| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SERV USA INC (CO) | 5755 MARK DABLING BLVD STE 300 COLORADO SPRINGS, CO 80919 | CIGNA HEALTH AND LIFE INS COMPANY | $26K | $1K | $27K | 8.11% |
| MOODY INSURANCE AGENCY3 Filed as: MOODY INS AGENCY INC | 8055 EAST TRUFT AVE STE 1000 DENVER, CO 80237 | THE HARTFORD | $5K | — | $5K | 14.87% |
| GROUP BENEFITS SERVICES LLC3 | 8055 E TUFTS AVE STE 1230 DENVER, CO 80237 | UNITED HEALTHCARE INSURANCE COMPANY | $774 | $337 | $1K | 15.79% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INS COMPANY EIN 59-1031071 NONE | Named fiduciary; Contract Administrator; Direct payment from the plan; Float revenue; Non-monetary compensation; Claims processing; Participant communication; Other services Service code 12 | — | $123K |
| MERITAIN HEALTH EIN 16-1264154 NONE | Plan Administrator Service code 14 | — | $6K |
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 | 119 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INS COMPANY | 119 | $334K |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 86 | $7K |
| Life insurance | THE HARTFORD | 118 | $33K |
| Short-term disability | THE HARTFORD | 118 | $33K |
| Long-term disability | THE HARTFORD | 118 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 119 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.