| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INS. SERVICES OF THE WEST, LLC | 5200 HIGHLAND DRIVE, SUITE 200 HOLLADAY, UT 84117 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $0 | $6K | 6.14% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INS. SERVICES OF THE WEST, LLC | 90 WEST 500 SOUTH, SUITE 243 BOUNTIFUL, UT 84010 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $5K | $5K | 5.04% |
| PARAGON PARTNERS LTD3 Filed as: PARAGON PARTNERS, LTD | 9420 EAST DOUBLETREE RANCH ROAD SUITE C-103 SCOTTSDALE, AZ 85258 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $478 | $4K | 4.37% |
| PCF INSURANCE SERVICES OF THE WEST3 | 2500 WEST EXECUTIVE PARKWAY SUITE 200 LEHI, UT 84043 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $0 | $3K | 2.60% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 200 JEFFERSON PARK WHIPPANY, NJ 07981 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 1.35% |
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 | 177 | 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) | 177 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 244 | $100K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 244 | $100K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 244 | $100K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 244 | $100K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 244 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 244 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.