| 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 | $11K | $0 | $11K | 10.00% |
| STACEY THOMAS CAMPBELL3 | 1617 14TH AVE GREELEY, CO 80631 | AFLAC | $11K | $102 | $11K | 11.20% |
| VARIOUS3 | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $5K | $109 | $5K | 5.25% |
| ASHELY LYNN DUDLEY3 | 2933 NEW CASTLE DR. LOVELAND, CO 80538 | AFLAC | $2K | $11 | $2K | 2.30% |
| LAURA M MARCOTTE3 Filed as: LAURA M PROBASCO | 4928 SILVERWOOD DR. JOHNSTOWN, CO 80534 | AFLAC | $2K | $14 | $2K | 1.52% |
| MATTHEW CHARLES MASSARO3 | 577 ONE HALF STANFORD WAY GRAND JUNCTION, CO 81504 | AFLAC | $1K | $0 | $1K | 1.28% |
| STEPHANIE JEAN GRAY3 | 594 STANFORD WAY GRAND JUNCTION, CO 81504 | AFLAC | $1K | $0 | $1K | 1.13% |
| MARY JO ARNOLD3 | 8569 VALLEY RANCH PT FOUNTAIN, CO 80817 | AFLAC | $731 | $0 | $731 | 0.72% |
| ACRISURE LLC3 Filed as: ACRISURE DBA BENEFIT HEALTH ADVISOR | 9605 S KINGSTON CT, STE. 150 ENGLEWOOD, CO 80112 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $945 | $0 | $945 | 10.00% |
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 | 415 | 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) | 415 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MERITAIN HEALTH | 343 | $219K |
| Dental | MERITAIN HEALTH | 343 | $219K |
| Vision | MERITAIN HEALTH | 343 | $219K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 415 | $210K |
| Short-term disability | AFLAC | 109 | $101K |
| Long-term disability | AFLAC | 109 | $101K |
| Stop-loss / reinsurancereinsurance | GERBER LIFE | 415 | $832K |
| Other(3 contracts, 2 carriers) | MERITAIN HEALTH | 415 | $337K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 415 | — |
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.