| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $25K | $8K | $33K | 4.00% |
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $22K | $7K | $29K | 4.00% |
| WANSUTTER3 | 2469 FORT UNION BLVD STE 200 SALT LAKE CITY, UT 84121 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 10.30% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | — | $4K | 5.15% |
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $2K | $721 | $3K | 4.00% |
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $2K | $566 | $2K | 3.65% |
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $963 | $321 | $1K | 4.00% |
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $732 | $244 | $976 | 4.00% |
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $405 | $135 | $540 | 4.00% |
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 | 214 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 214 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts) | SELECTHEALTH | 140 | $1.7M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 115 | $75K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 115 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 140 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.