| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MORETON & COMPANY3 Filed as: MORETON INSURANCE OF COLORADO LLC | 101 SOUTH 200 EAST SUITE 300 SALT LAKE CITY, UT 84111 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $13K | — | $13K | 5.24% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $154 | $154 | 0.06% |
| MORETON & COMPANY3 Filed as: MORETON & COMPANY - UT | PO BOX 58139 SALT LAKE CITY, UT 84158 | EYEMED VISION CARE | $257 | — | $257 | 0.73% |
| FLEXVISION - MD3 | 15400 CALHOUN DR ROCKVILLE, MD 20855 | EYEMED VISION CARE | $168 | — | $168 | 0.48% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE GROUP - UT | 136 E S TEMPLE #2300 SALT LAKE CITY, UT 84111 | EYEMED VISION CARE | $50 | — | $50 | 0.14% |
| MORETON & COMPANY3 | 200 E SUITE #300 SALT LAKE CITY, UT 84111 | DELTA DENTAL INSURANCE COMPANY | $8K | — | $8K | 28.25% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $178K |
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 | 391 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 391 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BERKLEY LIFE AND HEALTH INSURANCE CO | 306 | $306K |
| Dental | DELTA DENTAL INSURANCE COMPANY | 333 | $29K |
| Vision | EYEMED VISION CARE | 854 | $35K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 391 | $240K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 391 | $240K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 391 | $240K |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE AND HEALTH INSURANCE CO | 306 | $306K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 391 | $240K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 854 | — |
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.