| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE BENEFIT SVSCS | 136 E. SOUTH TEMPLE #2300 SALT LAKE CITY, UT 84111 | SELECTHEALTH | — | $145K | $145K | 1.00% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INS. BENEFT SERVICES | BRIAN CARTER 136 E. S. TEMPLE STE 2300 SALT LAKE CITY, UT 84111 | REGENCE BLUECROSS BLUESHEILD OF UTAH | $139K | $24K | $163K | 3.51% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INS BENEFIT SVCS | 136 E SOUTH TEMPLE, STE 2300 SALT LAKE CITY, UT 84111 | HARTFORD LIFE AND ACCIDENT | $84K | $4K | $89K | 14.06% |
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 | 1,916 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,916 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | SELECTHEALTH | 3,585 | $19.2M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 4,487 | $0 |
| Vision | EYEMED | 3,029 | $151K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,916 | $630K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 1,916 | $630K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 2,265 | $684K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,487 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.