| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 | 4582 SOUTH ULSTER STREET SUITE 600 DENVER, CO 802372634 | METROPOLITAN LIFE INSURANCE COMPANY | — | $15 | $15 | 0.02% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF COLORADO | 4582 SOUTH ULSTER STREET SUITE 600 DENVER, CO 80237 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $906 | $906 | 2.35% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF COLORADO | 4582 SOUTH ULSTER STREET SUITE 600 DENVER, CO 80237 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $544 | $544 | 2.37% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF COLORADO | 4582 SOUTH ULSTER STREET SUITE 600 DENVER, CO 80237 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $628 | $4K | 18.22% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF COLORADO, LLC | 4582 SOUTH ULSTER STREET SUITE 600 DENVER, CO 802372634 | VISION SERVICE PLAN | $944 | — | $944 | 5.03% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF COLORADO | 4582 SOUTH ULSTER STREET SUITE 600 DENVER, CO 80237 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $263 | $263 | 2.43% |
| AMY E GRIFFIN3 | P.O. BOX 270550 FORT COLLINS, CO 80527 | AFLAC | $541 | $64 | $605 | 8.50% |
| JOHN W BELL3 | P.O. BOX 270550 FORT COLLINS, CO 80527 | AFLAC | $357 | $31 | $388 | 5.45% |
| AMY E GRIFFIN3 | 5110 GRANITE STREET SUITE A LOVELAND, CO 80538 | AFLAC | $342 | $16 | $358 | 5.03% |
| LAURA M MARCOTTE3 Filed as: LAURA M. MARCOTTE | 4928 SILVERWOOD DRIVE JOHNSTOWN, CO 80534 | AFLAC | $165 | $20 | $185 | 2.60% |
| KYLE PROBASCO3 | 4928 SILVERWOOD DRIVE JOHNSTOWN, CO 80534 | AFLAC | $67 | $12 | $79 | 1.11% |
| RIGGS COUNSELMAN MICHAELS & DOWNES3 Filed as: GARRY RIGGS | 950 SOUTHRIDGE GREENS BOULEVARD UNIT 30 FORT COLLINS, CO 80525 | AFLAC | $58 | — | $58 | 0.81% |
| VIRGINIA L BRINKMAN3 | P.O. BOX 2563 LOVELAND, CO 80539 | AFLAC | $34 | — | $34 | 0.48% |
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 | 160 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 463 | $91K |
| Vision | VISION SERVICE PLAN | 111 | $19K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $30K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $38K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $23K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $37K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 463 | — |
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.