| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VOLK & BELL BENEFITS LLC3 | 2040 TERRY STREET SUITE 101 LONGMONT, CO 80501 | HARTFORD LIFE AND ACCIDENT | $9K | — | $9K | 2.41% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF COLORADO LLC | 4582 SOUTH ULSTER STREET SUITE 600 DENVER, CO 802372634 | HARTFORD LIFE AND ACCIDENT | $6K | — | $6K | 1.66% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF COLORADO, LLC | 4582 SOUTH ULSTER STREET SUITE 600 DENVER, CO 802372634 | VISION SERVICE PLAN | $3K | — | $3K | 2.40% |
| AMY E GRIFFIN3 | P.O. BOX 270550 FORT COLLINS, CO 80527 | AFLAC | $629 | — | $629 | 4.46% |
| JOHN W BELL3 | P.O. BOX 270550 FORT COLLINS, CO 80527 | AFLAC | $496 | — | $496 | 3.51% |
| MATTHEW J MITTAN3 | P.O. BOX 19541 ASHEVILLE, NC 28815 | AFLAC | $418 | — | $418 | 2.96% |
| LAURA M MARCOTTE3 | 4928 SILVERWOOD DRIVE JOHNSTOWN, CO 80534 | AFLAC | $197 | — | $197 | 1.40% |
| DANIEL L FRENCH3 | 240 43RD AVENUE GREELEY, CO 80634 | AFLAC | $82 | — | $82 | 0.58% |
| SUSAN HAMER3 | 120 WEST ALLEN STREET SUITE 20 HENDERSONVILLE, NC 28792 | AFLAC | $57 | — | $57 | 0.40% |
| WENDY M SHELLY3 | 3355 SOUTH TOWN CENTER DRIVE APARTMENT 2001 LAS VEGAS, NV 89135 | AFLAC | $57 | — | $57 | 0.40% |
| KATRINA R DOCKTER3 | 2414 O STREET APARTMENT 1 SACRAMENTO, CA 95816 | AFLAC | $49 | — | $49 | 0.35% |
| KYLE PROBASCO3 | 4928 SILVERWOOD DRIVE JOHNSTOWN, CO 80534 | AFLAC | $46 | — | $46 | 0.33% |
| CHRISTINE A EDGERTON3 | 23350 NORTHWEST POND ROAD BUXTON, OR 97109 | AFLAC | $43 | — | $43 | 0.30% |
| JONATHAN SAMUEL KIRKLAND3 | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $31 | — | $31 | 0.22% |
| COLISTA R SHETLER3 | 9003 BELCONTE LANE HENDERSON, NV 89074 | AFLAC | $30 | — | $30 | 0.21% |
| JOHN P THOMPSON3 | 6395 SOUTH KEWAUNEE WAY SUITE 425 AURORA, CO 80016 | AFLAC | $29 | — | $29 | 0.21% |
| CHRISTINE A EDGERTON3 | 8830 SOUTHEAST FLAVEL STREET APARTMENT 34 PORTLAND, OR 97266 | AFLAC | $26 | — | $26 | 0.18% |
| ROBERT C BERTRAM3 | 9630 REMINGTON AVENUE FIRESTONE, CO 80504 | AFLAC | $24 | — | $24 | 0.17% |
| MARY R HAUGHT3 Filed as: MARY KIMBERLY KUXHAUSEN | 2016 VAN BUREN AVENUE LOVELAND, CO 80538 | AFLAC | $22 | — | $22 | 0.16% |
| ALAN LECLAIRE3 | 9182 ESTERO RIVER CIRCLE ESTERO, FL 33928 | AFLAC | $22 | — | $22 | 0.16% |
| SHARMAIN L BOUNDS3 | 2202 TEDESCA DRIVE HENDERSON, NV 89052 | AFLAC | $15 | — | $15 | 0.11% |
| LINDA ANN RASKIND3 | 9710 MALVERN DRIVE TAMARAC, FL 33321 | AFLAC | $12 | — | $12 | 0.09% |
| STEPHEN B THACKSTON3 | 1600 SOUTH VALLEY VIEW BOULEVARD APARTENT 1101 LAS VEGAS, NV 89102 | AFLAC | $12 | — | $12 | 0.09% |
| SERAPIO M. NAMBO3 Filed as: SERAPIO M NAMBO | 2175 57TH AVENUE SACRAMENTO, CA 95822 | AFLAC | $12 | — | $12 | 0.09% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA A CHAMBLISS | 2059 PINE RIVER DRIVE KINGWOOD, TX 77339 | AFLAC | $11 | — | $11 | 0.08% |
| JOSE DE LOS SANTOS III3 | 15550 EAST COPPER CREEK LANE PARKER, CO 80134 | AFLAC | $10 | — | $10 | 0.07% |
| TINA WAY3 | 15550 EAST COPPER CREEK LANE PARKER, CO 80134 | AFLAC | $7 | — | $7 | 0.05% |
| DAVID E SCHMIDT3 | 331 SAN MARCO WAY SAINT PETERS, MO 63304 | AFLAC | $6 | — | $6 | 0.04% |
| JAMES S SARANTIS3 | 2281 LAVA RIDGE COURT SUITE 130 ROSEVILLE, CA 95661 | AFLAC | $6 | — | $6 | 0.04% |
| RYAN L STOOKEY3 | 908 SOUTHGATE DRIVE BELLEVILLE, IL 62223 | AFLAC | $6 | — | $6 | 0.04% |
| DIANA CABRAL RENTCHLER3 | P.O. BOX 54 WEST SACRAMENTO, CA 95691 | AFLAC | $4 | — | $4 | 0.03% |
| TANYA L MARTINSON3 | 6395 SOUTH KEWAUNEE WAY AURORA, CO 80016 | AFLAC | $3 | — | $3 | 0.02% |
| KENT HORSMAN3 | 14162 LADUE ROAD CHESTERFIELD, MO 63017 | AFLAC | $3 | — | $3 | 0.02% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTE FE DRIVE WALNUT CREEK, CA 94598 | AFLAC | $3 | — | $3 | 0.02% |
| ROBERT L OLMSTEAD3 | 18472 WEST VERDIN ROAD GOODYEAR, AZ 85338 | AFLAC | $2 | — | $2 | 0.01% |
| BONNIE FRENCH3 | 240 43RD AVENUE GREELEY, CO 80634 | AFLAC | $2 | — | $2 | 0.01% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL A JAIME | 1150 GUSTINE STREET CHULA VISTA, CA 91913 | AFLAC | $2 | — | $2 | 0.01% |
| BARRY A WHITE3 | 4506 BANTAM WAY ELK GROVE, CA 95758 | AFLAC | $2 | — | $2 | 0.01% |
| G SCOTT COOKE3 Filed as: SCOTT E NIELSEN | 2709 DAY ISLAND BOULEVARD WEST UNIT A UNIVERSITY PLACE, WA 98466 | AFLAC | $2 | — | $2 | 0.01% |
| JOHN W AMOS3 Filed as: JOHN P THOMPSON JR | 343 SABAL SPRINGS COURT DEBARY, FL 32713 | AFLAC | $1 | — | $1 | 0.01% |
| LAWRENCE A ELMORE3 | P.O. BOX 244 MORRISON, CO 80465 | AFLAC | $1 | — | $1 | 0.01% |
| MICHAEL C WALKER3 Filed as: MICHAEL M STASTNY | 605 PORTLAND AVENUE UNIT 531 GLADSTONE, OR 97027 | AFLAC | $1 | — | $1 | 0.01% |
| SARA BRIERY3 Filed as: SARA E BRIERY | 4 MARBURG LANE SAVANNAH, GA 31411 | AFLAC | $1 | — | $1 | 0.01% |
| ERIC DANIEL WEILAND3 | 14511 SOUTHWEST CORNERSTONE LANE SHERWOOD, OR 97140 | AFLAC | $1 | — | $1 | 0.01% |
| WILLIAM B KRZCIOK3 | 2760 FORT MYER AVENUE HENDERSON, NV 89052 | AFLAC | $1 | — | $1 | 0.01% |
| LINDA BAILEY3 Filed as: LINDA G BAILEY | 6505 DEADERICK COURT ORANGEVALE, CA 95662 | AFLAC | $1 | — | $1 | 0.01% |
| KIEFER GROUP INSURANCE AGENCY LLC3 | 155 INVERNESS DRIVE WEST SUITE 300 ENGLEWOOD, CO 80112 | AFLAC | $1 | — | $1 | 0.01% |
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 | 698 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 705 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 444 | $117K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 683 | $357K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 683 | $357K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 683 | $357K |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 698 | $389K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 698 | — |
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."
No prospect flags tripped on this filing.