| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SHIRAZI-MILLER BENEFITS LLC3 Filed as: SHIRAZI BENEFITS LLC | 8205 WEST 20TH ST GREELEY, CO 80634 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $118K | $5K | $123K | 8.39% |
| SHIRAZI-MILLER BENEFITS LLC3 Filed as: SHIRAZI MILLER BENEFITS LLC | 8205 WEST 20TH ST GREELEY, CO 80634 | CIGNA GROUP INSURANCE -VISION AND DENTAL | $19K | $1K | $20K | 6.78% |
| SHIRAZI-MILLER BENEFITS LLC3 | 8205 WEST 20TH ST GREELEY, CO 80634 | UNITED OF OMAHA - LONG TERM DISABILITY INSURED | $10K | $4K | $14K | 14.61% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA - LONG TERM DISABILITY INSURED | — | $2K | $2K | 2.30% |
| SHIRAZI-MILLER BENEFITS LLC3 | 8205 WEST 20TH ST GREELEY, CO 80634 | UNITED OF OMAHA - LIFE & AD&D | $4K | $2K | $6K | 15.49% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA - LIFE & AD&D | — | $1K | $1K | 2.75% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CONTRACT ADMINISTRATOR | Claims processing; Float revenue; Other services; Participant communication; Direct payment from the plan; Non-monetary compensation; Contract Administrator; Named fiduciary Service code 12 | — | $111K |
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 | 471 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 473 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 418 | $1.5M |
| Dental | CIGNA GROUP INSURANCE -VISION AND DENTAL | 365 | $290K |
| Vision | CIGNA GROUP INSURANCE -VISION AND DENTAL | 365 | $290K |
| Life insurance | UNITED OF OMAHA - LIFE & AD&D | 398 | $40K |
| Long-term disability | UNITED OF OMAHA - LONG TERM DISABILITY INSURED | 398 | $96K |
| Other | UNITED OF OMAHA - LIFE & AD&D | 398 | $40K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 418 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.