| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ELIXIR RX SOLUTIONS LLC3 Filed as: ELIXIR RX SOLUTIONS | — | WEBTPA EMPLOYER SERVICES INC. | $12K | — | $12K | 1.01% |
| PAYER COMPASS | — | WEBTPA EMPLOYER SERVICES INC. | $250 | — | $250 | 0.02% |
| LEAVITT GROUP3 Filed as: KYSAR MILLENNIUM LEAVITT INSURANCE | 72 SUTTLE ST STE L DURANGO, CO 81303 | SUN LIFE ASSURANCE COMPANY OF CANADA | $41K | — | $41K | 5.36% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 444 W 47TH ST STE 900 KANSAS CITY, MO 64112 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 0.31% |
| LEAVITT GROUP3 Filed as: KYSAR MILLENNIUM LEAVITT INSURANCE | 300 W ARRINGTON ST STE 100 FARMINGTON, NM 87401 | SUN LIFE ASSURANCE COMPANY OF CANADA | $17K | — | $17K | 5.00% |
| MGIS | 111 SOUTH MAIN STREET SUITE 400 SALT LAKE CITY, UT 841112176 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $195 | $195 | 0.06% |
| COMPETITIVE BENEFITS ADMINISTRATORS4 | 6121 INDIAN SCHOOL RD NE 240 ALBUQUERQUE, NM 87110 | HM LIFE INSURANCE COMPANY | $19K | — | $19K | 10.00% |
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 | 1,071 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,081 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF NEW MEXICO | 2,967 | $1.1M |
| Vision | HM LIFE INSURANCE COMPANY | 2,754 | $190K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,410 | $773K |
| Long-term disability(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,410 | $1.1M |
| Stop-loss / reinsurancereinsurance | WEBTPA EMPLOYER SERVICES INC. | 1,081 | $1.2M |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,410 | $773K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,967 | — |
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.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.