| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARY E MATTESON3 | 3636 SOUTH ALAMEDA STREET SUITE B-161 CORPUS CHRISTI, TX 78411 | SUN LIFE ASSURANCE COMPANY OF CANADA | $38K | $0 | $38K | 10.92% |
| GCG FINANCIAL LLC3 Filed as: DBL GENERAL AGENCY AND ALERA GROUP | 155 PINELAWN ROAD, SUITE 1205 MELVILLE, NY 11747 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $3K | $3K | 0.92% |
| MARY E MATTESON3 | 3636 SOUTH ALAMEDA STREET SUITE B-161 CORPUS CHRISTI, TX 78411 | SYMETRA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 6.75% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY & ASSOCIATES INC | 2727 GRAND PRAIRIE PARKWAY WAUKEE, IA 50263 | AMERITAS LIFE INSURANCE CORP. | $4K | $0 | $4K | 10.00% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES INC | 13810 FNB PARKWAY OMAHA, NE 68157 | AMERITAS LIFE INSURANCE CORP. | $0 | $768 | $768 | 2.05% |
| MARY E MATTESON3 | 12832 MAYFAIR WAY, SUITE D ENGELWOOD, CO 80112 | TRANSAMERICA LIFE INSURANCE CO. | $746 | $0 | $746 | 9.14% |
| BROKERS ASSISTANCE INC.3 | 8774 YATES DRIVE, SUITE 100 WESTMINSTER, CO 80031 | TRANSAMERICA LIFE INSURANCE CO. | $116 | $0 | $116 | 1.42% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVILCES LLC | 1515 WYNKOOP, SUITE 200 DENVER, CO 80202 | TRANSAMERICA LIFE INSURANCE CO. | $76 | $0 | $76 | 0.93% |
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 | 288 | 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) | 288 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | AMERITAS LIFE INSURANCE CORP. | 602 | $38K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 676 | $345K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 676 | $345K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 676 | $345K |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 676 | $396K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 676 | — |
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.