| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BEVERLY J HOLLOWAY3 Filed as: BEVERLY HOLLOWAY | 4042 BUCK HOLLOW LN BLUFFDALE, UT 84065 | REGENCE BLUECROSS BLUESHIELD OF UTAH | $34K | $1K | $35K | 4.78% |
| BEVERLY J HOLLOWAY3 | 4042 BUCK HOLLOW LANE BLUFFDALE, UT 84065 | HARTFORD LIFE AND ACCIDENT | $6K | — | $6K | 16.64% |
| ALLIANCE BENEFITS & INSURANCE3 | BEVERLY HOLLOWAY 4042 W BUCK HOLLOW LANE BLUFFDALE, UT 84065 | EDUCATORS HEALTH PLANS LIFE, ACCIDENT AND HEALTH, INC | $2K | — | $2K | 8.42% |
| ALLIANCE BENEFITS & INSURANCE3 | BEVERLY HOLLOWAY 4042 W. BUCK HOLLOW LANE BLUFFDALE, UT 84065 | VISION SERVICE PLAN | $348 | — | $348 | 6.00% |
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 | 138 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUECROSS BLUESHIELD OF UTAH | 74 | $741K |
| Dental(2 contracts, 2 carriers) | REGENCE BLUECROSS BLUESHIELD OF UTAH | 74 | $761K |
| Vision | VISION SERVICE PLAN | 42 | $6K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 129 | $37K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 129 | $37K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 129 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 129 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.