| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $3K | $3K | 0.67% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $1K | $1K | 0.68% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $5K | — | $5K | 3.43% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | OPTICARE OF UTAH | $8K | — | $8K | 10.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.56% |
| STEFFANIE DESAUTEL3 Filed as: STEFFANIE V. STAPLES | 723 W SERRA WAY UNIT I-204 SOUTH JORDAN, UT 84095 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.74% |
| TIMOTHY B. CRAIG3 | 11829 S. PINNACLE ACRE COURT RIVERTON, UT 84065 | CONTINENTAL AMERICAN INSURANCE COMPANY | $708 | — | $708 | 1.04% |
| MITCHELL B MCBETH3 Filed as: MITCHELL B. MCBETH | P.O. BOX 581376 SANDY, UT 84158 | CONTINENTAL AMERICAN INSURANCE COMPANY | $632 | — | $632 | 0.93% |
| JUDSON T LAW3 Filed as: JUDSON T. LAW | 7654 WILLOW WALK LANE EAGLE MOUNTAIN, UT 84005 | CONTINENTAL AMERICAN INSURANCE COMPANY | $631 | — | $631 | 0.93% |
| DAMON STREETMAN3 | 5894 WILDFLOWER COURT HIGHLAND, UT 84003 | CONTINENTAL AMERICAN INSURANCE COMPANY | $449 | — | $449 | 0.66% |
| BRENT W THOMPSON3 Filed as: BRENT W. THOMPSON | 2961 W. MAPLE LOOP ROAD 230 LEHI, UT 84043 | CONTINENTAL AMERICAN INSURANCE COMPANY | $138 | — | $138 | 0.20% |
| DWIGHT L PIERCE3 | 1200 E TAFT AVENUE SAPULPA, OK 74066 | CONTINENTAL AMERICAN INSURANCE COMPANY | $55 | — | $55 | 0.08% |
| DAVID S MORRIS3 Filed as: DAVID S. MORRIS | 10519 WHEELHOUSE CIRCLE ROCA RATON, FL 33428 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | — | $14 | 0.02% |
| MIKE C LUNDQUIST3 | 8889 S SILVERSTONE WAY SANDY, UT 84093 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11 | — | $11 | 0.02% |
| NEENA W BEVERLY3 Filed as: NEENA W. BEVERLY | 11521 S. BLACK FOREST DRIVE SANDY, UT 84094 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.01% |
| BRADLEY DEFRANK3 Filed as: BRADLEY R. DEFRANK | 4400 KENSINGTON AVENUE RICHMOND, VA 23221 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.01% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPSHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $411 | $411 | 0.67% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $159 | $159 | 0.66% |
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 | 2,895 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 17 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,912 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 27 | $156K |
| Vision | OPTICARE OF UTAH | 1,897 | $85K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,035 | $374K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 572 | $61K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 483 | $203K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 27 | $156K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 2,035 | $92K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,035 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.