| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE BENEFIT SERV | 136 E. SOUTH TEMPLE #2300 SALT LAKE, UT 84111 | SELECTHEALTH | $52K | $17K | $69K | 4.02% |
| DIVERSIFIED INSURANCE3 Filed as: DIVERSIFIED INS | 136 E SOUTH TEMPLE STE 2300 SALT LAKE CITY, UT 84111 | PRINCIPAL LIFE INS | $8K | — | $8K | 3.88% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE BENEFIT SERV | 136 E SOUTH TEMPLE STE 2300 SALT LAKE CITY, UT 84111 | SELECTHEALTH | $4K | $1K | $5K | 3.62% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE BENEFIT SERVI | 136 E. SOUTH TEMPL.E #2300 SALT LAKE, UT 84111 | SELECTHEALTH | $3K | $1K | $4K | 3.58% |
| DIVERSIFIED INSURANCE3 Filed as: DIVERSIFIED INS | 136 E SOUTH TEMPLE STE 2300 SALT LAKE CITY, UT 84111 | PRINCIPAL LIFE INS COMPANY | $3K | — | $3K | 14.46% |
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 | 182 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 182 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | SELECTHEALTH | 1,038 | $2.0M |
| Dental | PRINCIPAL LIFE INS | 536 | $204K |
| Vision | PRINCIPAL LIFE INS | 536 | $204K |
| Life insurance | PRINCIPAL LIFE INS COMPANY | 215 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,038 | — |
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."
No prospect flags tripped on this filing.