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Form 5500 · Employee benefit plan · S SALT LAKE, UT

MARK MILLER SUBARU

The filing calls this plan MARK MILLER DEALERSHIP EMPLOYEE MEDICAL BENEFIT PLAN.

MARK MILLER SUBARU of S SALT LAKE, UT files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is FRED A. MORETON & COMPANY. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in March.

Benefits broker of record
Policy year ends
Marchas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-0422978 · plan 501 · plan year 2025, filed Oct 30, 2025

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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.

All participants at the start of the year
240
Active at start of year
240
Active at end of year
215
Disclosed commissions
$13,506
Typical renewal
April 1

Benefits declared on this filing

Healthdeclared, not on Schedule A
Dentalinsured — TOWN & COUNTRY LIFE INSURANCE COMPANY93 of 240 participants (39%) on the largest contract
Visioninsured — OPTICARE VISION SERVICES173 of 240 participants (72%) on the largest contract
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY215 of 240 participants (90%)
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY215 of 240 participants (90%)

Also declared: death benefits, other welfare.

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 5 insured contracts covering dental, vision, life and disability; the largest, with UNITED OF OMAHA LIFE INSURANCE COMPANY, covers 215 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 $148,402, with $13,506 in disclosed broker commissions — about 9.1% 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.

FRED A. MORETON & COMPANY is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITED OF OMAHA LIFE INSURANCE COMPANYLife, Disability215Apr 1, 2025$74,021$9,024
TOTAL DENTAL ADMINISTRATORS OF UTAHDental166Apr 1, 2025$23,532$1,647
TOWN & COUNTRY LIFE INSURANCE COMPANYDental93Apr 1, 2025$37,498$1,500
OPTICARE VISION SERVICESVision173Jan 1, 2025$10,132$1,013
VISION SERVICE PLANVision169Apr 1, 2025$3,219$322

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.

See the filing at the Department of Labor

Other plans filed by this employer

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