| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 Filed as: BEEHIVE INSURANCE AGENCY | 302 W 5400 S SUTE 101 MURRAY, UT 84107 | EDUCATORS MUTUAL PLANS LIFE ACCIDENT AND HEALTH | $34K | $0 | $34K | 3.00% |
| LEAVITT GROUP3 Filed as: BEEHIVE INSURANCE AGENCY INC | 302 W 5400 S SUITE 101 MURRAY, UT 84107 | HARTFORD LIFE AND ACCIDENT | $8K | $302 | $8K | 14.02% |
| LEAVITT GROUP3 Filed as: BEEHIVE INSURANCE AGENCY | 302 W 5400 SOUTH SUITE 101 MURRAY, UT 84107 | EDUCATORS MUTUAL PLANS LIFE ACCIDENT AND HEALTH | $784 | $0 | $784 | 6.00% |
| LEAVITT GROUP3 Filed as: BEEHIVE INSURANCE AGENCY | 302 W 5400 S SUITE 101 MURRAY, UT 84107 | EDUCATORS MUTUAL PLANS LIFE ACCIDENT AND HEALTH | $2K | $0 | $2K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BEEHIVE INSURANCE AGENCY ADMINISTRATOR | Contract Administrator Service code 13 | 302 W 5400 S SUITE 101 MURRAY, UT 84107 | $44K |
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 | 128 | 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) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EDUCATORS MUTUAL PLANS LIFE ACCIDENT AND HEALTH | 236 | $1.1M |
| Dental | EDUCATORS MUTUAL PLANS LIFE ACCIDENT AND HEALTH | 291 | $0 |
| Vision | EDUCATORS MUTUAL PLANS LIFE ACCIDENT AND HEALTH | 230 | $13K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 128 | $56K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 128 | $56K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 128 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 291 | — |
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.