| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALAGHER BENEFIT SERVICES | 6330 SOUTH 3000 EAST SUITE 670 SALT LAKE CITY, UT 84121 | SELECTHEALTH | $65K | $22K | $87K | 1.48% |
| 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 | 1.30% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 6330 S 3000 E SUITE 670 SALT LAKE CITY, UT 84121 | LIFEMAP ASSURANCE COMPANY | $29K | $6K | $35K | 14.90% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 6330 S 3000 E STE 670 SALT LAKE CITY, UT 84121 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8K | — | $8K | 13.75% |
| CLARK HARDELL AGENCY LLC3 | 10176 S BELL CANYON ROAD SANDY, UT 84092 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8K | — | $8K | 13.24% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 6330 S 3000 E STE 670 SALT LAKE CITY, UT 84121 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | — | $5K | 9.42% |
| MGIS3 | 10 W BROADWAY SUITE 800 SALT LAKE CITY, UT 84101 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $180 | $180 | 0.35% |
| 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 | $4K | — | $4K | 10.00% |
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 | 1,267 | $5.9M |
| Dental | SELECT BENEFITS GROUP INC DBA DENTAL SELECT | 390 | $349K |
| Vision | OPTICARE OF UTAH | 244 | $35K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 474 | $233K |
| Long-term disability(2 contracts, 2 carriers) | LIFEMAP ASSURANCE COMPANY | 474 | $284K |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 383 | $60K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,267 | — |
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.