| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COPIC INSURANCE AGENCY3 Filed as: COPIC INSURANCE AGENCY INC | 7351 LOWRY BLVD STE 400 DENVER, CO 80230 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | — | $7K | 6.88% |
| DON C SUNDAY3 | 2037 S GRAY DR LAKEWOOD, CO 80227 | AFLAC | $3K | — | $3K | 12.40% |
| COPIC INSURANCE AGENCY3 Filed as: COPIC AGENCY | 7351 LOWRY BLVD STE 400 DENVER, CO 80230 | AFLAC | $1K | — | $1K | 4.69% |
| JENNIFER L FOSS3 | 9034 E EASTER PL STE 202 CENTENNIAL, CO 80112 | AFLAC | $763 | — | $763 | 3.03% |
| REGINA K SANTANGELO3 | 6892 S WEBSTER WAY LITTLETON, CO 80128 | AFLAC | $758 | — | $758 | 3.01% |
| TIMOTHY B ASBY3 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IN 46077 | AFLAC | $81 | — | $81 | 0.32% |
| JOHNATHAN SAMUEL KIRKLAND3 | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $79 | — | $79 | 0.31% |
| JON M LOUDEN3 | 22739 E PRENTICE PL AURORA, CO 80015 | AFLAC | $63 | — | $63 | 0.25% |
| DAVID HANCOCK INC3 Filed as: DAVID HANCOCK INC. | PO BOX 423 LAVON, TX 75166 | AFLAC | $59 | — | $59 | 0.23% |
| JACK GATHINGS3 | 7235 S GOLFSIDE LANE PHOENIX, AZ 85042 | AFLAC | $51 | — | $51 | 0.20% |
| JILL E MOORE3 | 2985 S OGDEN ST ENGLEWOOD, CO 80113 | AFLAC | $51 | — | $51 | 0.20% |
| JOHN P THOMPSON3 | 6395 S KEWAUNEE WAY STE 425 AURORA, CO 80016 | AFLAC | $33 | — | $33 | 0.13% |
| DAVID V PAYNE3 | 225 EAGLE CT MONROE, MI 48162 | AFLAC | $21 | — | $21 | 0.08% |
| DAVID J KASKA3 | 1862 DENVER WEST CT #224 LAKEWOOD, CO 80401 | AFLAC | $20 | — | $20 | 0.08% |
| JOSE DE LOS SANTOS III3 | 15550 E COPPER CREEK LN PARKER, CO 80134 | AFLAC | $20 | — | $20 | 0.08% |
| ZENAT SHARIFF BELKIN3 | 9034 E EASTER PL STE 202 CENTENNIAL, CO 80112 | AFLAC | $19 | — | $19 | 0.08% |
| TIMOTHY B ASBY3 | 9247 N MERIDIAN ST STE 205 INDIANAPOLIS, IN 46260 | AFLAC | $15 | — | $15 | 0.06% |
| TINA WAY3 | 15550 E COPPER CREEK LN PARKER, CO 80134 | AFLAC | $12 | — | $12 | 0.05% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DR WALNUT CREEK, CA 94598 | AFLAC | $3 | — | $3 | 0.01% |
| TANYA L MARTINSON3 | 6395 S KEWAUNEE WAY AURORA, CO 80016 | AFLAC | $3 | — | $3 | 0.01% |
| JOHN W AMOS3 Filed as: JOHN P THOMPSON JR | 343 SABAL SPRINGS CT DEBARY, FL 32713 | AFLAC | $2 | — | $2 | 0.01% |
| KIEFER GROUP INSURANCE AGCY LLC3 | 155 INVERNESS DR W STE 300 ENGLEWOOD, CO 80112 | AFLAC | $1 | — | $1 | 0.00% |
| COPIC INSURANCE AGENCY3 Filed as: COPIC AGENCY | 7351 E LOWRY BLVD STE 400 DENVER, CO 80230 | VISION SERVICE PLAN | $1K | — | $1K | 5.11% |
No Schedule C service providers reported on this filing.
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 | 102 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 32 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 134 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 96 | $24K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 101 | $108K |
| Short-term disability | AFLAC | 21 | $25K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 101 | $108K |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 133 | $205K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 133 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.