| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STONE HILL & ASSOC INS BRK INC | 257 EAST 200 SOUTH 100 SALT LAKE CITY, UT 84111 | SELECT HEALTH | $6K | — | $6K | — |
| WORKMAN INSURANCE GROUP Filed as: WORKMAN INSURANCE GROUP, LLC | PO BOX 901298 SANDY, UT 84090 | AMALGAMATED LIFE | $628 | — | $628 | — |
| WORKMAN INSURANCE GROUP | 8648 ALTA COVE DRIVE SANDY, UT 84093 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $642 | $1K | $2K | — |
| WORKMAN INSURANCE GROUP | 8648 S ALTA COVE DRIVE SANDY, UT 84093 | HEALTHIEST YOU | $799 | — | $799 | — |
| WORKMAN INSURANCE GROUP | PO BOX 942 OREM, UT 84059 | EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. | $3K | — | $3K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LAURA K. SMITH EIN 57-2934724 UNION MEMBER | Employee (plan) Service code 30 | 1194 S 2100 W SYRACUSE, UT 84075 | $59K |
| DAN HUTTEN EIN 52-9313577 UNION MEMBER | Plan Administrator Service code 14 | 173 Q STREET APT 1 SALT LAKE CITY, UT 84103 | $42K |
| HAYNIE & COMPANY EIN 87-0325228 AUDITOR | Accounting (including auditing) Service code 10 | 1785 W 2300 S SALT LAKE CITY, UT 84119 | $24K |
| SEBASTIAN CHANCE STEWART EIN 64-6626308 OFFICE ASSISTANT | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 1475 NORTH MAIN STREET APT B104 LAYTON, UT 84041 | $20K |
| NORTH STAR CONSULTING & TAX LLC ACCOUNTING | Accounting (including auditing) Service code 10 | — | $6K |
| RYEANNE SMITH EIN 64-2761816 OFFICE ASSISTANT | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 598 W 1425 N APT A LAYTON, UT 84041 | $3K |
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 | 919 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 919 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | SELECT HEALTH | 98 | $0 |
| Dental | EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. | 101 | $0 |
| Life insurance(2 contracts, 2 carriers) | AMALGAMATED LIFE | 73 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 101 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.