| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 6330 SOUTH 3000 EAST, SUITE 670 SALT LAKE CITY, UT 84121 | ARCHES MUTUAL INSURANCE COMPANY | $97K | — | $97K | 0.94% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 6330 SOUTH 3000 EAST, SUITE 670 SALT LAKE CITY, UT 84121 | COMPANION LIFE INSURANCE COMPANY GROUP DENTAL INDEMNITY PLAN | $45K | — | $45K | 5.46% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 6330 SOUTH 3000 EAST, SUITE 670 SALT LAKE CITY, UT 84121 | LIFEMAP ASSURANCE COMPANY | $27K | — | $27K | 7.05% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE ITASCA, IL 60143 | VISION SERVICE PLAN | $3K | — | $3K | 2.24% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 6330 SOUTH 3000 EAST, SUITE 670 SALT LAKE CITY, UT 84121 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $46K | — | $46K | 45.20% |
| PETER J MACE3 Filed as: PETER J. MACE | 5775 D GLENRIDGE DRIVE, SUITE 350 ATLANTA, GA 30328 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $293 | — | $293 | 0.29% |
| LOCKTON COMPANIES, LLC3 | — | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $88 | — | $88 | 0.09% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE ITASCA, IL 60143 | HYATT LEGAL PLANS | $3K | — | $3K | 10.95% |
| D'ANN DABELL4 Filed as: D ANN DABELL | 655 WATERLILY WAY CARMEL, IN 46032 | PRE-PAID LEGAL SERVICES, INC. | $261 | — | $261 | 4.31% |
| GALLAGHER BENEFIT SERVICES, INC.4 | 6330 SOUTH 3000 EAST SALT LAKE CITY, UT 84121 | PRE-PAID LEGAL SERVICES, INC. | $157 | — | $157 | 2.59% |
| STAMMINGER, INC.4 Filed as: STAMMINGER INC. | 4 RIVERGATE LANE PALM COAST, FL 32164 | PRE-PAID LEGAL SERVICES, INC. | $84 | — | $84 | 1.39% |
| THE REZULTS GROUP, INC.4 | 3355 PLAZA WAY SALT LAKE CITY, UT 84109 | PRE-PAID LEGAL SERVICES, INC. | $12 | — | $12 | 0.20% |
| SPENCER P. TAGGART4 | 3425 WHITE PINE CANYON ROAD PARK CITY, UT 84060 | PRE-PAID LEGAL SERVICES, INC. | $8 | — | $8 | 0.13% |
| CRAIG MCCUNE4 | 4326 HERMOSA WAY SALT LAKE CITY, UT 84124 | PRE-PAID LEGAL SERVICES, INC. | $7 | — | $7 | 0.12% |
| PAUL S. TAGGART4 | 3425 WHITE PINE CANYON ROAD PARK CITY, UT 84060 | PRE-PAID LEGAL SERVICES, INC. | $3 | — | $3 | 0.05% |
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 | 1,631 | 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) | 1,631 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | ARCHES MUTUAL INSURANCE COMPANY | 3,353 | $10.5M |
| Dental | COMPANION LIFE INSURANCE COMPANY GROUP DENTAL INDEMNITY PLAN | 3,443 | $830K |
| Vision | VISION SERVICE PLAN | 1,138 | $143K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 1,631 | $378K |
| Short-term disability(2 contracts, 2 carriers) | LIFEMAP ASSURANCE COMPANY | 1,631 | $480K |
| Long-term disability | LIFEMAP ASSURANCE COMPANY | 1,631 | $378K |
| Prescription drug(2 contracts, 2 carriers) | ARCHES MUTUAL INSURANCE COMPANY | 3,353 | $10.5M |
| Other(5 contracts, 5 carriers) | LIFEMAP ASSURANCE COMPANY | 1,631 | $668K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,443 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.