BenefitsLedger
Employer health plan record · Plan year 2025 (latest filing) · Form 5500

Fort Collins Women's Clinic P.C.

Healthcare & social assistance · Fort Collins, Colorado · EIN ending 6245 · doing business as The Women's Clinic of Northern Colorado

Updated Filing received by DOL

Fort Collins Women's Clinic P.C., a healthcare & social assistance employer in Fort Collins, Colorado, reported 115 participants in its health and welfare plan for plan year 2025. Its Form 5500 shows 2 insurance contracts with no premium reported and $34,432 in broker commissions and fees. The plan is self-funded (the employer pays claims itself). The Department of Labor received the filing on July 20, 2026, before the deadline.

Participants
115
−4.2% vs 2024
Premiums filed
none
self-funded or not filed
Broker commissions + fees
$34,432
−18.5% vs 2024
Commission rate
n/a
needs insured medical premium

Who was paid on Fort Collins Women's Clinic P.C.'s plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Fort Collins Women's Clinic P.C. filed for 2025.

Broker or agentCommissionsFeesTotalContracts
Shirazi-Miller Benefits, LLC · Greeley, CO$26,038$0$26,0381
Shirazi Benefits LLC · Greeley, CO$8,394$0$8,3942

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2025, as published in EBSA's 2025 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Reliance Matrixlife, short-term disability, long-term disability122—$26,038—
Reliance Standardcoverage not coded66—$8,394—

Source: DOL Form 5500 Schedule A, plan year 2025. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Fort Collins Women's Clinic P.C. compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Fort Collins Women's Clinic P.C.
$34,432
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$42,229$34,432Broker pay20242025
Fort Collins Women's Clinic P.C.: premiums and broker commissions + fees, 2024 vs 2025
20242025Change
Participants120115−4.2%
Premiums filed$0$0—
Broker commissions + fees$42,229$34,432−18.5%
Commission rate———

Source: DOL Form 5500 filings for plan years 2024 and 2025.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Fort Collins Women's Clinic, PC Health Plan#501 · insurance, general assetsDecember 31, 2025July 20, 2026before deadline115

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Fort Collins Women's Clinic P.C. pay in health insurance broker commissions in 2025?

Fort Collins Women's Clinic P.C.'s 2025 Form 5500 reports $34,432 in broker commissions and fees across 2 insurance contracts ($34,432 in commissions, $0 in fees), with Shirazi-Miller Benefits, LLC receiving the largest share.

Is Fort Collins Women's Clinic P.C.'s health plan self-funded or fully insured?

The 2025 filing indicates the plan is self-funded (the employer pays claims itself).

How does Fort Collins Women's Clinic P.C.'s broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Fort Collins Women's Clinic P.C. because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 100-199 participants that disclosed broker pay reported a median of $53,852.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.