| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES OF CO | 6300 S SYRACUSE WAY STE 700 CENTENNIAL, CO 801117305 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $82K | $82K | 0.87% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES OF CO | 6300 S SYRACUSE WAY STE 700 CENTENNIAL, CO 801117305 | KAISER FOUNDATION HEALTH PLAN INC. | $75K | — | $75K | 0.99% |
| SEQUEL INSURANCE SERVICES, INC.3 | 111 SCRIPPS DR SACRAMENTO, CA 958256305 | KAISER FOUNDATION HEALTH PLAN INC. | $14K | — | $14K | 0.19% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES OF CO | 6300 S SYRACUSE WAY STE 700 CENTENNIAL, CO 801117305 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $27K | $118 | $27K | 0.74% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES OF CO | 6300 S SYRACUSE WAY STE 700 CENTENNIAL, CO 801117305 | DELTA DENTAL OF COLORADO | $20K | — | $20K | 2.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES OF CO | 6300 S SYRACUSE WAY STE 700 CENTENNIAL, CO 801117305 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $42K | $15K | $58K | 5.93% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES OF CO | 6300 S SYRACUSE WAY STE 700 CENTENNIAL, CO 801117305 | MVP HEALTH SERVICE CORP | $2K | — | $2K | 3.89% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES OF CO | 6300 S SYRACUSE WAY STE 700 CENTENNIAL, CO 801117305 | HUMANA INSURANCE COMPANY | $6K | — | $6K | 17.33% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES OF CO | 6300 S SYRACUSE WAY STE 700 CENTENNIAL, CO 801117305 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | — | $126 | $126 | 1.51% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 6300 S SYRACUSE WAY STE 700 CENTENNIAL, CO 80111 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $36 | — | $36 | 0.81% |
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 | 2,129 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 32 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,161 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 7 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 752 | $20.9M |
| Dental(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 2,573 | $12.3M |
| Vision | VISION SERVICE PLAN | 1,308 | $155K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,021 | $972K |
| Short-term disability | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | 34 | $8K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,021 | $972K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 752 | $7.6M |
| Other(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,155 | $999K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,573 | — |
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.