| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MIA CORP3 | 742 SOUTH MOORE COURT LAKEWOOD, CA 80226 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $26K | — | $26K | 16.84% |
| GROUP BENEFIT SERVICES INC3 Filed as: GROUP BENEFIT SERVICES, LLC | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $3K | $811 | $3K | 2.15% |
| MIA CORP3 | 742 S MOORE COURT LAKEWOOD, CO 80226 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $6K | — | $6K | 8.98% |
| GROUP BENEFIT SERVICES INC3 Filed as: GROUP BENEFIT SERVICES, LLC | 8055 EAST TUFTS AVENUE SUITE 1000 DENVER, CO 80237 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | — | $811 | $811 | 1.28% |
| MIA CORP3 | 742 SOUTH MOORE COURT LAKEWOOD, CO 80226 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 13.70% |
| GROUP BENEFIT SERVICES INC3 Filed as: GROUP BENEFIT SERVICES LLC | 8055 E TUFTS AVE SUITE 1000 DENVER, CO 80237 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $191 | — | $191 | 1.30% |
| MOODY INSURANCE AGENCY3 Filed as: MOODY INSURANCE AGENCY, INC. | 742 S MOORE COURT LAKEWOOD, CO 80226 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 7.31% |
| GROUP BENEFITS SERVICES LLC3 | 8055 E TUFTS AVE SUITE 1000 DENVER, CO 80237 | PRINCIPAL LIFE INSURANCE COMPANY | $115 | — | $115 | 0.81% |
| MIA CORP3 | 742 S MOORE COURT LAKEWOOD, CO 80226 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 10.74% |
| GROUP BENEFIT SERVICES INC3 Filed as: GROUP BENEFIT SERVICES LLC | 8055 EAST TUFTS AVENUE SUITE 1000 DENVER, CO 80237 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $100 | — | $100 | 0.87% |
| MIA CORP3 | 742 SOUTH MOORE COURT LAKEWOOD, CO 80226 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 13.76% |
| GROUP BENEFIT SERVICES INC3 Filed as: GROUP BENEFIT SERVICES LLC | 8055 E TUFTS AVE SUITE 1000 DENVER, CO 80237 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $135 | — | $135 | 1.24% |
| MIA CORP3 | 742 SOUTH MOORE COURT LAKEWOOD, CO 80226 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $820 | — | $820 | 13.63% |
| GROUP BENEFIT SERVICES INC3 Filed as: GROUP BENEFIT SERVICES, LLC | 8055 E TUFTS AVE SUITE 1000 DENVER, CO 80237 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $82 | — | $82 | 1.36% |
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 | 122 | 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) | 122 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 121 | $63K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 121 | $14K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 126 | $26K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 23 | $6K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 34 | $11K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 121 | $156K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 126 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 126 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.