| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE DBA BENEFIT HEALTH ADVISOR | 9605 S KINGSTON CT, STE. 150 ENGLEWOOD, CO 80112 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $13K | $0 | $13K | 9.23% |
| STACEY THOMAS CAMPBELL3 | 1617 14TH AVE GREELEY, CO 80631 | AFLAC | $12K | $13 | $12K | 9.24% |
| VARIOUS3 | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $7K | $29 | $7K | 5.41% |
| ASHELY LYNN DUDLEY3 | 2933 NEW CASTLE DR. LOVELAND, CO 80538 | AFLAC | $3K | $3 | $3K | 2.18% |
| KYLE PROBASCO3 | 4928 SILVERWOOD DR. JOHNSTOWN, CO 80534 | AFLAC | $1K | $3 | $1K | 1.13% |
| CHRISTIE MANN3 | 2 ROBINS NEST PL ROSWELL, NM 88201 | AFLAC | $1K | $0 | $1K | 0.78% |
| MARY JO ARNOLD3 | 8569 VALLEY RANCH PT FOUNTAIN, CO 80817 | AFLAC | $781 | $0 | $781 | 0.60% |
| ACRISURE LLC3 Filed as: ACRISURE DBA BENEFIT HEALTH ADVISOR | 9605 S KINGSTON CT, STE. 150 ENGLEWOOD, CO 80112 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $0 | $1K | 9.21% |
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 | 431 | 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) | 431 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MERITAIN HEALTH | 341 | $628K |
| Dental | MERITAIN HEALTH | 341 | $628K |
| Vision | MERITAIN HEALTH | 341 | $628K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 407 | $270K |
| Short-term disability | AFLAC | 115 | $129K |
| Long-term disability | AFLAC | 115 | $129K |
| Stop-loss / reinsurancereinsurance | GERBER LIFE | 431 | $813K |
| Other(3 contracts, 2 carriers) | MERITAIN HEALTH | 407 | $780K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 431 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.