| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 6967 SO RIVER GATE DRIVE, STE 200 SALT LAKE CITY, UT 84047 | SELECT HEALTH | $42K | $17K | $58K | 3.21% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 6967 SO RIVER GATE DRIVE, STE 200 SALT LAKE CITY, UT 84047 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | $753 | $8K | 11.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 6967 SO RIVER GATE DRIVE, STE 200 SALT LAKE CITY, UT 84047 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $411 | $5K | 10.69% |
| GALLAGHER BENEFIT SERVICES, INC. Filed as: GALLAGHER BENEFIT | — | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | — | $0 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC. Filed as: GALLAGHER BENEFIT SERVICDE | — | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | — | $0 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 6967 SO RIVER GATE DRIVE, STE 200 SALT LAKE CITY, UT 84047 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $117 | $1K | 11.04% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 6967 SO RIVER GATE DRIVE, STE 200 SALT LAKE CITY, UT 84047 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $713 | $72 | $785 | 11.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 6967 SO RIVER GATE DRIVE, STE 200 SALT LAKE CITY, UT 84047 | OPTICARE VISION SERVICES | $673 | — | $673 | 10.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 6967 SO RIVER GATE DRIVE, STE 200 SALT LAKE CITY, UT 84047 | SELECT HEALTH | $70 | $28 | $98 | 2.91% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 6967 SO RIVER GATE DRIVE, STE 200 SALT LAKE CITY, UT 84047 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $443 | $10 | $453 | 15.34% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 6330 SOUTH 3000 EAST, SUITE 500 SALT LAKE CITY, UT 84121 | EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH INC. | — | — | $0 | — |
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 | 142 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | SELECT HEALTH | 360 | $1.8M |
| Dental | EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH INC. | 419 | $0 |
| Vision | OPTICARE VISION SERVICES | 45 | $7K |
| Life insurance(3 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 138 | $85K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 39 | $11K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 138 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 419 | — |
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.