| 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 | $90K | $30K | $120K | 3.99% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INC BENEFIT SERVICES | 95 S STATE ST STE 1300 SALT LAKE CITY, UT 84111 | METROPOLITAN LIFE INS COMPANY | $9K | $0 | $9K | 3.52% |
| WATCHTOWER BENEFITS LLC DBA THREEFL3 | 306 WEST ERIE ST STE 300 CHICAGO, IL 60654 | METROPOLITAN LIFE INS COMPANY | $3K | $0 | $3K | 1.38% |
| IMA, INC.3 Filed as: IMA, INC | 136 E SOUTH TEMPLE SALT LAKE CITY, UT 84111 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | $3K | $14K | 9.14% |
| IMA, INC.3 Filed as: IMA, INC | 136 EAST SOUTH TEMPLE SALT LAKE CITY, UT 84111 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $1K | $9K | 17.00% |
| IMA, INC.3 Filed as: IMA INC | 136 E SOUTH TEMPLE STE 2300 SALT LAKE CITY, UT 84111 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $0 | $4K | 18.33% |
| ASSUREX3 | 175 SOUTH 3RD STREET STE 800 COLUMBUS, OH 43215 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $271 | $0 | $271 | 1.13% |
| KAREN HARMER3 Filed as: KAREN L HARMER | PO BOX 829 SANDY, UT 84091 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 9.62% |
| 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 | 4.62% |
| BARRY BEVERLY3 Filed as: BARRY C BEVERLY | 1888 E 6400 S HOLLADAY, UT 84121 | CONTINENTAL AMERICAN INSURANCE COMPANY | $336 | $0 | $336 | 1.53% |
| KAREN HARMER3 Filed as: KAREN L HARMER | 2581 E GOLDEN EYE DR. SANDY, UT 84093 | CONTINENTAL AMERICAN INSURANCE COMPANY | $245 | $0 | $245 | 1.12% |
| CLINT WEIGHT3 | 745 S 180 WEST SALEM, UT 84653 | CONTINENTAL AMERICAN INSURANCE COMPANY | $94 | $0 | $94 | 0.43% |
| MAURICIO R PLATT3 | 884 UNION STATION PARKWAY LEWISVILLE, TX 75057 | CONTINENTAL AMERICAN INSURANCE COMPANY | $53 | $0 | $53 | 0.24% |
| MARC A GROVE3 Filed as: MARC S MICKELSEN | 1324 S 1900 E SALT LAKE CITY, UT 84108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $40 | $0 | $40 | 0.18% |
| JERRY DUNCAN3 Filed as: JERRY F HOKE | 517 E 3270 LEHI, UT 84043 | CONTINENTAL AMERICAN INSURANCE COMPANY | $33 | $0 | $33 | 0.15% |
| TIMOTHY B. CRAIG3 Filed as: TIMOTHY B CRAIG | 11829 S PINNACLE ACRE CT RIVERTON, UT 84065 | CONTINENTAL AMERICAN INSURANCE COMPANY | $20 | $0 | $20 | 0.09% |
| MIKE C LUNDQUIST3 | 8889 S SILVERTONE WAY SANDY, UT 84093 | CONTINENTAL AMERICAN INSURANCE COMPANY | $15 | $0 | $15 | 0.07% |
| DAMON STREETMAN3 | 5894 WILDFLOWER CT HIGHLAND, UT 84003 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | $0 | $13 | 0.06% |
| TYLER KOHLER3 | 1323 E BENT PINE COVE DRAPER, UT 84020 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | $0 | $10 | 0.05% |
| NEENA W BEVERLY3 | 1888 E 6400 S HOLLADAY, UT 84121 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | $0 | $7 | 0.03% |
| BRENT W THOMPSON3 | 435 E 1070 S OREM, UT 84097 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | $0 | $7 | 0.03% |
| HUTCHINGS, JEANA L3 Filed as: HUTCHINGS JEANA L | 136 EAST SOUTH TEMPLE STE 2300 STE 2300 SALT LAKE CITY, UT 84111 | FIRST UNUM LIFE INSURANCE COMPANY | $708 | $51 | $759 | 16.08% |
| IMA, INC.3 Filed as: IMA INC | 136 E SOUTH TEMPLE STE 2300 SALT LAKE CITY, UT 84111 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $266 | $0 | $266 | 19.50% |
| ASSUREX3 | 175 SOUTH 3RD STREET STE 800 COLUMBUS, OH 43215 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $16 | $0 | $16 | 1.17% |
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 | 561 | 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) | 561 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SELECTHEALTH | 453 | $3.0M |
| Dental | METROPOLITAN LIFE INS COMPANY | 561 | $253K |
| Vision | METROPOLITAN LIFE INS COMPANY | 561 | $253K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 222 | $156K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 222 | $156K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 222 | $156K |
| Other(6 contracts, 4 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 222 | $260K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 561 | — |
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.