| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSURED EQUITY MANAGEMENT CORP3 Filed as: ASSURED EQUITY MANAGEMENT | 1800 GLENARM PLACE, SUITE 900 DENVER, CO 80202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $43K | $13K | $56K | 13.91% |
| ASSURED EQUITY MANAGEMENT CORP3 | 1800 GLENARM PL., STE 900 DENVER, CO 802023851 | VISION SERVICE PLAN | $11K | — | $11K | 10.00% |
| ASSURED EQUITY MANAGEMENT CORP3 | 1800 GLENARM PL., STE. 900 DENVER, CO 80202 | CIGNA HEALTH & LIFE INSURANCE COMPANY | -$31 | — | -$31 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ASSURED EQUITY MANAGEMENT CORP EIN 16-1229660 BROKER | Insurance brokerage commissions and fees Service code 53 | 1800 GLENARM PLACE #900 DENVER, CO 80202 | $243K |
| CIGNA HEALTH & LIFE INSURANCE CO EIN 59-1031071 ADMINISTRATION | Contract Administrator; Non-monetary compensation; Other services; Direct payment from the plan; Claims processing; Named fiduciary; Participant communication; Float revenue Service code 12 | 900 COTTAGE GROVE ROAD BLOOMFIELD, CT 06002 | $123K |
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 | 936 | 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) | 936 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH & LIFE INSURANCE COMPANY | 852 | $0 |
| Dental | CIGNA HEALTH & LIFE INSURANCE COMPANY | 852 | $0 |
| Vision | VISION SERVICE PLAN | 662 | $111K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 935 | $400K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 935 | $400K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 935 | $400K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 935 | $400K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 935 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.