| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INS. BENEFIT SERVICES | 136 EAST SOUTH TEMPLE STE. 2300 SALT LAKE CITY, UT 84111 | SELECTHEALTH | $92K | $31K | $123K | 3.99% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INC BENEFIT SERVICES | 136 E SOUTH TEMPLE STE 2300 SALT LAKE CITY, UT 84111 | METROPOLITAN LIFE INS COMPANY | $9K | $5K | $15K | 5.57% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE BENEFIT | 136 E SOUTH TEMPLE SALT LAKE CITY, UT 84111 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | $1K | $13K | 7.77% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE BENEFITS | 136 EAST SOUTH TEMPLE SALT LAKE CITY, UT 84111 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $423 | $8K | 15.84% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE BENEFIT SERVC | 136 E SOUTH TEMPLE STE 2300 SALT LAKE CITY, UT 841111117 | SELECTHEALTH | $1K | $432 | $2K | 3.99% |
| KAREN HARMER3 Filed as: KAREN L HARMER | PO BOX 829 SANDY, UT 84091 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 10.42% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INS BENEFIT SVCS | 136 E SOUTH TEMPLE STE 2300 SALT LAKE CITY, UT 84111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 4.94% |
| KAREN HARMER3 Filed as: KAREN L HARMER | 2581 E GOLDEN EYE DR. SANDY, UT 84093 | CONTINENTAL AMERICAN INSURANCE COMPANY | $270 | $0 | $270 | 1.16% |
| MAURICIO R PLATT3 | 11839 STEPHVILLE DR FRISCO, TX 75035 | CONTINENTAL AMERICAN INSURANCE COMPANY | $56 | $0 | $56 | 0.24% |
| MARC MICKELSEN3 Filed as: MARC S MICKLESON | 1324 S 1900 E SALT LAKE CITY, UT 84108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $52 | $0 | $52 | 0.22% |
| KAREN HARMER3 Filed as: KAREN L HARMER | 2581 E GOLDEN EYE DR. SANDY, UT 84093 | CONTINENTAL AMERICAN INSURANCE COMPANY | $46 | $0 | $46 | 0.20% |
| JERRY DUNCAN3 Filed as: JERRY F HOKE | 517 E 3270 LEHI, UT 84043 | CONTINENTAL AMERICAN INSURANCE COMPANY | $39 | $0 | $39 | 0.17% |
| DAMON STREETMAN3 | 5894 WILDFLOWER CT HIGHLAND, UT 84003 | CONTINENTAL AMERICAN INSURANCE COMPANY | $28 | $0 | $28 | 0.12% |
| ORTS ENTERPRISES INC3 | 920 FLORAL BANK POINT WOODSTOCK, GA 30018 | CONTINENTAL AMERICAN INSURANCE COMPANY | $25 | $0 | $25 | 0.11% |
| TIMOTHY B. CRAIG3 Filed as: TIMOTHY B CRAIG | 11829 S PINNACLE ACRE CT RIVERTON, UT 84065 | CONTINENTAL AMERICAN INSURANCE COMPANY | $21 | $0 | $21 | 0.09% |
| CLINT WEIGHT3 | 745 S 180 WEST SALEM, UT 84653 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | $0 | $18 | 0.08% |
| MIKE C LUNDQUIST3 | 8889 S SILVER ST ONE WAY SANDY, UT 84093 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | $0 | $16 | 0.07% |
| NEENA W BEVERLY3 | 1888 E 6400 S HOLLADAY, UT 84121 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | $0 | $10 | 0.04% |
| TYLER KOHLER3 | 1323 E BENT PINE COVE DRAPER, UT 84020 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | $0 | $9 | 0.04% |
| BRENT W THOMPSON3 | 435 E 1070 S OREM, UT 84097 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | $0 | $7 | 0.03% |
| BARRY BEVERLY3 Filed as: BARRY C BEVERLY | 1888 E 6400 S HOLLADAY, UT 84121 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | $0 | $5 | 0.02% |
No Schedule C service providers reported on this filing.
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 | 644 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 644 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | SELECTHEALTH | 506 | $3.1M |
| Dental | METROPOLITAN LIFE INS COMPANY | 644 | $261K |
| Vision | METROPOLITAN LIFE INS COMPANY | 644 | $261K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 237 | $163K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 237 | $163K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 237 | $237K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 644 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.