| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHARLES E HAWKINS3 | 4505 SOUTH WASATCH BLVD SUITE 110 SALT LAKE CITY, UT 84124 | SELECTHEALTH | $36K | $0 | $36K | 2.32% |
| CHARLES E HAWKINS3 Filed as: CHARLES E HAWKINS 107 | 3732 E MILLCREEK CANYON RD SALT LAKE CITY, UT 84109 | COMPANION LIFE INSURANCE COMPANY | $6K | $0 | $6K | 5.90% |
| CHARLES E HAWKINS3 | 4505 SOUTH WASATCH BLVD SUITE 110 SALT LAKE CITY, UT 84124 | HARTFORD LIFE AND ACCIDENT | $7K | $333 | $7K | 7.67% |
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 | 105 | 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) | 105 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SELECTHEALTH | 274 | $1.5M |
| Dental | COMPANION LIFE INSURANCE COMPANY | 94 | $105K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 116 | $91K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 116 | $91K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 116 | $91K |
| Other | HARTFORD LIFE AND ACCIDENT | 116 | $91K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 274 | — |
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.