| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CELIA NASH INSURANCE3 | 2005 EAST 2700 SOUTH STE 140 SALT LAKE CITY, UT 84109 | SELECTHEALTH, INC | — | $17K | $17K | 1.68% |
| CELIA NASH INSURANCE3 Filed as: CELIA NASH | — | ACE USA GROUP | $9K | $0 | $9K | 6.99% |
| CELIA NASH INSURANCE3 Filed as: CELIA NASH | — | ACE USA GROUP | $9K | $0 | $9K | 6.99% |
| CELIA NASH INSURANCE3 Filed as: CELIA NASH INSURANCE LC | 2005 E 2700 S STE 140 SALT LAKE CITY, UT 84109 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | $0 | $7K | 9.19% |
| CELIA NASH INSURANCE3 | 2005 EAST 2700 SOUTH STE 140 SALT LAKE CITY, UT 84109 | ARCHES MUTUAL INSURANCE COMPANY | $0 | $432 | $432 | 1.35% |
| CELIA NASH INSURANCE3 Filed as: CELIA NASH | 2005 E. 2700 S. STE 140 SALT LAKE CITY, UT 84109 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | $516 | $2K | 8.30% |
| CELIA NASH INSURANCE3 Filed as: CELIA NASH INSURANCE LC | STE 140 2005 EAST 2700 SOUTH SALT LAKE CITY, UT 84109 | KANAWHA INSURANCE COMPANY | $25 | $0 | $25 | 2.81% |
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 | 119 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | SELECTHEALTH, INC | 6 | $1.1M |
| Dental(3 contracts, 2 carriers) | ACE USA GROUP | 257 | $277K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 257 | $10K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 121 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 257 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.