| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INS. BENEFIT SVCS. LLC | 136 EAST SOUTH TEMPLE, SUITE 2300 SALT LAKE CITY, UT 84111 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $51K | $51K | 1.50% |
| DPW BENEFITS LLC3 | 5525 SOUTH 900 EAST, SUITE 100 SALT LAKE CITY, UT 84117 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $11 | $11 | 0.00% |
| PAM ANDERSON & ASSOCIATES INC3 Filed as: PAM ANDERSON AND ASSOCIATES INC. | 130 WEST 8600 SOUTH MIDVALE, UT 84047 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $22K | $994 | $23K | 10.74% |
| STEPHANIE COLTRIN3 | 165 EAST KELSEY AVENUE SALT LAKE CITY, UT 84111 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $10K | $452 | $10K | 4.74% |
| IMA, INC.3 Filed as: IMA INC. | 136 EAST SOUTH TEMPLE, SUITE 2300 SALT LAKE CITY, UT 84111 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7K | $23 | $7K | 3.28% |
| ASHLEY ANDERSON3 | 130 WEST 8600 SOUTH MIDVALE, UT 84047 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $369 | $4K | 1.93% |
| ISAACSON INSURANCE AGENCY LLC3 Filed as: ISAACSON INS AGCY. AND OTHER AGENTS | 1250 11TH STREET WEST LINN, OR 97068 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $521 | $2K | 0.89% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2580 FOXFIELD ROAD, SUITE 203 SAINT CHARLES, IL 60174 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $197 | $2K | 0.84% |
| CUSTOM INSURANCE SPECIALISTS INC3 Filed as: CUSTOM INSURANCE SPECIALISTS INC. | 886 EAST 3200 NORTH KAMAS, UT 84036 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $973 | $55 | $1K | 0.48% |
| IMA, INC.3 Filed as: IMA INC. | 136 EAST SOUTH TEMPLE, SUITE 2300 SALT LAKE CITY, UT 84111 | LIFEMAP ASSURANCE COMPANY | $18K | $0 | $18K | 12.47% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 141 WEST JACKSON BOULEVARD SUITE 1100 CHICAGO, IL 60604 | LIFEMAP ASSURANCE COMPANY | $6K | $0 | $6K | 4.20% |
| DIVERSIFIED INSURANCE GROUP3 | 136 EAST SOUTH TEMPLE, SUITE 2300 SALT LAKE CITY, UT 84111 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $3K | $0 | $3K | 9.14% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 6967 SOUTH RIVER GATE DRIVE MIDVALE, UT 84047 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $842 | $0 | $842 | 2.53% |
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 | 595 | 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) | 595 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 634 | $3.4M |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 564 | $33K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 547 | $140K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 147 | $216K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 634 | $3.4M |
| Other(3 contracts, 3 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 595 | $371K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 634 | — |
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.