| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCDERMOTT COMPANY & ASSOCIATES3 | 883 W BAXTER DR SOUTH JORDAN, UT 84095 | SELECTHEALTH | $26K | $11K | $37K | 2.87% |
| MCDERMOTT COMPANY & ASSOCIATES3 Filed as: MCDERMOTT COMPANY & ASSOC | 883 W BAXTER DR SOUTH JORDAN, UT 84095 | PRINCIPAL LIFE INS COMPANY | $7K | — | $7K | 9.32% |
| MCDERMOTT COMPANY & ASSOCIATES3 | 883 W BAXTER DR SOUTH JORDAN, UT 84095 | DENTIST DIRECT, LLC | $4K | — | $4K | 5.11% |
| CUSTOME INS SPECIALISTS INC3 | 886 E 3200 N KAMAS, UT 84036 | COLONIAL LIFE & ACCIDENT INS COMPANY | $3K | $195 | $3K | 6.64% |
| LUKE A ROCKWELL3 Filed as: LUKE MCDERMOTT | 883 W BAXTER DR SOUTH JORDAN, UT 84095 | COLONIAL LIFE & ACCIDENT INS COMPANY | $2K | — | $2K | 4.45% |
| TIM VINCENT INS AGY INC3 Filed as: TIM VINCENT INS AGENCY INC | 1124 W SOUTH JORDAN PKWY SOUTH JORDAN, UT 84095 | COLONIAL LIFE & ACCIDENT INS COMPANY | $748 | $203 | $951 | 2.32% |
| JILL WHITE3 | 6510 TAMARA DR SALT LAKE CITY, UT 84129 | COLONIAL LIFE & ACCIDENT INS COMPANY | $841 | $71 | $912 | 2.23% |
| DESIREE ROBERTSON3 | 5691 S STONE BLUFF WAY TAYLORSVILLE, UT 84118 | COLONIAL LIFE & ACCIDENT INS COMPANY | $792 | $5 | $797 | 1.95% |
| SHERRI M HOPKINS INS AGENCY3 Filed as: SHERRI HOPKINS INS AGENCY | 5818 S 900 E UNIT 1 MURRAY, UT 84121 | COLONIAL LIFE & ACCIDENT INS COMPANY | $55 | — | $55 | 0.13% |
| PAM ANDERSON & ASSOCIATES INC3 Filed as: PAM ANDERSON & ASSOCIATES | 5818 S 900 E MURRAY, UT 84121 | COLONIAL LIFE & ACCIDENT INS COMPANY | $37 | — | $37 | 0.09% |
| VOLUNTARY SOLUTIONS INC3 | 195 TELLURIDE ST BRIGHTON, CO 80601 | COLONIAL LIFE & ACCIDENT INS COMPANY | $17 | — | $17 | 0.04% |
| TOM GILLIGAN3 | 12 SPEEN STREET NATICK, MA 01760 | COLONIAL LIFE & ACCIDENT INS COMPANY | $11 | — | $11 | 0.03% |
| MCDERMOTT COMPANY & ASSOCIATES3 | 883 W BAXTER DR SOUTH JORDAN, UT 84095 | SELECTHEALTH | $90 | $46 | $136 | 3.01% |
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 | 125 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | SELECTHEALTH | 253 | $1.3M |
| Dental | DENTIST DIRECT, LLC | 133 | $75K |
| Vision | SELECTHEALTH | 253 | $1.3M |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INS COMPANY | 325 | $120K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INS COMPANY | 46 | $41K |
| Long-term disability | PRINCIPAL LIFE INS COMPANY | 325 | $79K |
| Other | COLONIAL LIFE & ACCIDENT INS COMPANY | 46 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 325 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.