| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GBS BENEFITS INC3 | 465 S 400 E STE 300 SALT LAKE CITY, UT 84115 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $19K | $12K | $30K | 16.29% |
| BRITE BENEFITS INC3 | 4270 S CAMILLE ST HOLLADAY, UT 84124 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $9K | $9K | 4.83% |
| GBS BENEFITS INC3 | DBA BENEFITS INS AGENCY 2200 S MAIN STREET STE 600 SOUTH SALT LAKE, UT 84115 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 6.75% |
| LEAVITT GROUP3 Filed as: LEAVITT GROUP AGENCY ASSOCIATION | PO BOX 130 CEDAR CITY, UT 84721 | PRINCIPAL LIFE INSURANCE COMPANY | — | $113 | $113 | 0.44% |
| GBS BENEFITS INC3 | 2200 S MAIN ST STE 600 SOUTH SALT LAKE, UT 84115 | AMERITAS LIFE INSURANCE CORP | $10K | — | $10K | 43.90% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BIND BENEFITS, INC. DBA SUREST EIN 81-4560965 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | — | $188K |
| UMR, INC EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $16K |
| GBS BENEFITS INC EIN 87-0680571 BROKER | Other commissions Service code 55 | — | $2K |
| SEQUOIA BENEFITS & INSURANCE SVCS EIN 94-3397213 BROKER | Other commissions Service code 55 | — | $0 |
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 | 515 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 515 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP | 297 | $22K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 442 | $26K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 515 | $187K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 515 | $187K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 515 | $187K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | UNITED STATES FIRE INSURANCE | 14 | $327K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 515 | $187K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 515 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.