| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: VENTRIS LLC DBA A ONEDIGITAL COMPAN | 10913 S RIVER FRONT PARKWAY SUITE 100 SOUTH JORDAN, UT 84095 | SELECTHEALTH | $19K | $7K | $26K | 3.14% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | SELECTHEALTH | $4K | $1K | $5K | 0.66% |
| DIGITAL INSURANCE LLC3 | 1124 W SOUTH JORDAN PARKWAY SUITE C SOUTH JORDAN, UT 84095 | GUARDIAN | $7K | $3K | $11K | 9.88% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | ONE INVESTORS WAY NORWOOD, MA 02062 | GUARDIAN | $2K | — | $2K | 2.17% |
| LEAVITT GROUP3 Filed as: BEEHIVE INSURANCE AGENCY INC. | 302 W. 5400 S SUITE 101 SALT LAKE CITY, UT 84104 | BLOOMQUIST HALE CONSULTING, INC. | $431 | — | $431 | 4.58% |
| D'ANN DABELL3 Filed as: D ANN DABELL | 1174 N 2000 E LAYTON, UT 84040 | PRE-PAID LEGAL SERVICE INC. DBA LEGALSHIELD | $2K | — | $2K | 45.22% |
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 | 139 | 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) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SELECTHEALTH | 206 | $822K |
| Dental | GUARDIAN | 139 | $108K |
| Vision | GUARDIAN | 139 | $108K |
| Life insurance | GUARDIAN | 139 | $108K |
| Long-term disability | GUARDIAN | 139 | $108K |
| Prescription drug | SELECTHEALTH | 206 | $822K |
| Other(3 contracts, 3 carriers) | GUARDIAN | 160 | $121K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 206 | — |
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.