| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SHEA INSURANCE LLC3 | 5510 S FORT APACHE RD LAS VEGAS, NV 89148 | ANTHEM LIFE INSURANCE COMPANY | $24K | $9K | $33K | 50.08% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SHEA INSURANCE, LLC BROKER | Insurance agents and brokers Service code 22 | 5510 S FORT APACHE RD LAS VEGAS, NV 89148 | $85K |
| THE BENECON GROUP,LLC EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $36K |
| ANTHEM BLUE CROSS BLUE SHIELD EIN 84-1017384 ADMIN | Claims processing Service code 12 | — | $34K |
| CONNECTCARE 3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $12K |
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 | 267 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 269 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | 298 | $175K |
| Vision | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | 298 | $175K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 267 | $65K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 267 | $65K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 267 | $65K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 211 | $351K |
| Other(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 267 | $65K |
| 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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.