| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | ARTHUR J. GALLAGHER CO. SUITE 300 400 MIDLAND DRIVE MT. LAUREL, NJ 08054 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $155K | — | $155K | 2.03% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | ARTHUR J. GALLAGHER CO. SUITE 300 400 MIDLAND DRIVE MT. LAUREL, NJ 08054 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $78K | — | $78K | 1.02% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 0.02% |
| GALLAGHER BENEFIT SERVICES, INC.4 | 2850 GOLF ROAD GBS FINANCIAL 5TH FL ROLLING MEADOWS, IL 60008 | CIGNA LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $36K | $36K | 1.28% |
| GALLAGHER BENEFIT SERVICES, INC.4 | 2850 GOLF ROAD GBS FINANCE 5TH FL ROLLING MEADOW, IL 60008 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | $0 | $11 | $11 | 0.78% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS OF IDAHO HEALTH SERVICE EIN 82-0344294 PLAN ADMINISTRATION | Plan Administrator Service code 14 | — | $5.5M |
| DELTA DENTAL OF IDAHO EIN 82-0299431 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | — | $297K |
| PEAK1 EIN 37-1668953 CLAIMS PROCESSING | Claims processing Service code 12 | — | $270K |
| MEDIMPACT HEALTHCARE SYSTEMS, INC. EIN 33-0567651 CLAIMS PROCESSING | Direct payment from the plan; Claims processing; Other services Service code 12 | — | $255K |
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 | 6,221 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 564 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 6,785 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | WILLAMETTE DENTAL OF IDAHO, INC. | 2,698 | $1.4M |
| Vision(2 contracts) | VISION SERVICE PLAN | 6,209 | $1.4M |
| Short-term disability(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 6,167 | $148K |
| Long-term disability | CIGNA LIFE INSURANCE COMPANY OF NORTH AMERICA | 6,167 | $2.8M |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 6,808 | $7.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,808 | — |
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."
No prospect flags tripped on this filing.