| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUIE INSURANCE SERVICES3 | 6440 SOUTH WASATCH BOULEVARD #150 SALT LAKE CITY, UT 84121 | COMPANION LIFE INSURANCE COMPANY GROUP DENTAL INDEMNITY PLAN | $4K | — | $4K | 6.34% |
| PRODUCERS BENEFITS ALLIANCE3 | 5533 SOUTH 1900 WEST #3 ROY, UT 84067 | COMPANION LIFE INSURANCE COMPANY GROUP DENTAL INDEMNITY PLAN | $3K | — | $3K | 4.89% |
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 | 104 | 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) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | COMPANION LIFE INSURANCE COMPANY GROUP DENTAL INDEMNITY PLAN | 83 | $70K |
| Stop-loss / reinsurancereinsurance | GERBER LIFE INSURANCE COMPANY | 95 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 95 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.