| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRUCE A BALLENGER3 Filed as: BRUCE A. BALLENGER | 1117 SEA BISCUIT DRIVE COLORADO SPRINGS, CO 80921 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 8.61% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55402 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 6.10% |
| AMY SLOKAN3 Filed as: AMY L. SLOKAN | 4413 HESSITE LOOP COLORADO SPRINGS, CO 80938 | CONTINENTAL AMERICAN INSURANCE COMPANY | $320 | $0 | $320 | 0.91% |
| DAYTON LLC3 Filed as: DAYTON LLC AND OTHER AGENTS | 5445 DTC PARKWAY, SUITE 1036 GREENWOOD VILLAGE, CO 80111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $185 | $0 | $185 | 0.53% |
| BRUCE A BALLENGER3 Filed as: BRUCE A. BALLENGER | PO BOX 62385 COLORADO SPRINGS, CO 80962 | CONTINENTAL AMERICAN INSURANCE COMPANY | $139 | $0 | $139 | 0.40% |
| CASEY J HIGGINS3 Filed as: CASEY J. HIGGINS | 3083 LYMANS RUN SUN PRAIRIE, WI 53590 | CONTINENTAL AMERICAN INSURANCE COMPANY | $104 | $0 | $104 | 0.30% |
| JAMIE L. KETCHUM3 | 2801 WINE STREET DENVER, CO 80205 | CONTINENTAL AMERICAN INSURANCE COMPANY | $67 | $0 | $67 | 0.19% |
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 | 170 | 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) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF COLORADO | 201 | $69K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 184 | $10K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 170 | $92K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 170 | $92K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 170 | $92K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 170 | $127K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 201 | — |
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.