| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MOODY INSURANCE AGENCY3 Filed as: MOODY INSURANCE AGENCY INC | 8055 EAST TUFTS AVENUE SUITE 1000 DENVER, CO 80237 | UNITEDHEALTHCARE INSURANCE COMPANY | $22K | — | $22K | 4.10% |
| MOODY INSURANCE AGENCY3 Filed as: MOODY INS AGENCY INC | 8055 EAST TUFTS AVENUE SUITE 1000 DENVER, CO 80237 | SUN LIFE ASSURANCE COMPANY OF CANADA | $10K | — | $10K | 14.66% |
| MOODY INSURANCE AGENCY3 Filed as: MOODY INS AGENCY INC | 8055 EAST TUFTS AVENUE SUITE 1000 DENVER, CO 80237 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | — | $4K | 10.00% |
| INSGROUP INC3 Filed as: CREST INSURANCE GROUP OF COLORADO L | 5285 EAST WILLIAMS CIRCLE SUITE 4500 TUCSON, AZ 85711 | SUN LIFE ASSURANCE COMPANY OF CANADA | $302 | — | $302 | 0.82% |
| LYNN POMPONIO MOODY INSURANCE AGENC3 | 8055 EAST TUFTS AVENUE SUITE 1000 DENVER, CO 80237 | STANDARD LIFE AND ACCIDENT | $3K | — | $3K | 15.15% |
| MORGAN WHITE LIMITED D/B/A MWG BROK3 | PO BOX 14067 JACKSON, MS 39236 | STANDARD LIFE AND ACCIDENT | $936 | — | $936 | 5.01% |
| NICK WISDA3 Filed as: NICK HUMBLE (MWL) | — | STANDARD LIFE AND ACCIDENT | $750 | — | $750 | 4.01% |
| DYLAN VALLINO CREST INSURANCE GROUP3 | 5285 EAST WILLIAMS CIRCLE SUITE 4500 TUCSON, AZ 85711 | STANDARD LIFE AND ACCIDENT | -$26 | — | -$26 | -0.14% |
| LYNN POMPONIO MOODY INSURANCE AGENC3 | 8055 EAST TUFTS AVENUE SUITE 1000 DENVER, CO 80237 | STANDARD LIFE AND ACCIDENT | $1K | — | $1K | 15.01% |
| MORGAN WHITE LIMITED D/B/A MWG BROK3 | PO BOX 14067 JACKSON, MS 39236 | STANDARD LIFE AND ACCIDENT | $458 | — | $458 | 5.01% |
| NICK WISDA3 Filed as: NICK HUMBLE (MWL) | — | STANDARD LIFE AND ACCIDENT | $366 | — | $366 | 4.00% |
| MOODY INSURANCE AGENCY3 Filed as: MOODY INSURANCE AGENCY INC | 8055 EAST TUFTS AVENUE SUITE 1000 DENVER, CO 80237 | PRINCIPAL LIFE INSURANCE COMPANY | $721 | $356 | $1K | 13.02% |
| INSGROUP INC3 Filed as: CREST INSURANCE GROUP OF COLORADO | 2000 SOUTH COLORADO BOULEVARD SUITE 11100 DENVER, CO 80222 | PRINCIPAL LIFE INSURANCE COMPANY | $37 | — | $37 | 0.45% |
| LYNN POMPONIO MOODY INSURANCE AGENC3 | 8055 EAST TUFTS AVENUE SUITE 1000 DENVER, CO 80237 | STANDARD LIFE AND ACCIDENT | $38 | — | $38 | 14.90% |
| MORGAN WHITE LIMITED D/B/A MWG BROK3 | PO BOX 14067 JACKSON, MS 39236 | STANDARD LIFE AND ACCIDENT | $13 | — | $13 | 5.10% |
| NICK WISDA3 Filed as: NICK HUMBLE (MWL) | — | STANDARD LIFE AND ACCIDENT | $10 | — | $10 | 3.92% |
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 | 90 | 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) | 90 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 135 | $540K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 70 | $37K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 73 | $8K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 134 | $71K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 134 | $71K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 134 | $71K |
| Other(4 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 134 | $99K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 135 | — |
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.