| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP | 8899 SOUTH 700 EAST, SUITE 155 SANDY, UT 84070 | SELECTHEALTH | $59K | — | $59K | 3.00% |
| CALVIN GIBBS3 Filed as: CALVIN J GIBBS | 2930 S OAKWOOD DR BOUNTIFUL, UT 84010 | HARTFORD LIFE AND ACCIDENT | $7K | $303 | $7K | 6.16% |
| CHARLES E HAWKINS3 | 4505 SOUTH WASATCH BLVD STE 110 SALT LAKE CITY, UT 84124 | HARTFORD LIFE AND ACCIDENT | $4K | $262 | $5K | 3.99% |
| NIELSEN INSURANCE GROUP INC3 | 8899 SOUTH 700 EAST STE 155 SANDY, UT 84070 | HARTFORD LIFE AND ACCIDENT | $713 | — | $713 | 0.61% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP | 8899 SOUTH 700 EAST, SUITE 155 SANDY, UT 84070 | DENTAL MANAGEMENT ADMINISTRATORS | $6K | — | $6K | 37.13% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP | 8899 SOUTH 700 EAST, SUITE 155 SANDY, UT 84070 | EYEMED VISION CARE | $1K | — | $1K | 9.29% |
| BRETT J HILTON3 | 4892 W TOPCREST DR SOUTH JORDAN, UT 84009 | AFLAC | $196 | — | $196 | 4.12% |
| NEENA W BEVERLY3 Filed as: NEENA WITT BEVERLY | 199 E 1980 N HEBER CITY, UT 84032 | AFLAC | $60 | — | $60 | 1.26% |
| BARBI HARRINGTON3 | 6499 S 390 E OGDEN, UT 84405 | AFLAC | $42 | — | $42 | 0.88% |
| BRETT J HILTON3 Filed as: BRETT G BULLOCK | PO BOX 155 PARADISE, UT 84328 | AFLAC | $41 | — | $41 | 0.86% |
| ORTIS ENTERPRISES INC3 | 920 FLORAL BANK PT WOODSTOCK, GA 30188 | AFLAC | $31 | — | $31 | 0.65% |
| SHAWN D HARRIS | 48 N 3RD E FRANKLIN, ID 83237 | AFLAC | $22 | — | $22 | 0.46% |
| JASON JAMISON3 | 774 W 4600 N SMITHFIELD, UT 84335 | AFLAC | $21 | — | $21 | 0.44% |
| JAY R SCHREIBMAN3 Filed as: JAY BARNEY | 2798 N 1375 E NORTH OGDEN, UT 84414 | AFLAC | $19 | — | $19 | 0.40% |
| JODI O PARKER3 Filed as: JODI PARKER | 4947 S 3000 W ROY, UT 84067 | AFLAC | $16 | — | $16 | 0.34% |
| HEIDI E GLAUB3 Filed as: HEIDI N BULLOCK | 664 N MAIN ST STE 101 LOGAN, UT 84321 | AFLAC | $11 | — | $11 | 0.23% |
| KIEFER GROUP INSURANCE AGENCY LLC3 Filed as: KIEFER GROUP INS AGCY LC | 155 INVERNESS DR W STE 300 ENGLEWOOD, CO 80112 | AFLAC | $9 | — | $9 | 0.19% |
| BRYAN GEISLER3 | 5277 W 4825 S HOOPER, UT 84315 | AFLAC | $7 | — | $7 | 0.15% |
| DAMON R STREETMAN3 | 5894 W WILDFLOWER CT HIGHLAND, UT 84003 | AFLAC | $5 | — | $5 | 0.11% |
| JERRY DUNCAN3 Filed as: JERRY F HOKE | 517 E 3270 N LEHI, UT 84043 | AFLAC | $5 | — | $5 | 0.11% |
| DANIEL CHRISTENSEN3 | PO BOX 178 MORONI, UT 84646 | AFLAC | $4 | — | $4 | 0.08% |
| MICHELLE J HALLER3 Filed as: MICHELLE L WRIGHT | 606 E FRUITWOOD LN SANDY, UT 84070 | AFLAC | $3 | — | $3 | 0.06% |
| TIMOTHY B. CRAIG3 Filed as: TIMOTHY B CRAIG | 11829 S PINNACLE ACRE CT RIVERTON, UT 84065 | AFLAC | $1 | — | $1 | 0.02% |
| NANCY LAPHAM3 Filed as: NANCY L HARMON | PO BOX 1168 EDEN, UT 84310 | AFLAC | $1 | — | $1 | 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 | 184 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 184 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SELECTHEALTH | 397 | $2.0M |
| Dental | DENTAL MANAGEMENT ADMINISTRATORS | 403 | $15K |
| Vision | EYEMED VISION CARE | 184 | $12K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 184 | $117K |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 216 | $121K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 403 | — |
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.