| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP INC. | 8899 S 700 E SUITE 155 SANDY, UT 84070 | SELECT HEALTH | $20K | $60K | $81K | 4.00% |
| DESERET INSURANCE AGENCY 4933 | 390 SOUTH MAIN ST BOUNTIFUL, UT 84010 | DENATL MANAGEMENT ADMINISTRATORS | $6K | $0 | $6K | 2.49% |
| GIBBS CALVIN3 | 2930 S OAKWOOD DR BOUNTIFUL, UT 84010 | THE HARTFORD | $6K | $206 | $6K | 6.61% |
| HAWKINS CHARLES3 | 4505 SOUTH WASATCH BLVD STE 110 SALT LAKE CITY, UT 84124 | THE HARTFORD | $4K | $181 | $4K | 5.06% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP | 8899 S 700 E SUITE 155 SANDY, UT 84070 | EYEMED VISION ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE SERVICES | $1K | $0 | $1K | 9.39% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NIELSEN INSURANCE GROUP INC. ADMINISTRATOR | Contract Administrator Service code 13 | 8899 S 700 E #155 SANDY, UT 84070 | $82K |
| DESERET INSURANCE AGENCY ADMINISTRATOR | Contract Administrator Service code 13 | 390 SOUTH MAIN ST BOUNTIFUL, UT 84010 | $6K |
| CALVIN J GIBBS ADMINISTRATOR | Contract Administrator Service code 13 | 2930 S OAKWOOD DR BOUNTIFUL, UT 84010 | $6K |
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 | 200 | 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) | 200 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SELECT HEALTH | 399 | $2.0M |
| Dental | DENATL MANAGEMENT ADMINISTRATORS | 137 | $257K |
| Vision | EYEMED VISION ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE SERVICES | 147 | $15K |
| Life insurance | THE HARTFORD | 200 | $88K |
| Short-term disability | THE HARTFORD | 200 | $88K |
| Long-term disability | THE HARTFORD | 200 | $88K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 399 | — |
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."
No prospect flags tripped on this filing.