| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 6967 SOUTH RIVERGATE DRIVE SUITE 200 MIDVALE, UT 84047 | SELECTHEALTH | $68K | $23K | $91K | 2.96% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE BENEFIT SVCS | 136 E SOUTH TEMPLE STE 2300 SALT LAKE CITY, UT 84111 | SELECTHEALTH | $33K | $11K | $44K | 1.42% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 777 108TH AVE NE SUITE 200 BELLEVUE, WA 98004 | STANDARD INSURANCE COMPANY | $3K | $2K | $5K | 2.31% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE BENEFIT SVCS | 136 E SOUTH TEMPLE STE 2300 SALT LAKE CITY, UT 84111 | STANDARD INSURANCE COMPANY | $510 | $0 | $510 | 0.23% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 141 W JACKSON BLVD STE 1000 CHICAGO, IL 60605 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 7.00% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $942 | $0 | $942 | 3.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 141 W JACKSON BLVD STE 1000 CHICAGO, IL 60605 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 6.84% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $724 | $0 | $724 | 3.16% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 111 VETERANS BOULEVARD, SUITE 1130 METAIRIE, LA 70005 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | $0 | $6K | 28.11% |
| TIMOTHY B. CRAIG3 | 12002 SOUTH MILONA DRIVE DRAPER, UT 84020 | CONTINENTAL AMERICAN INSURANCE COMPANY | $28 | $0 | $28 | 0.12% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 141 W JACKSON BLVD STE 1000 CHICAGO, IL 60605 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $0 | $1K | 6.75% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $694 | $0 | $694 | 3.25% |
| IMA, INC.3 Filed as: IMA INC | 95 S STATE ST SUITE 1300 SALT LAKE CITY, UT 84111 | OPTICARE VISION SERVICES | $2K | $0 | $2K | 9.90% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 141 W JACKSON BLVD STE 1000 CHICAGO, IL 60605 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $563 | $0 | $563 | 8.16% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $265 | $0 | $265 | 3.84% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 141 W JACKSON BLVD STE 1000 CHICAGO, IL 60605 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $227 | $0 | $227 | 5.20% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $210 | $0 | $210 | 4.81% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 6967 SOUTH RIVERGATE DRIVE SUITE 200 MIDVALE, UT 84047 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $218 | $0 | $218 | 8.12% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 10404 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $104 | $0 | $104 | 3.87% |
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 | 728 | 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) | 728 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SELECTHEALTH | 728 | $3.1M |
| Dental | STANDARD INSURANCE COMPANY | 203 | $219K |
| Vision(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 424 | $236K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 0 | $23K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 0 | $21K |
| Other(5 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 100 | $68K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 728 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.