| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROKER NOT PROVIDED Filed as: BROKER INFO NOT PROVIDED | — | AMERICA'S TPA, LLC DBA HEALTHEZ | $33K | — | $33K | 12.65% |
| LEAVITT GROUP3 Filed as: DIXIE LEAVITT AGENCY | 162 NORTH 400 E BLDG C-102 ST GEORGE, UT 84770 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $8K | $132 | $8K | 7.12% |
| LEAVITT GROUP3 Filed as: DIXIE LEAVITT AGENCY | 162 NORTH 400 E BLDG C-102 ST GEORGE, UT 84770 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $96 | $5K | 11.22% |
| LEAVITT GROUP3 Filed as: DIXIE LEAVITT AGENCY | 162 NORTH 400 E BLDG C-102 ST GEORGE, UT 84770 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $66 | $4K | 15.25% |
| LEAVITT GROUP Filed as: DIXIE LEAVITT AGENCY | PO BOX 1744 CEDAR CITY, UT 847211744 | VISION SERVICE PLAN | $1K | $0 | $1K | 5.07% |
| LEAVITT GROUP3 Filed as: DIXIE LEAVITT AGENCY | 162 NORTH 400 E BLDG C-102 ST GEORGE, UT 84770 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $40 | $3K | 15.24% |
| LEAVITT GROUP3 Filed as: DIXIE LEAVITT AGENCY | 162 NORTH 400 E BLDG C-102 ST GEORGE, UT 84770 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $661 | $12 | $673 | 13.83% |
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 | 157 | 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) | 157 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMERICA'S TPA, LLC DBA HEALTHEZ | 102 | $264K |
| Dental | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 127 | $112K |
| Vision | VISION SERVICE PLAN | 123 | $25K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 157 | $22K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 44 | $27K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 157 | $41K |
| Prescription drug | AMERICA'S TPA, LLC DBA HEALTHEZ | 102 | $264K |
| Stop-loss / reinsurancereinsurance | AMERICA'S TPA, LLC DBA HEALTHEZ | 102 | $264K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 157 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 157 | — |
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.