| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GBS BENEFITS INC3 | 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | UNITED HEALTH CARE INSURANCE COMPANY | $61K | — | $61K | 5.40% |
| ASSURANCE AGENCY LTD3 Filed as: SUN LIFE ASSURANCE COMPANY OFCANADA | SC3238 ONE SUN LIFE EXECUTIVE PARK WELLESLEY HILLS, MA 02481 | SUN LIFE ASSURANCE COMPANY OF CANADA | $9K | $1K | $10K | 14.85% |
| GBS BENEFITS INC3 | 465 S 400TH E STE 300 SALT LAKE CITY, UT 84111 | SUN LIFE ASSURANCE COMPANY OF CANADA | $9K | — | $9K | 13.01% |
| GBS BENEFITS INC3 Filed as: GBS BENEFITS INC. | 465 S 400TH E STE 300 SALT LAKE CITY, UT 84111 | ASSURITY LIFE INSURANCE COMPANY | $8K | — | $8K | 30.54% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SUN LIFE ASSURANCE COMPANY OF CANAD EIN 38-1082080 ADMINSTRATOR | Claims processing Service code 12 | — | $1K |
| GBS BENEFITS INC BROKER | Claims processing Service code 12 | 465 S 400TH E STE 300 SALT LAKE CITY, UT 84111 | $159 |
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 | 139 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTH CARE INSURANCE COMPANY | 221 | $1.1M |
| Life insurance | ASSURITY LIFE INSURANCE COMPANY | 99 | $25K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 139 | $67K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 139 | $67K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 139 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 221 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.