| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALAGHER BENEFIT SERVICES | 6330 SOUTH 300 EAST SUITE 670 SALT LAKE CITY, UT 84121 | SELECTHEALTH | $59K | $20K | $78K | 1.67% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS GROUP | 244 WEST HIGHWAY 40 333-7 ROOSEVELT, UT 84066 | SELECT BENEFITS GROUP INC DBA DENTAL SELECT | $5K | — | $5K | 1.33% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 244 WEST HIGHWAY 40 333-7 ROOSEVELT, UT 84066 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 5.65% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | TWO PIERCE PLACE ITASCA, IL 60143 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $3K | $3K | 4.06% |
| CLARK HARDELL AGENCY LLC3 Filed as: CLARK HARDELL AND ASSOCIATES | 10176 S BELL CANYON ROAD SANDY, UT 84092 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | — | $6K | 11.10% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 6330 SOUTH 3000 EAST SALT LAKE CITY, UT 84121 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 9.73% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 244 WEST HIGHWAY 40 333-7 ROOSEVELT, UT 84066 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $8K | — | $8K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC. | TWO PIERCE PLACE ITASCAIL, IL 60143 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 4.04% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 244 WEST HIGHWAY 40 333-7 ROOSEVELT, UT 84066 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 6.29% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | TWO PIERCE PLACE ITASCA, IL 60143 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 4.15% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 6330 SOUTH 3000 EAST SUITE 670 SALT LAKE CITY, UT 84121 | OPTICARE OF UTAH | $3K | — | $3K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 244 WEST HIGHWAY 40 ROOSEVELT, UT 84066 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | TWO PIERCE PLACE ITASCA, FL 60143 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $606 | $606 | 2.71% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SELECTHEALTH | 1,250 | $4.7M |
| Dental | SELECT BENEFITS GROUP INC DBA DENTAL SELECT | 382 | $343K |
| Vision | OPTICARE OF UTAH | 202 | $28K |
| Life insurance(2 contracts) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 462 | $99K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 86 | $22K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 462 | $86K |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 251 | $55K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,250 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.