| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITMALL3 | 2111 EAST HIGHLAND AVENUE SUITE B210 PHOENIX, AZ 85016 | STANDARD LIFE & ACCIDENT INSURANCE COMPANY | $15K | — | $15K | 5.00% |
| SHELLEY BURT3 Filed as: SHELLEY BURT NAX | 7105 OTTAWA ROAD NORTHEAST ALBUQUERQUE, NM 87110 | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | $2K | — | $2K | 3.00% |
| SAGE BENEFIT CONSULTANTS NFS3 | 8015 ESCARPMENT AVENUE NORTHWEST ALBUQUERQUE, NM 87120 | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | $604 | — | $604 | 1.00% |
| BURT SHELLEY B3 | 7105 OTTAWA ROAD NORTHEAST ALBUQUERQUE, NM 87110 | KC LIFE | $1K | — | $1K | 7.94% |
| MARTINEZ MONICA3 | 8015 ESCARPMENT AVENUE ALBUQUERQUE, NM 87120 | KC LIFE | $449 | — | $449 | 2.65% |
| SHELLEY BURT3 | 7105 OTTAWA ROAD NORTHEAST ALBUQUERQUE, NM 87110 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 8.08% |
| SAGE BENEFIT CONSULTANTS3 | 6026 2ND STREET NORTHWEST # A ALBUQUERQUE, NM 87107 | METROPOLITAN LIFE INSURANCE COMPANY | $373 | — | $373 | 2.69% |
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 | 188 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | 135 | $60K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 183 | $14K |
| Life insurance | KC LIFE | 201 | $17K |
| Long-term disability | KC LIFE | 201 | $17K |
| Stop-loss / reinsurancereinsurance | STANDARD LIFE & ACCIDENT INSURANCE COMPANY | 89 | $306K |
| Other | KC LIFE | 201 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 201 | — |
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.