| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CARDEA LLC3 | 7505 EUCLID NE ALBUQUERQUE, NE 87110 | PRESBYTERIAN HEALTH PLAN INC | $30K | — | $30K | 3.02% |
| RITA RIBAS3 Filed as: RITA MONTOYA RIBAS | 3624 MIMBRES LANE SANTE FE, NM 87507 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14K | $235 | $14K | 9.92% |
| STEVE G MONTOYA3 Filed as: STEVE G. MONTOYA | 901 PARMER LANE ESPANOLA, NM 87532 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | — | $6K | 4.12% |
| DAVID MCLEOD3 | 1207 SOUTH 4 MERKEL, TX 79536 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $150 | $2K | 1.26% |
| NORTHWEST WORKSITE MARKETING CORP3 | 1910 INDIANWOOD CIRCLE MAUMEE, OH 43537 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $134 | $2K | 1.06% |
| KEVIN E MONTOYA3 | 23 COUNTY ROAD 22 ESPANOLA, NM 87532 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $308 | — | $308 | 0.21% |
| KAREN SLOAN3 | 6474 PASEO DEL SOL SANTA FE, NM 87507 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $284 | — | $284 | 0.20% |
| DAVID A PHILLIPS3 | HCR 65 OJO SARCO, NM 87521 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $217 | — | $217 | 0.15% |
| JOSEPH QUINTANA3 | 27 N COUNTRY CLUB DR PHOENIX, AZ 85014 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $170 | — | $170 | 0.12% |
| REYNALDO R GRAJEDA3 | 4915 CAMINO DR MONTE NE ALBUQUERQUE, NM 87111 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $153 | — | $153 | 0.11% |
| DESIREE RENEE SALMON3 | 7527 RIO SALADO CT NW ALBUQUERQUE, NM 87120 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $141 | $7 | $148 | 0.10% |
| DILA R ROMERO3 | 12101 SAN FRANCISCO NE ALBUQUERQUE, NM 87122 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $101 | — | $101 | 0.07% |
| CLARENCE L GARCIA3 | PO BOX 324 GUADALUPITA, NM 87722 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $56 | — | $56 | 0.04% |
| JERRY A MAESTAS3 | CR 22 PARMER LN #9 ESPANOLA, NM 87532 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $35 | — | $35 | 0.02% |
| JASON RIBAS3 | 3624-B MIMBRES LANE SANTA FE, NM 87507 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | — | $13 | 0.01% |
| MARIA T ATENCIO3 | PO BOX 5990 SANTA FE, NM 87502 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 0.01% |
| JULIA MOORE3 | 9208 C ANDERSON DR NW ALBUQUERQUE, NM 87114 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| CARDEA LLC3 | 7505 EUCLID E ALBUQUERQUE, NM 87110 | COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN | $2K | — | $2K | 3.05% |
| POMS & ASSOCIATES INSURANCE BROKERS3 Filed as: POMS AND ASSOCIATES | 5700 CANOGA AVE STE 400 WOODLAND HILLS, CA 91367 | COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN | $393 | — | $393 | 0.64% |
| GUTMAN, CORINA M3 | 7505 EUCLID AVE NE ALBUQUERQUE, NM 871104520 | AMERITAS LIFE INSURANCE CORP | $1K | — | $1K | 6.42% |
| POMS & ASSOCIATES INSURANCE BROKERS3 | 320 OSUNA RD NE STE B ALBUQUERQUE, NM 871075953 | AMERITAS LIFE INSURANCE CORP | $234 | — | $234 | 1.14% |
| CARDEA LLC3 | 7505 EUCLID AVE NE ALBUQUERQUE, NM 87110 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 13.05% |
| POMS & ASSOCIATES INSURANCE BROKERS3 Filed as: POMS & ASSOCIATES | 5700 CANOGA AVE STE 400 WOODLAND HILLS, CA 91367 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $330 | — | $330 | 2.59% |
| CARDEA LLC3 | 7505 EUCLID AVE NE ALBUQUERQUE, NM 87110 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $738 | — | $738 | 9.77% |
| POMS & ASSOCIATES INSURANCE BROKERS3 Filed as: POMS & ASSOCIATES | 5700 CANOGA AVE STE 400 WOODLAND HILLS, CA 91367 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $137 | — | $137 | 1.81% |
| CARDEA LLC3 | 7505 EUCLID AVE NE ALBUQUERQUE, NM 87110 | COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN | $205 | — | $205 | 2.82% |
| POMS & ASSOCIATES INSURANCE BROKERS3 Filed as: POMS AND ASSOCIATES | 5700 CANOGA AVE STE 400 WOODLAND HILLS, CA 91367 | COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN | $47 | — | $47 | 0.65% |
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 | 105 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 106 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PRESBYTERIAN HEALTH PLAN INC | 181 | $1.0M |
| Dental(2 contracts) | COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN | 169 | $69K |
| Vision | AMERITAS LIFE INSURANCE CORP | 215 | $21K |
| Life insurance(3 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 208 | $164K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 121 | $144K |
| Long-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 121 | $144K |
| Other(3 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 208 | $164K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 215 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.