| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SEQUOIA BENEFITS & INS SVCS LLC3 Filed as: SEQUOIA BENEFITS & INSURANCE SVCS | 1850 GATEWAY DR STE 700 SAN MATEO, CA 94404 | BIND BENEFITS, INC. DBA SUREST | — | $50K | $50K | 5.26% |
| GBS BENEFITS INC3 | 2200 S MAIN ST STE 600 SOUTH SALT LAKE, UT 84115 | UNIATEDHEALTHCARE INSURANCE COMPANY | — | $37K | $37K | 5.26% |
| GBS BENEFITS INC3 | 2200 S MAIN ST STE 600 SOUTH SALT LAKE, UT 84115 | HARTFORD LIFE AND ACCIDENT | $9K | — | $9K | 6.20% |
| LEAVITT GROUP3 Filed as: LEAVITT GROUP AGCY ASSOC LLC | PO BOX 130 CEDAR CITY, UT 84721 | HARTFORD LIFE AND ACCIDENT | — | $8K | $8K | 5.28% |
| GBS BENEFITS INC3 | 2200 S MAIN ST STE 600 SOUT SALT LAKE, UT 84115 | DELTA DENTAL INSURANCE COMPANY | $14K | — | $14K | 11.60% |
| GBS BENEFITS INC3 | 2200 S MAIN ST STE 600 SOUTH SALT LAKE, UT 84115 | METROPOLITAN GENERAL INSURANCE COMPANY | $697 | — | $697 | 8.45% |
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 | 115 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | BIND BENEFITS, INC. DBA SUREST | 158 | $1.7M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 232 | $118K |
| Vision | VISION SERVICE PLAN | 89 | $27K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 115 | $149K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 115 | $149K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 115 | $157K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 232 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.