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Form 5500 · Employee benefit plan · PUEBLO, CO

SOUTHERN COLORADO CLINIC P.C.

SOUTHERN COLORADO CLINIC P.C. of PUEBLO, CO spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is BENEFITS BROKER, INC. Coverage is written through ALL SAVERS INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-1074070 · plan 501 · as of Aug 2026

Participants
152
Carriers on file
5
Disclosed commissions
$34,694
Renewal month
December

Plan brief

Schedule A lists 5 insured contracts covering dental, vision, life, disability and stop-loss; the largest, with ALL SAVERS INSURANCE COMPANY, covers 84 people.

The only insured piece of the health benefit is stop-loss coverage — the plan itself is self-funded, so premium and commission here reflect the stop-loss contract, not medical premium.

Reported premium across the insured contracts is $572,304, with $34,694 in disclosed broker commissions — about 6.1% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

BENEFITS BROKER, INC is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
ALL SAVERS INSURANCE COMPANYStop-loss84December$398,871$26,104
UNUM LIFE INSURANCE COMPANY OF AMERICALife, Disability115December$95,439$5,694
UNUM LIFE INSURANCE COMPANY OF AMERICALife50December$13,571$2,158
UNUM LIFE INSURANCE COMPANY OF AMERICA22December$4,578$738
UNITEDHEALTHCARE INSURANCE COMPANYDental, Vision84December$59,845$0

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