| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TODD VALENTINE3 | 4393 S RIVERBOAT ROAD #200 SALT LAKE CITY, UT 84123 | REGENCE BLUECROSS BLUESHIELD OF UTAH | $63K | $4K | $67K | 1.83% |
| MICHAEL VALENTINE3 | 4393 S RIVERBOAT ROAD #200 SALT LAKE CITY, UT 84123 | REGENCE BLUECROSS BLUESHIELD OF UTAH | $33K | $2K | $35K | 0.95% |
| SPENCER WALL3 | 4393 S RIVERBOAT ROAD #200 SALT LAKE CITY, UT 84123 | REGENCE BLUECROSS BLUESHIELD OF UTAH | $30K | $2K | $32K | 0.88% |
| JOANIE HARDCASTLE3 | 4393 S RIVERBOAT ROAD #200 SALT LAKE CITY, UT 84123 | REGENCE BLUECROSS BLUESHIELD OF UTAH | $25K | $1K | $27K | 0.72% |
| TIMOTHY T KING3 | 2200 S MAIN STREET, STE 600 SALT LAKE CITY, UT 84115 | REGENCE BLUECROSS BLUESHIELD OF UTAH | $25K | $1K | $26K | 0.71% |
| STEPHANIE CONTI3 | 2200 S MAIN STREET, STE 600 SALT LAKE CITY, UT 84115 | REGENCE BLUECROSS BLUESHIELD OF UTAH | $4K | $329 | $4K | 0.11% |
| JASON KNIGHT3 Filed as: JASON D. KNIGHT | 7730 S UNION PARK AVE STE 250 MIDVALE, UT 84047 | REGENCE BLUECROSS BLUESHIELD OF UTAH | $3K | $0 | $3K | 0.08% |
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 | 351 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 351 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUECROSS BLUESHIELD OF UTAH | 351 | $3.7M |
| Vision | REGENCE BLUECROSS BLUESHIELD OF UTAH | 351 | $3.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 351 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.