| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CALVO'S INSURANCE UNDERWRITERS, INC | PO BOX FJ HAGATNA, GU 96932 | COLVO'S SELECTCARE INSURANCE, INC. | — | — | $0 | 0.00% |
| FLOOD & PETERSON BENEFITS LLC3 | PO BOX 578 GREELEY, CO 80632 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $104K | $0 | $104K | 15.00% |
| FLOOD & PETERSON BENEFITS LLC3 | PO BOX 578 GREELEY, CO 80632 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $131K | $0 | $131K | 20.00% |
| FLOOD & PETERSON BENEFITS LLC3 | PO BOX 578 GREELEY, CO 80632 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $15K | $0 | $15K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 NONE | Other services; Non-monetary compensation; Float revenue; Participant communication; Direct payment from the plan; Named fiduciary; Claims processing; Contract Administrator Service code 12 | — | $3.1M |
| BOON ADMINISRATION SERVICES, INC. EIN 33-0449333 NONE | Claims processing; Other insurance fees and expenses; Contract Administrator Service code 12 | — | $402K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Claims processing; Contract Administrator Service code 12 | — | $364K |
| FLOOD & PETERSON BENEFITS LLC EIN 20-0899501 NONE | Insurance agents and brokers Service code 22 | — | $70K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing) Service code 10 | — | $37K |
| COMERICA BANK EIN 38-1998421 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $6K |
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 | 4,395 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 44 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 2 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 4,441 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COLVO'S SELECTCARE INSURANCE, INC. | 160 | $702K |
| Dental(3 contracts, 3 carriers) | DELTA DENTAL OF COLORADO | 5,792 | $2.6M |
| Vision(2 contracts, 2 carriers) | COLVO'S SELECTCARE INSURANCE, INC. | 5,349 | $974K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 4,342 | $924K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 220 | $37K |
| Long-term disability(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,886 | $660K |
| Prescription drug | COLVO'S SELECTCARE INSURANCE, INC. | 160 | $702K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 4,342 | $98K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,792 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.