| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHANCE PETERSON3 | 101 S 200 E SUITE #300 SLC, UT 84111 | MOTIVHEALTH | $59K | — | $59K | 7.23% |
| TAMMY JENSEN3 | 4393 S RIVERBOAT RD, STE 200 SALT LAKE CITY, UT 84123 | MOTIVHEALTH | $3K | — | $3K | 0.42% |
| MORETON & COMPANY3 Filed as: FRED A MORETON & COMPANY | 101 S 200 E STE 300 SALT LAKE CITY, UT 84111 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $20K | $15K | $35K | 14.47% |
| EA LEGACY LLC5 | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $5K | $5K | 2.14% |
| LEAVITT GROUP3 Filed as: BEEHIVE INSURANCE | 4393 S RIVERBOAT RD STE 200 SALT LAKE CITY, UT 84123 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 0.62% |
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 | 160 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 160 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $242K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $242K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $242K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $242K |
| Prescription drug | MOTIVHEALTH | 208 | $819K |
| Stop-loss / reinsurancereinsurance | MOTIVHEALTH | 208 | $819K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $242K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 208 | — |
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.