| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INS GROUP | 8899 S 700 E STE 155 SANDY, UT 84070 | UNITEDHEALTHCARE INS COMPANY | $77K | — | $77K | 4.09% |
| PARAGON PARTNERS LTD3 | 9420 E DOUBLETREE RANCH RD STE C103 SCOTTSDALE, AZ 85258 | UNITEDHEALTHCARE INS COMPANY | $14K | — | $14K | 0.73% |
| NIELSEN BENEFITS GROUP3 | 8899 S 700 E STE 155 SANDY, UT 84070 | AETNA LIFE INS | $5K | — | $5K | 4.86% |
| UNICO GROUP INC3 | 1128 LINCOLN MALL STE 200 LINCOLN, NE 68508 | PRINCIPAL LIFE INS | $6K | — | $6K | 7.16% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INS GROUP | 8899 S 700 E STE 155 SANDY, UT 84070 | EYEMED VISION CARE | $2K | — | $2K | 9.99% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INS GROUP, INC | 8899 S 700 E STE 155 SANDY, UT 84070 | AMERICAN HERITAGE LIFE INS CO | $3K | — | $3K | 15.00% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INS GROUP INC | 8899 S 700 E STE 155 SANDY, UT 84070 | AMERICAN HERITAGE LIFE INS CO | $3K | — | $3K | 23.40% |
| DAVID BALLIF3 | 648 HILLSIDE CIR ALPINE, UT 84004 | AMERICAN HERITAGE LIFE INS CO | $233 | — | $233 | 1.66% |
| JED D MINER3 | 1524 E 1110 N OREM, UT 84097 | AFLAC | $226 | — | $226 | 1.96% |
| HEATHER F CHRISTENSEN3 | PO BOX 784 MORONI, UT 84646 | AFLAC | $177 | — | $177 | 1.54% |
| CATHY D CHRISTENSEN3 | 2055 S 2850 W WEST HAVEN, UT 84401 | AFLAC | $155 | — | $155 | 1.35% |
| DAN MOORE3 | 8792 N CLUBHOUSE LN EAGLE MOUNTAIN, UT 84005 | AFLAC | $110 | — | $110 | 0.96% |
| WILLIAM S PIXLER3 | PO BOX 810 OREM, UT 84059 | AFLAC | $99 | — | $99 | 0.86% |
| CLINT WEIGHT3 | 745 S 180 W SALEM, UT 84653 | AFLAC | $68 | — | $68 | 0.59% |
| BEN F FOWLER3 | 3223 S CLOVERDALE RD BOISE, ID 83709 | AFLAC | $53 | — | $53 | 0.46% |
| KIEFER GROUP INSURANCE AGENCY LLC3 Filed as: KIEFER GROUP INS AGCY LC | 155 INVERNESS DR W STE 300 ENGLEWOOD, CO 80112 | AFLAC | $43 | — | $43 | 0.37% |
| DANIEL CHRISTENSEN3 | PO BOX 178 MORONI, UT 84646 | AFLAC | $38 | — | $38 | 0.33% |
| MARK L JANKE3 | 1900 E 3060 S SALT LAKE CITY, UT 84106 | AFLAC | $37 | — | $37 | 0.32% |
| DALE C HUTCHINGS3 | P O BOX 654 SPANISH FORK, UT 84660 | AFLAC | $31 | — | $31 | 0.27% |
| JUDSON T LAW3 | 7654 N WILLOW WALK LN EAGLE MOUNTAIN, UT 84005 | AFLAC | $27 | — | $27 | 0.23% |
| DANIEL F PAREDES3 | 1152 E 1150 S SPRINGVILLE, UT 84663 | AFLAC | $16 | — | $16 | 0.14% |
| DAVIS V PAYNE3 | 225 EAGLE CT MONROE, MI 48162 | AFLAC | $13 | — | $13 | 0.11% |
| MAURICIO R PLATT3 | 4700 LOIRE CT ARGYLE, TX 76226 | AFLAC | $9 | — | $9 | 0.08% |
| DANIEL T MOORE3 | 8792 N CLUBHOUSE LN EAGLE MOUNTAIN, UT 84005 | AFLAC | $9 | — | $9 | 0.08% |
| DAMON R STREETMAN3 | 2961 W MAPLE LOOP DR STE 230 LEHI, UT 84043 | AFLAC | $6 | — | $6 | 0.05% |
| BRENT W THOMPSON3 | 435 E 1070 S OREM, UT 84097 | AFLAC | $4 | — | $4 | 0.03% |
| CLINT WEIGHT3 | 706 S 320 E SALEM, UT 84653 | AFLAC | $4 | — | $4 | 0.03% |
| MIKE LUNDQUIST3 | 881 E MAPLE VIEW DR APT 20 SALT LAKE CITY, UT 84106 | AFLAC | $1 | — | $1 | 0.01% |
| ACRISURE LLC4 Filed as: ORION PARKER | 65 N 100 W HURRICANE, UT 84737 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $905 | — | $905 | 16.75% |
| W. MONT WHEELER4 | 155 W 500 N MT PLEASANT, UT 84647 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $552 | — | $552 | 10.22% |
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 | 107 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INS COMPANY | 388 | $1.9M |
| Dental | AETNA LIFE INS | 321 | $95K |
| Vision | EYEMED VISION CARE | 388 | $20K |
| Life insurance | PRINCIPAL LIFE INS | 310 | $80K |
| Long-term disability | PRINCIPAL LIFE INS | 310 | $80K |
| Other(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INS CO | 46 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 388 | — |
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.