| 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 | $47K | $0 | $47K | 22.34% |
| ASSURED EQUITY MANAGEMENT CORP3 | 1800 GLENARM PL., STE 900 DENVER, CO 802023851 | VISION SERVICE PLAN | $13K | $0 | $13K | 9.99% |
| ASSURED EQUITY MANAGEMENT CORP3 | 1800 GLENARM PL., SUITE 900 DENVER, CO 80202 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $14 | $0 | $14 | 0.01% |
| ASSURED EQUITY MANAGEMENT CORP3 | 1800 GLENARM PL., SUITE 900 DENVER, CO 80202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12K | $0 | $12K | 11.13% |
| EVAN D BURDEN3 | PO BOX 6903 DENVER, CO 80206 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $235 | $7K | 5.83% |
| MELISSA A KOLL3 | 216 CLIMAX DR DILLON, CO 80435 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $645 | $5K | 4.51% |
| VOLUNTARY SOLUTIONS INC3 | 509 SOUTH 4TH AVE BRIGHTON, CO 80601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $1K | $3K | 2.74% |
| MARY CATHERINE WILLIAMS3 | 2950 S JAMAICA CT, STE 302 AURORA, CO 80014 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $80 | $2 | $82 | 0.07% |
| TAMARA ANNE HINES3 | 2955 LAKESIDE RENO, NV 89509 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $54 | $0 | $54 | 0.05% |
| ASSURED EQUITY MANAGEMENT CORP3 | 1800 GLENARM PL., STE 900 DENVER, CO 80202 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $350 | $0 | $350 | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH & LIFE INSURANCE CO EIN 59-1031071 ADMINISTRATION | Other services; Float revenue; Direct payment from the plan; Contract Administrator; Participant communication; Named fiduciary; Claims processing; Non-monetary compensation Service code 12 | 900 COTTAGE GROVE ROAD BLOOMFIELD, CT 06002 | $1.1M |
| ASSURED EQUITY MANAGEMENT CORP EIN 20-0857620 BROKER | Insurance agents and brokers Service code 22 | 1800 GLENARM PL, #900 DENVER, CO 80202 | $207K |
| CIGNA | Other services; Non-monetary compensation; Claims processing; Direct payment from the plan; Float revenue; Named fiduciary; Participant communication; Contract Administrator Service code 12 | — | $0 |
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 | 1,011 | 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) | 1,011 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,340 | $123K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,340 | $123K |
| Vision | VISION SERVICE PLAN | 763 | $127K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,011 | $210K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,011 | $210K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,011 | $210K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,901 | $1.4M |
| Other(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,011 | $325K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,901 | — |
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.