| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 Filed as: IMA INC. | 1705 17TH STREET STE 100 DENVER, CO 80202 | BENCHMARK INSURANCE COMPANY | $35K | $0 | $35K | 13.51% |
| IMA, INC.3 Filed as: IMA INC. | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $234 | $0 | $234 | 1.02% |
| IMA, INC.3 Filed as: IMA INC. | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| IMA, INC.3 Filed as: IMA INC. | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | UNITED OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| IMA, INC.3 Filed as: IMA INC. | PO BOX 2992 WICHITA, KS 672012992 | VISION SERVICE PLAN | $1K | $0 | $1K | 10.00% |
| IMA, INC.3 Filed as: IMA INC. | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $970 | $0 | $970 | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPLOYEE BENEFIT MGMT SERVICES LLC EIN 81-0391256 TPA | Contract Administrator; Other fees Service code 13 | — | $40K |
| COFINITY EIN 20-1274723 PPO | Other fees Service code 99 | — | $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 | 102 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 102 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 89 | $13K |
| Life insurance | UNITED OMAHA LIFE INSURANCE COMPANY | 183 | $17K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 183 | $23K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 183 | $22K |
| Stop-loss / reinsurancereinsurance | BENCHMARK INSURANCE COMPANY | 124 | $258K |
| Other(2 contracts) | UNITED OMAHA LIFE INSURANCE COMPANY | 183 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 183 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.