| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 Filed as: DIXIE LEAVITT AGENCY | — | AMERITAS LIFE INSURANCE CORP | $15K | — | $15K | 14.26% |
| LEAVITT GROUP3 Filed as: DIXIE LEAVITT AGENCY | 162 N 400 E STE C102 SAINT GEORGE, UT 84770 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $736 | $7K | 8.74% |
| LEAVITT GROUP3 Filed as: DIXIE LEAVITT AGENCY | 162 N 400 E STE C102 SAINT GEORGE, UT 84790 | HARTFORD LIFE AND ACCIDENT | $195 | — | $195 | 15.03% |
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 | 164 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMERICAS TPA, LLC DBA HEALTH EZ | 136 | $279K |
| Dental(2 contracts, 2 carriers) | AMERICAS TPA, LLC DBA HEALTH EZ | 136 | $383K |
| Vision | EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. | 480 | $0 |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 390 | $82K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 0 | $1K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 390 | $82K |
| Prescription drug | AMERICAS TPA, LLC DBA HEALTH EZ | 136 | $279K |
| Stop-loss / reinsurancereinsurance | AMERICAS TPA, LLC DBA HEALTH EZ | 136 | $279K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 480 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.