| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE BENEFITS SERV | 136 E SOUTH TEMPLE STE 2300 SALT LAKE CITY, UT 841111117 | PRINCIPAL LIFE INSURANCE COMPANY | $25K | $11K | $36K | 5.43% |
| HIGH POINT ALLIANCE4 Filed as: HIGH POINTE ALLIANCE | 1119 E BIRCHBROOK CIR COTTONWOOD HEIGHTS, UT 84047 | LEGALSHIELD | $6K | — | $6K | 33.00% |
| ROCK WACH4 | 3796 S 4400 W WEST VALLEY, UT 84120 | LEGALSHIELD | $356 | — | $356 | 1.97% |
| PARRISH & ASSOCIATES4 | 4959 MEADOW BROOK RD BIRMINGHAM, AL 35242 | LEGALSHIELD | $69 | — | $69 | 0.38% |
| BLUMCIA BUSINESS SOLUTIONS4 | PMB 271 3440 YOUNGFIELD ST. WHEAT RIDGE, CO 80033 | LEGALSHIELD | $69 | — | $69 | 0.38% |
| BETH M. MACODEE4 | 1862 W. BEN AIR CIR TAYLORSVILLE, UT 84129 | LEGALSHIELD | $8 | — | $8 | 0.04% |
| DIVERSIFIED INSURANCE GROUP3 | 136 E S TEMPLE STE 2300 SALT LAKE CITY, UT 84111 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| REGENCE BLUECROSS BLUESHIELD OF UTA EIN 87-0200138 CLAIMS PROCESSING | Direct payment from the plan; Claims processing; Float revenue Service code 12 | — | $342K |
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 | 589 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 589 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 798 | $0 |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 1,467 | $667K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,467 | $667K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,467 | $667K |
| Stop-loss / reinsurancereinsurance | WESTPORT INSURANCE CORPORATION | 0 | $476K |
| Other | LEGALSHIELD | 113 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,467 | — |
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."
No prospect flags tripped on this filing.