Form 5500 · Employee benefit plan · SALT LAKE CITY, UT
MARK MILLER HOLDINGS LLC
The filing calls this plan MARK MILLER HOLDINGS LLC HEALTH AND WELFARE BENEFIT PLAN.
MARK MILLER HOLDINGS LLC of SALT LAKE CITY, UT files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MILLER INSURANCE GROUP, LLC. Coverage is written through TOWN & COUNTRY LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-2210221 · plan 503 · plan year 2026, filed Aug 25, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: death benefits.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 6 insured contracts covering dental, vision, life and disability; the largest, with TOWN & COUNTRY LIFE INSURANCE COMPANY, covers 122 people.
The filing declares dental, vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $137,993, with $10,184 in disclosed broker commissions — about 7.4% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
MILLER INSURANCE GROUP, LLC is the broker of record on 5 of the 6 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 83 | Apr 1, 2026 | $36,635 | $5,495 |
| TOWN & COUNTRY LIFE INSURANCE COMPANY | Dental | 122 | Apr 1, 2026 | $47,734 | $1,909 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 172 | Apr 1, 2026 | $10,916 | $1,092 |
| VISION SERVICE PLAN | Vision | 137 | Apr 1, 2026 | $13,700 | $1,037 |
| TOTAL DENTAL ADMINISTRATORS OF UTAH | Dental | 51 | Apr 1, 2026 | $9,300 | $651 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 172 | Apr 1, 2026 | $19,708 | $0 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Other plans filed by this employer
How this plan compares
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