| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PEAK INC3 Filed as: PEAK BENEFITS | 8122 SOUTHPARK LANE UNIT 210 LITTLETON, CO 80120 | DELTA DENTAL OF COLORADO | $4K | — | $4K | 7.02% |
| PEAK INC3 Filed as: PEAK BENEFITS | 8122 SOUTHPARK LANE UNIT 210 LITTLETON, CO 80120 | MUTUAL OF OMAHA | $874 | — | $874 | 8.76% |
| EAST COAST BENEFIT PLANS, INC.3 Filed as: EAST COAST UNDER. | — | COASTAL ADMINISTRATIVE SERVICES | $231K | — | $231K | — |
| PEAK INC3 Filed as: PEAK BENEFITS | 8122 SOUTHPARK LANE UNIT 210 LITTLETON, CO 80120 | COASTAL ADMINISTRATIVE SERVICES | $19K | $51K | $70K | — |
| 6TH DEGREES HEALTH3 | — | COASTAL ADMINISTRATIVE SERVICES | $20K | — | $20K | — |
| AULT TYLER3 Filed as: AULT INTERNATIONAL | — | COASTAL ADMINISTRATIVE SERVICES | $16K | — | $16K | — |
| HEALTHJOY, LLC3 | — | COASTAL ADMINISTRATIVE SERVICES | $13K | — | $13K | — |
| PHCS3 Filed as: MULTIPLAN | — | COASTAL ADMINISTRATIVE SERVICES | $7K | — | $7K | — |
| FIRST CHOICE BENEFITS3 Filed as: FIRST CHOICE | — | COASTAL ADMINISTRATIVE SERVICES | $344 | — | $344 | — |
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 | 154 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COASTAL ADMINISTRATIVE SERVICES | 154 | $0 |
| Dental | DELTA DENTAL OF COLORADO | 177 | $53K |
| Vision | MUTUAL OF OMAHA | 107 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 177 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.