| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHERRY CREEK BENEFITS3 | 9781 S MERIDIAN BLVD SUITE 110 ENGLEWOOD, CO 80112 | RELIASTAR LIFE INSURANCE COMPANY | $45K | $35K | $80K | 6.79% |
| SBR SERVICES LLC3 | 2839 PACES FERRY RD SE STE 830 ATLANTA, GA 30339 | SYMETRA LIFE INSURANCE COMPANY | $0 | $6K | $6K | 3.28% |
| DIGITAL INSURANCE LLC3 | 9781 S MERIDIAN BLVD STE 110 ENGLEWOOD, CO 80112 | SYMETRA LIFE INSURANCE COMPANY | $6K | $0 | $6K | 3.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 NONE | Participant communication; Named fiduciary; Claims processing; Float revenue; Non-monetary compensation; Contract Administrator; Direct payment from the plan; Other services Service code 12 | — | $506K |
| COMPUSYS OF COLORADO, INC EIN 84-0721304 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $346K |
| STRATEGIC CAPITAL ADVISORS, INC. EIN 84-1522071 NONE | Investment management; Direct payment from the plan Service code 28 | — | $224K |
| US BANK EIN 31-0841368 NONE | Custodial (other than securities) Service code 18 | — | $64K |
| ROBEIN URANN SPENCER PICARD & CANGE EIN 72-0999672 NONE | Legal; Direct payment from the plan Service code 29 | — | $57K |
| CO DENTAL SERVICE DBA DELTA DENTAL EIN 84-0568337 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $57K |
| NEEDLES & ASSOCIATES, LLC EIN 51-0435869 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $54K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $44K |
| MARIA BELEN-TEJADA EIN 84-6049226 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $30K |
| BHA CONSULTING LLC EIN 26-1384808 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $26K |
| QUEST DIAGNOSTIC EIN 38-2084239 NONE | Direct payment from the plan; Other fees Service code 50 | — | $22K |
| CIGNA | Non-monetary compensation; Other services; Float revenue; Participant communication; Contract Administrator; Direct payment from the plan; Named fiduciary; Claims processing 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 | 1,779 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 84 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,863 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 1,690 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,690 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.