| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY STE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $42K | $1K | $43K | 5.19% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $7K | — | $7K | 7.23% |
| CADA INSURANCE SERVICES INC3 | 290 SPEER BLVD DENVER, CO 80203 | AMERICAN FIDELITY ASSURANCE COMPANY | $3K | — | $3K | 3.00% |
| COLORADO AUTO DEALERS ASSOCIATION3 Filed as: COLORADO AUTO DEALERS ASSOCATION | C/O MR TIM JACKSON EXEC DIR DENVER, CO 80203 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $1K | $1K | 1.14% |
| COLORADO AUTO DEALERS ASSOCIATION3 | C/O MR TIM JACKSON EXEC DIR DENVER, CO 80203 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $38K | $38K | 132.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | — | $2K | 7.37% |
| CADA INSURANCE SERVICES INC3 | 290 SPEER BLVD DENVER, CO 80203 | AMERICAN FIDELITY ASSURANCE COMPANY | $594 | — | $594 | 2.04% |
| BETA HEALTH ASSOCIATION3 Filed as: BETA HEALTH ASSOC INC | 6200 S SYRACUSE WAY STE 460 GREENWOOD VLG, CO 80111 | COMPANION LIFE | $1K | — | $1K | 5.44% |
| CADA INSURANCE SERVICES INC3 | 290 EAST SPEER BLVD DENVER, CO 80203 | COMPANION LIFE | $881 | — | $881 | 3.81% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY STE 1950 ATLANTA, GA 30339 | COMPANION LIFE | $881 | — | $881 | 3.81% |
| BETA HEALTH ASSOCIATION3 Filed as: BETA HEALTH ASSOC INC | 6200 S SYRACUSE WAY STE 460 GREENWOOD VLG, CO 80111 | COMPANION LIFE | $755 | — | $755 | 3.26% |
| CADA INSURANCE SERVICES INC3 Filed as: CADA INSURANCE SERVICES | 290 E SPEER BLVD DENVER, CO 80203 | BETA HEALTH | $517 | — | $517 | 3.80% |
| USI INSURANCE SERVICES LLC3 Filed as: USI OF SOUTHERN CALIFORNIA INS SERV | 21700 OXNARD ST #1200 WOODLAND HILLS, CA 91367 | AMERICAN FIDELITY ASSURANCE COMPANY | $459 | — | $459 | 4.26% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $424 | — | $424 | 3.94% |
| CADA INSURANCE SERVICES INC3 | 290 SPEER BLVD DENVER, CO 80203 | AMERICAN FIDELITY ASSURANCE COMPANY | $324 | — | $324 | 3.01% |
| COLORADO AUTO DEALERS ASSOCIATION3 | C/O MR TIM JACKSON EXEC DIR DENVER, CO 80203 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $148 | $148 | 1.37% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | — | $2K | 26.80% |
| CADA INSURANCE SERVICES INC3 | 290 SPEER BLVD DENVER, CO 80203 | AMERICAN FIDELITY ASSURANCE COMPANY | $88 | — | $88 | 2.97% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $43 | — | $43 | 1.45% |
| COLORADO AUTO DEALERS ASSOCIATION3 | C/O MR TIM JACKSON EXEC DIR DENVER, CO 80203 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $24 | $24 | 0.81% |
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 | 184 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 184 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 184 | $835K |
| Dental(2 contracts, 2 carriers) | COMPANION LIFE | 67 | $37K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 2 | $3K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 94 | $103K |
| Other(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 100 | $40K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 184 | — |
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.