| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SHIRAZI-MILLER BENEFITS LLC3 Filed as: SHIRAZI BENEFITS LLC | 8205 WEST 20TH ST GREELEY, CO 806344697 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $32K | — | $32K | 9.23% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS AGCY & FIN SVCS | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $12K | $12K | 3.41% |
| SHIRAZI-MILLER BENEFITS LLC3 Filed as: SHIRAZI MILLER BENEFITS LLC | 3711 JOHN F KENNEDY PKWY SUITE 220 GREELEY, CO 80525 | DELTA DENTAL OF COLORADO | $1K | — | $1K | 2.26% |
| SHIRAZI-MILLER BENEFITS LLC3 Filed as: SHIRAZI BENEFITS LLC | 8205 WEST 20TH ST GREELEY, CO 80634 | DELTA DENTAL OF COLORADO | $473 | — | $473 | 0.75% |
| SHIRAZI-MILLER BENEFITS LLC7 Filed as: SHIRAZI MILLER BENEFITS L | 8205 WEST 20TH ST GREELEY, CO 80634 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $950 | $5K | 12.41% |
| NATIONAL BENEFIT CENTER7 | 6830 COCHRAN ROAD SOLON, OH 44139 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $2K | $2K | 4.00% |
| SHIRAZI-MILLER BENEFITS LLC7 Filed as: SHIRAZI MILLER BENEFITS L | 8205 WEST 20TH ST GREELEY, CO 80634 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $774 | $4K | 12.64% |
| NATIONAL BENEFIT CENTER7 | 6830 COCHRAN ROAD SOLON, OH 44139 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $1K | $1K | 4.00% |
| SHIRAZI-MILLER BENEFITS LLC3 Filed as: SHIRAZI - MILLER BENEFITS LLC | 8205 WEST 20TH STREET GREELEY, CO 80634 | EYEMED VISION CARE | $985 | — | $985 | 8.56% |
| SHIRAZI-MILLER BENEFITS LLC3 Filed as: SHIRAZI BENEFITS LLC | 8205 WEST 20TH STREET GREELEY, CO 80634 | EYEMED VISION CARE | $84 | — | $84 | 0.73% |
| SHIRAZI-MILLER BENEFITS LLC7 Filed as: SHIRAZI MILLER BENEFITS L | 8205 WEST 20TH ST GREELEY, CO 80634 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $291 | $115 | $406 | 15.30% |
| NATIONAL BENEFIT CENTER7 | 6830 COCHRAN ROAD SOLON, OH 44139 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $106 | $106 | 4.00% |
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 | 151 | 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) | 151 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 122 | $350K |
| Dental | DELTA DENTAL OF COLORADO | 170 | $63K |
| Vision | EYEMED VISION CARE | 155 | $12K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 223 | $39K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 151 | $29K |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 223 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 223 | — |
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.