| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SHUMWAY INSURANCE GROUP3 | 915 S 500 E STE 110 AMERICAN FORK, UT 84003 | SELECTHEALTH | $26K | $0 | $26K | 2.61% |
| STONE HILL & ASSOC INS BRK INC3 | 257 EAST 200 SOUTH #100 SALT LAKE CITY, UT 84111 | SELECTHEALTH | $0 | $9K | $9K | 0.89% |
| SHUMWAY INSURANCE GROUP3 | 915 S 500 E STE 110 AMERICAN FORK, UT 84003 | SELECTHEALTH | $6K | $0 | $6K | 2.90% |
| STONE HILL & ASSOC INS BRK INC3 Filed as: STONE HILL & ASSOC INS BRK IN | 257 EAST 200 SOUTH #100 SALT LAKE CITY, UT 84111 | SELECTHEALTH | — | $2K | $2K | 0.99% |
| CENTRAL BANK INSURANCE INC3 | PO BOX 1445 PROVO, UT 84603 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $0 | $4K | 9.31% |
| FOOTE INS AGENCY3 | PO BOX 1445 PROVO, UT 84603 | SYMETRA LIFE INSURANCE COMPANY | $6K | $0 | $6K | — |
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 | 125 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | SELECTHEALTH | 287 | $1.2M |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 139 | $0 |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 120 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 287 | — |
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.