| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN BENEFITS GROUP 209 | 8899 SOUTH 700 EAST ST 155 SANDY, UT 84070 | SELECTHEALTH | $62K | $21K | $83K | 4.00% |
| CALVIN GIBBS3 Filed as: CALVIN J GIBBS CORPORATE BENEFITS | 2930 S OAKWOOD DR BOUNTIFUL, UT 84010 | HARTFORD LIFE AND ACCIDENT | $6K | — | $6K | 5.60% |
| CHALES E HAWKINS3 | 4505 SOUTH WASATCH BLVD STE 110 SALT LAKE CITY, UT 84124 | HARTFORD LIFE AND ACCIDENT | $5K | — | $5K | 4.50% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN BENEFITS GROUP 209 | 8899 SOUTH 700 EAST ST 155 SANDY, UT 84070 | DENTAL MANAGEMENT ADMINISTRATORS | $5K | — | $5K | 34.16% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN BENEFITS GROUP 209 | 8899 SOUTH 700 EAST ST 155 SANDY, UT 84070 | EYEMED VISION CARE | $1K | — | $1K | 9.39% |
| BRETT J HILTON3 | — | AFLAC | $650 | — | $650 | 7.14% |
| NEENA W BEVERLY3 Filed as: NEENA WITT BEVERLY | — | AFLAC | $87 | — | $87 | 0.96% |
| ORTS ENTERPRISES INC3 | — | AFLAC | $86 | — | $86 | 0.94% |
| BARBI HARRINGTON3 | — | AFLAC | $78 | — | $78 | 0.86% |
| BRETT J HILTON3 Filed as: BRETT G BULLOCK | — | AFLAC | $49 | — | $49 | 0.54% |
| SHAWN D HARRIS3 | — | AFLAC | $27 | — | $27 | 0.30% |
| JASON JAMISON3 | — | AFLAC | $25 | — | $25 | 0.27% |
| JAY R SCHREIBMAN3 Filed as: JAY BARNEY | — | AFLAC | $22 | — | $22 | 0.24% |
| JORDI ORMOND PARKER3 | — | AFLAC | $17 | — | $17 | 0.19% |
| HEIDI E GLAUB3 Filed as: HEIDI N BULLOCK | — | AFLAC | $13 | — | $13 | 0.14% |
| KIEFER GROUP INSURANCE AGENCY LLC3 Filed as: KIEFER GROUP INS AGCY LLC | — | AFLAC | $10 | — | $10 | 0.11% |
| BRYAN GEISLER3 | — | AFLAC | $7 | — | $7 | 0.08% |
| BARBI HARRINGTON3 | — | AFLAC | $7 | — | $7 | 0.08% |
| JERRY DUNCAN3 Filed as: JERRY F HOKE | — | AFLAC | $6 | — | $6 | 0.07% |
| DAMON R STREETMAN3 | — | AFLAC | $6 | — | $6 | 0.07% |
| DANIEL CHRISTENSEN3 | — | AFLAC | $5 | — | $5 | 0.05% |
| CLINT ERIC WEIGHT3 | — | AFLAC | $4 | — | $4 | 0.04% |
| MICHELLE J HALLER3 Filed as: MICHELLE L WRIGHT | — | AFLAC | $3 | — | $3 | 0.03% |
| NANCY LAPHAM3 Filed as: NANCY L HARMON | — | AFLAC | $2 | — | $2 | 0.02% |
| TIMOTHY B. CRAIG3 Filed as: TIMOTHY B CRAIG | — | AFLAC | $2 | — | $2 | 0.02% |
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 | 206 | 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) | 206 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SELECTHEALTH | 391 | $2.1M |
| Dental | DENTAL MANAGEMENT ADMINISTRATORS | 399 | $15K |
| Vision | EYEMED VISION CARE | 165 | $14K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 206 | $113K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 206 | $113K |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 206 | $126K |
| 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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.