| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 6300 SOUTH SYRACUSE WAY, SUITE 700 CENTENNIAL, CO 80111 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $72K | $4K | $76K | 4.90% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 6300 SOUTH SYRACUSE WAY, SUITE 700 CENTENNIAL, CO 80111 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $16K | $0 | $16K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $7K | $7K | 4.50% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 6300 SOUTH SYRACUSE WAY, SUITE 700 CENTENNIAL, CO 80111 | DELTA DENTAL OF COLORADO | $5K | $0 | $5K | 4.14% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 6300 SOUTH SYRACUSE WAY, SUITE 700 CENTENNIAL, CO 80111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | $0 | $7K | 10.50% |
| LEXTOR CORPORATION3 | 7290 EAGLE ROCK DRIVE LITTLETON, CO 80125 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | $0 | $5K | 7.91% |
| LINDSAY A LIJEWSKI3 Filed as: LINDSAY A. LIJEWSKI | 6500 SOUTH QUEBEC STREET, SUITE 250 CENTENNIAL, CO 80111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 3.43% |
| REGINA K SANTANGELO3 Filed as: REGINA K. SANTANGELO | 9034 EAST EASTER, SUITE 202 CENTENNIAL, CO 80112 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 2.08% |
| BRYAN R. DORMAN3 | 8569 VALLEY RANCH POINT FOUNTAIN, CO 80817 | CONTINENTAL AMERICAN INSURANCE COMPANY | $945 | $0 | $945 | 1.44% |
| MJ INSURANCE3 Filed as: CLINTON ANDERSON AND VARIOUS AGENTS | 6465 S. GREENWOOD PLAZA BOULEVARD SUITE 750 CENTENNIAL, CO 80111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $710 | $0 | $710 | 1.08% |
| BILLY W. OCONNOR3 | 6040 HEATHER LANE MANITOU SPRINGS, CO 80829 | CONTINENTAL AMERICAN INSURANCE COMPANY | $370 | $0 | $370 | 0.57% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 6300 SOUTH SYRACUSE WAY CENTENNIAL, CO 80111 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $3K | $0 | $3K | 10.80% |
| BETA HEALTH ASSOCIATION3 | 6200 SOUTH SYRACUSE WAY, SUITE 460 GREENWOOD VILLAGE, CO 80111 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $2K | $0 | $2K | 8.64% |
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 | 264 | 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) | 264 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 287 | $1.5M |
| Dental | DELTA DENTAL OF COLORADO | 366 | $118K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 387 | $29K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 292 | $155K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 292 | $155K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 292 | $155K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 287 | $1.5M |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 351 | $221K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 387 | — |
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.