| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SBR SERVICES LLC3 | 2839 PACES FERRY RD SE STE 830 ATLANTA, GA 30339 | SYMETRA LIFE INSURANCE COMPANY | $97K | — | $97K | 7.66% |
| DIGITAL INSURANCE LLC3 | 9781 S MERIDIAN BLVD STE 110 ENGLEWOOD, CO 80112 | SYMETRA LIFE INSURANCE COMPANY | $38K | — | $38K | 3.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE | 9781 MERIDAN BLVD, SUITE 110 ENGLEWOOD, CO 80112 | SYMETRA LIFE INSURANCE COMPANY | $72K | — | $72K | 69.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMPUSYS OF COLORADO, INC EIN 84-0721304 NONE | Direct payment from the plan; Plan Administrator Service code 14 | — | $346K |
| TRANSFORM WEALTH EIN 84-1522071 NONE | Investment management; Direct payment from the plan Service code 28 | — | $190K |
| US BANK EIN 31-0841368 NONE | Custodial (other than securities) Service code 18 | — | $68K |
| 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 | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $54K |
| CRIS ESQUIVEL EIN 84-6049226 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $48K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $47K |
| BHA CONSULTING LLC EIN 26-1384808 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $47K |
| ROBEIN URANN SPENCER PICARD & CANGE EIN 72-0999672 NONE | Legal; Direct payment from the plan Service code 29 | — | $32K |
| QUEST DIAGNOSTIC EIN 38-2084239 NONE | Other fees; Direct payment from the plan Service code 50 | — | $14K |
| CIGNA | Claims processing; Float revenue; Other services; Participant communication; Direct payment from the plan; Non-monetary compensation; Contract Administrator; Named fiduciary 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 | 1,487 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 79 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,566 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 1,644 | $105K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 1,560 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,644 | — |
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.