| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 Filed as: IMA INC | 1705 17TH ST STE 100 DENVER, CO 80202 | SUN LIFE ASSURANCE COMPANY OF CANADA | $85K | — | $85K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS, INC. EIN 52-1590516 NONE | Claims processing; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator Service code 12 | — | $236K |
| AETNA INC. EIN 06-6033492 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $136K |
| PARKER SMITH & FEEK, INC. EIN 91-0660018 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $104K |
| US BANK EIN 31-0841368 NONE | Direct payment from the plan; Custodial (other than securities); Custodial (securities) Service code 18 | — | $56K |
| ALASKA VACCINE ASSESSMENT PROGRAM NONE | Direct payment from the plan; Other services Service code 49 | P.O. BOX 1885 CONCORD, NH 033021885 | $49K |
| ANASTASI, MOORE & MARTIN, PLLC EIN 20-8149084 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $49K |
| STOLL LAW GROUP PLLC EIN 91-1730364 NONE | Direct payment from the plan; Legal Service code 29 | — | $33K |
| RENALOGIC EIN 22-3857341 NONE | Direct payment from the plan; Claims processing; Other services Service code 12 | — | $24K |
| LAWTON PRINTING SERVICES NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 4111 E MISSION AVE SPOKANE, WA 99202 | $8K |
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 | 454 | Currently employed and enrolled or eligible. |
| Beneficiaries receiving benefits | 1 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 454 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 480 | $7K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 482 | $1.7M |
| Other | SYMETRA LIFE INSURANCE COMPANY | 480 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 482 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.