |
| CHRISTIAN KYLE STOUT3 | 26332 E ARCHER AVE AURORA, CO 80018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $63 | $124 | $187 | 1.27% |
| SELECTIVE OPTIONS INC3 | 9720 E 151 ST. PLACE BRIGHTON, CO 80602 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | $0 | $21 | 0.14% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES I | 32100 AGOURA RD WESTLAKE VILLAGE, CA 91361 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | $0 | $10 | 0.07% |
| ASSURED NEACE LUKENS INS. AGENCY3 Filed as: CHRISTOPHER ALLEN NEECE | 11460 WOODBRIDGE LN NW BALTIMORE, OH 43105 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $1 | $5 | 0.03% |
| COMPREHENSIVE BENEFITS SOLUTIONS3 Filed as: COMPREHENSIVE BENEFIT SOLUTIONS LI | 9636 CINCINNATI COLUMBUS RD CINCINNATI, OH 45241 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.02% |
| TIMOTHY J REED3 | 21 AZALEA DR. LUMBERTON, NJ 08048 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.02% |
| CORCORAN & HOYT LLC3 | 3905 TAMPA RD, UNIT 2367 OLDSMAR, FL 34677 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.01% |
| GREGORY PAUL STAUDINGER3 | 5650 GREAT NORTHERN BLVD NORTH OLMSTED, OH 44070 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.01% |
| PEAK INC3 Filed as: PEAK BENEFITS LLC | 21250 E 31ST CIR AURORA, CO 80011 | MUTUAL OF OMAHA | $1K | $0 | $1K | 15.00% |
| PEAK INC4 Filed as: PEAK BENEFITS LLC | 8122 SOUTHPARK LANE 212 LITTLETON, CO 80120 | PRE-PAID LEGAL SERVICES INC, DBA LEGAL SHIELD | $595 | — | $595 | 11.45% |
| LOVELACE KIDD JR4 | 147 ELAINE RD SAN ANTONIO, TX 78222 | PRE-PAID LEGAL SERVICES INC, DBA LEGAL SHIELD | $118 | — | $118 | 2.27% |
| UNIQUE BENEFITS GROUP INC4 Filed as: UNIQUE BENEFIT GROUP INC | 7 CAPOZZI CIR WOBURN, ME 01801 | PRE-PAID LEGAL SERVICES INC, DBA LEGAL SHIELD | $56 | — | $56 | 1.08% |
| VERNE LAVINIER KIDD4 | 529 CELTIC ASH RUN CIBOLO, TX 78108 | PRE-PAID LEGAL SERVICES INC, DBA LEGAL SHIELD | $39 | — | $39 | 0.75% |
| RHONA S UNSELL INC4 | 6525 GUNPARK DRIVE BOULDER, CO 80301 | PRE-PAID LEGAL SERVICES INC, DBA LEGAL SHIELD | $36 | $0 | $36 | 0.69% |
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 | 148 | 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) | 148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 298 | $127K |
| Vision | VISION SERVICE PLAN | 127 | $32K |
| Life insurance(2 contracts) | MUTUAL OF OMAHA | 137 | $55K |
| Short-term disability(2 contracts) | MUTUAL OF OMAHA | 137 | $43K |
| Stop-loss / reinsurancereinsurance | PACE UNDERWRITERS | 127 | $514K |
| Other(3 contracts, 3 carriers) | TOKIO MARINE HCC-A&H GROUP | 124 | $40K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 298 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.