| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $19K | $6K | $25K | 3.63% |
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $16K | $5K | $21K | 3.91% |
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $1K | $341 | $1K | 3.93% |
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $397 | $132 | $529 | 1.59% |
| WAN SUTTER INSURANCE 2053 | PO BOX 71408 SALT LAKE CITY, UT 84171 | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | $3K | — | $3K | 10.00% |
| WAN SUTTER INSURANCE 2053 | PO BOX 71480 SALT LAKE CITY, UT 84171 | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | $2K | — | $2K | 10.00% |
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $344 | $104 | $448 | 3.34% |
| WANSUTTER3 | PO BOX 71408 SALT LAKE CITY, UT 84171 | SELECTHEALTH | $217 | $72 | $289 | 3.49% |
| WAN SUTTER INSURANCE 2053 | PO BOX 71408 SALT LAKE CITY, UT 84171 | OPTICARE VISION SERVICES | $365 | — | $365 | 10.01% |
| WAN SUTTER INSURANCE 2053 | PO BOX 71408 SALT LAKE CITY, UT 84171 | OPTICARE VISION SERVICES | $309 | — | $309 | 9.99% |
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. |
| Total participants (= "Plan participants" tile) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts) | SELECTHEALTH | 123 | $1.3M |
| Dental(2 contracts) | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | 67 | $50K |
| Vision(2 contracts) | OPTICARE VISION SERVICES | 37 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 123 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.