Plan Ledger DOL Form 5500 · updated monthly

Buck Jack LLCbenefits

Buck Jack dba the Shandy Clinic Dental, Life and Disability Plan · COLORADO SPRINGS, CO · plan year 2023

Broker compensation reported · 2023
$89,000

Buck Jack LLC's benefits plans covered 254 active participants in 2023, providing health · life · dental · short-term disability · long-term disability · death benefits · other. Insurance brokers and agents were paid $89,000 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $350 per covered person, above the median for employer plans that report broker pay.

Insurance contracts · 20232
UNITEDHEALTHCARE INSURANCE COMPANY · health drugpremiums n/a · 229 covered
PRINCIPAL LIFE INSURANCE COMPANY · dental life std ltdpremiums n/a · 307 covered
Brokers & agents paid · 20232
PAYCHEX INSURANCE AGENCY, INC.$87,845 · incl $5,457 fees
NEWFRONT INSURANCE SERVICES, LLC$1,155
Also brokered by Paychex Insurance Agency, Inc.5
Semperis Inc. NJ$110,589
Ardian US, LLC NY$101,398

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 844770778 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.