| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 Filed as: LEAVITT GROUP AGENCY ASSOCIATE | 216 S 200 W CEDAR CITY, UT 84720 | SELECTHEALTH | $14K | — | $14K | 3.42% |
| STOP LOSS INSURANCE SERVICES, INC.3 Filed as: STOP LOSS INSURANCE SERVICES | 940 ADAMS STREET SUITE G BENICIA, CA 94510 | COMPANION LIFE COLUMBIA, SC | $13K | — | $13K | 5.00% |
| BETA HEALTH ASSOCIATION3 Filed as: BETA HEALTH ASSOCIATION INC | 9725 E HAMPDEN AVE STE 400 DENVER, CO 80231 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $1K | $7K | 8.13% |
| INS EXCHANGE LLC3 | 5 ROEHM CT WEST ORANGE, NJ 07052 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $3K | $6K | 7.42% |
| LEAVITT GROUP3 Filed as: DIXIE LEAVITT AGENCY | 115 N MAIN ST CEDAR CITY, UT 84720 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 6.42% |
| HAYS COMPANIES, INC.3 Filed as: HAYS GROUP INC | 201 S MAIN ST STE 2100 SALT LAKE CITY, UT 84111 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 1.18% |
| LEAVITT GROUP3 Filed as: LEAVITT GROUP AGENCY ASSOCIATION | 216 S 200 W CEDAR CITY, UT 84720 | SELECTHEALTH | $786 | — | $786 | 1.09% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH EIN 16-1264154 THIRD PARTY ADMINISTRATOR | Plan Administrator Service code 14 | 600 UNIVERSITY ST STE 920 SEATTLE, WA 98101 | $35K |
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 | 207 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 207 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | SELECTHEALTH | 131 | $481K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 207 | $85K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 207 | $85K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE COLUMBIA, SC | 184 | $268K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 207 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.