| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROCKY MOUNTAIN ADMINISTRATORS5 | 809 SOUTH RAILWAY WORLAND, WY 82401 | HCC LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| GEORGE B BRYCE3 | 747 W 1ST ST. CASPER, WY 82601 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $270 | — | $270 | 5.01% |
| KELLI J CARMICHAEL3 | 747 W 1ST ST CASPER, WY 82601 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $270 | — | $270 | 5.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ROCKY MOUNTAIN ADMINISTRATORS, LLC EIN 27-4362108 NONE | Insurance services; Claims processing; Direct payment from the plan Service code 12 | — | $253K |
| EDWARD T. HAGER, CPA, LLC EIN 46-4430124 NONE | Other fees; Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $33K |
| NEEDLES & ASSOCIATES, LLC EIN 51-0435869 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $15K |
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 | 156 | 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) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 149 | $5K |
| Stop-loss / reinsurancereinsurance | AMERICAN NATIONAL INSURANCE COMPANY | 149 | $481K |
| Other(2 contracts, 2 carriers) | HCC LIFE INSURANCE COMPANY | 149 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.