| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NIELSEN BENEFITS GROUP3 Filed as: NIELSEN BENEFITS GROUP INC | 8899 SOUTH 700 EAST ST 155 SANDY, UT 84070 | SELECTHEALTH | $50K | $17K | $67K | 4.00% |
| DPW BENEFITS LLC3 | 5525 S 900 E STE 100 SALT LAKE CITY, UT 84117 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $620 | $6K | 7.75% |
| NIELSEN BENEFITS GROUP3 Filed as: NIELSEN BENEFITS GROUP INC | 8899 SOUTH 700 EAST ST 155 SANDY, UT 84070 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 6.91% |
| PARAGON PARTNERS LTD3 | 9420 E DOUBLETREE RANCH RD STE C-103 SCOTTSDALE, AZ 85258 | PRINCIPAL LIFE INSURANCE COMPANY | $864 | — | $864 | 3.74% |
| DPW BENEFITS LLC3 | 5525 S 900 E STE 100 SALT LAKE CITY, UT 84117 | PRINCIPAL LIFE INSURANCE COMPANY | $139 | — | $139 | 0.60% |
| DPW BENEFITS LLC3 | 5525 S 900 E STE 100 SALT LAKE CITY, UT 84117 | LIFEMAP ASSURANCE COMPANY | $2K | — | $2K | 15.00% |
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 | 441 | 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) | 441 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SELECTHEALTH | 441 | $1.7M |
| Dental | DENTAL MANAGEMENT ADMINISTRATORS | 463 | $9K |
| Life insurance(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 206 | $120K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 72 | $23K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 206 | $83K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 206 | $83K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 463 | — |
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.