| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE OF NV INC | 975 KELLY JOHNSON DR #100 LAS VEGAS, NV 89119 | ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVICE INC | $61K | — | $61K | 4.11% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS AGY OF VA INC | LOOP SUITE 104 MANASSASS, VA 20109 | ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVICE INC | — | $1K | $1K | 0.08% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE OF NV INC | 8337 W SUNSET RD STE 150 LAS VEGAS, NV 89113 | ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVICE INC | $42K | — | $42K | 3.60% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS AGY OF VA INC | LOOP SUITE 104 MANASSASS, VA 20109 | ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVICE INC | — | $2K | $2K | 0.14% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE OF NV INC | 8337 W SUNSET RD STE 150 LAS VEGAS, NV 89113 | ANTHEM LIFE INSURANCE COMPANY | $803 | — | $803 | 3.60% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS AGY OF VA INC | LOOP SUITE 104 MANASSASS, VA 20109 | ANTHEM LIFE INSURANCE COMPANY | — | $31 | $31 | 0.14% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE OF NV INC | 8237 W. SUNSET RD STE 150 LAS VEGAS, NV 89113 | ANTHEM LIFE INSURANCE COMPANY | $849 | $0 | $849 | 3.94% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE OF NV INC | 8337 W. SUNSET RD STE 150 LAS VEGAS, VA 89113 | ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVICE INC | $78 | $0 | $78 | 3.95% |
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 | 156 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 157 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVICE INC | 152 | $2.6M |
| Dental(2 contracts) | ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVICE INC | 152 | $2.6M |
| Vision(2 contracts) | ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVICE INC | 152 | $2.6M |
| Life insurance(2 contracts) | ANTHEM LIFE INSURANCE COMPANY | 156 | $44K |
| Short-term disability(2 contracts) | ANTHEM LIFE INSURANCE COMPANY | 156 | $44K |
| Long-term disability(2 contracts) | ANTHEM LIFE INSURANCE COMPANY | 156 | $44K |
| Other(2 contracts) | ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVICE INC | 151 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 156 | — |
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.