| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE BENEFIT SERVI | 136 E SOUTH TEMPLE SUITE 2300 SALT LAKE CITY, UT 84111 | AXIS INSURANCE COMPANY | $22K | — | $22K | 8.29% |
| SAPOZNIK INSURANCE & ASSOCIATES INC3 Filed as: SAPOZNIK INSURANCE & ASSOCIATES LLC | 1100 NE 163RD ST 2ND FL N MIAMI BEACH, FL 33162 | AXIS INSURANCE COMPANY | $6K | — | $6K | 2.32% |
| DIVERSIFIED INSURANCE3 Filed as: DIVERSIFIED INS | 136 E SOUTH TEMPLE STE 2300 SALT LAKE CITY, UT 84111 | BERKLEY LIFE & HEALTH INS COMPANY | $1K | — | $1K | 7.21% |
| SAPOZNIK INSURANCE & ASSOCIATES INC3 Filed as: SAPOZNIK INSURANCE ASSOCIATES LLC | 1100 NE 183RD ST 2ND FL N MIAMI BEACH, FL 33162 | BERKLEY LIFE & HEALTH INS COMPANY | $410 | — | $410 | 2.79% |
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 | 89 | 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) | 89 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AXIS INSURANCE COMPANY | 89 | $259K |
| Dental | AXIS INSURANCE COMPANY | 89 | $259K |
| Vision | AXIS INSURANCE COMPANY | 89 | $259K |
| Short-term disability | AXIS INSURANCE COMPANY | 89 | $259K |
| Prescription drug | AXIS INSURANCE COMPANY | 89 | $259K |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE & HEALTH INS COMPANY | 89 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 89 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
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.