| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MILLER & WADE INSURANCE AGENCY3 Filed as: MILLER & WADE GROUP, INC. | 1031 W. CENTER STREET, STE 302 OREM, UT 84057 | SELECTHEALTH | $7K | $6K | $13K | 1.66% |
| STAN E. HAWKINS, LLC3 | 20 NORTH MAIN STREET, #203 ST. GEORGE, UT 84770 | SELECTHEALTH | $10K | — | $10K | 1.35% |
| LEAVITT GROUP3 Filed as: LEAVITT GROUP AGENCY ASSOC | 216 S 200 W CEDAR CITY, UT 84729 | SELECTHEALTH | $5K | $2K | $7K | 0.95% |
| MILLER & WADE INSURANCE AGENCY3 Filed as: MILLER & WADE / SCOTT MILLER | 1031 W. CENTER STREET, SUITE 302 OREM, UT 84057 | EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. | $2K | — | $2K | 3.74% |
| LEAVITT GROUP3 Filed as: DIXIE LEAVITT AGENCY | 115 N MAIN CEDAR CITY, UT 84720 | EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. | $1K | — | $1K | 2.26% |
| MILLER & WADE INSURANCE AGENCY3 | 1031 W CENTER ST STE 302 OREM, UT 840575205 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 9.83% |
| LEAVITT GROUP3 Filed as: LEAVITT GRP BNFTS SVCS OF S UT INC | 162 N 400 E STE 102 ST. GEORGE, UT 847707131 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $692 | — | $692 | 5.18% |
| MILLER & WADE INSURANCE AGENCY3 | 1031 W. CENTER ST. SUITE 302 OREM, UT 84057 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $509 | — | $509 | 6.51% |
| LEAVITT GROUP3 Filed as: LEAVITT GRP BNFTS SVCS OF S UT INC | 162 N 400 E STE 102 ST GEORGE, UT 847707131 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $273 | — | $273 | 3.49% |
| MILLER & WADE INSURANCE AGENCY3 | 1031 W. CENTER STREET OREM, UT 84057 | EYEMED | $598 | — | $598 | 8.37% |
| LEAVITT GROUP3 Filed as: DIXIE LEAVITT AGENCY | 162 N 400 #C-102 ST. GEORGE, UT 84770 | EYEMED | $56 | — | $56 | 0.78% |
| MILLER & WADE INSURANCE AGENCY3 Filed as: MILLER & WADE GROUP, INC | 1031 W CENTER STREET STE 302 OREM, UT 84057 | SELECTHEALTH | $15 | $13 | $28 | 2.01% |
| STAN E. HAWKINS, LLC3 | 20 NORTH MAIN STREET, #203 ST. GEORGE, UT 84770 | SELECTHEALTH | $23 | — | $23 | 1.65% |
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 | 112 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 112 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | SELECTHEALTH | 117 | $762K |
| Dental | EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. | 143 | $50K |
| Vision | EYEMED | 157 | $7K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 125 | $8K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 125 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 157 | — |
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.