| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | 6200 LBJ FREEWAY, SUITE 200 DALLAS, TX 75240 | UNITEDHEALTHCARE INSURANCE COMPANY | $47K | — | $47K | 4.71% |
| DALLAS INSURANCE EXCHANGE II INC3 Filed as: DALLAS INSURANCE EXCHANGE II INC. | 15660 DALLAS PKWY STE 500 DALLAS, TX 71894 | UNITEDHEALTHCARE INSURANCE COMPANY | $11K | — | $11K | 1.07% |
| IMA, INC.3 | 6200 LBJ FREEWAY, SUITE 200 DALLAS, TX 75240 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | — | $11K | 9.80% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.80% |
| IMA, INC.3 | 1705 17TH ST STE 100 DENVER, CO 80202 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 6.24% |
| IMA, INC.3 | 1705 17TH ST STE 100 DENVER, CO 80202 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 6.79% |
| IMA, INC.3 | 1705 17TH ST STE 100 DENVER, CO 80202 | STANDARD INSURANCE COMPANY | $35K | — | $35K | 115.47% |
| IMA, INC.3 | 6200 LBJ FREEWAY, SUITE 200 DALLAS, TX 75240 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $388 | — | $388 | 9.90% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | — | $71 | $71 | 1.81% |
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 | 153 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 159 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 286 | $996K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 364 | $120K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 364 | $116K |
| Life insurance | STANDARD INSURANCE COMPANY | 160 | $36K |
| Short-term disability | STANDARD INSURANCE COMPANY | 160 | $45K |
| Long-term disability | STANDARD INSURANCE COMPANY | 160 | $31K |
| Other | STANDARD INSURANCE COMPANY | 160 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 364 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.