| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP | 18700 HAYDEN RD SUITE 405 SCOTTSDALE, AZ 85255 | QBE INSURANCE | — | $140K | $140K | 7.00% |
| GBS BENEFITS INC3 | 2200 S MAIN ST STE 600 SALT LAKE CITY, UT 84115 | STANDARD INSURANCE COMPANY | $145K | $48K | $193K | 19.10% |
| GBS BENEFITS INC3 | 2200 S MAIN ST STE 600 SALT LAKE CITY, UT 84115 | STANDARD INSURANCE COMPANY | $69K | $28K | $97K | 13.83% |
| GBS BENEFITS INC3 | 2200 S MAIN ST STE 600 SOUTH SALT LAKE, UT 84115 | RELIASTAR LIFE INSURANCE COMPANY | $348K | $15K | $363K | 70.66% |
| ADP INC3 Filed as: ADP, INC | PO BOX 842875 BOSTON, MA 02284 | RELIASTAR LIFE INSURANCE COMPANY | — | $5K | $5K | 0.96% |
| LEAVITT GROUP3 Filed as: LEAVITT PACIFIC INSURANCE BROKERS, | 1570 THE ALAMEDA STE 101 SAN JOSE, CA 95126 | KAISER FOUNDATION HEALTH PLAN, INC | $25K | — | $25K | 5.37% |
| GBS BENEFITS INC3 | 2200 S MAIN ST STE 600 SOUTH SALT LAKE, UT 84115 | STANDARD INSURANCE COMPANY | $62K | $16K | $78K | 18.66% |
| GBS BENEFITS INC3 | 2200 S MAIN ST STE 600 SALT LAKE CITY, UT 84115 | VISION SERVICE PLAN | $5K | — | $5K | 1.69% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $825K |
| BIND BENEFITS INC, DBA SUREST EIN 81-4560965 CLAIMS PROCESSING | Claims processing; Other services Service code 12 | — | $543K |
| GBS BENEFIT INC EIN 87-0680571 BROKER | Other commissions Service code 55 | — | $54K |
| GBS BENEFITS INC BROKER | Other commissions Service code 55 | 2200 S MAIN STREET SALT LAKE CITY, UT 84115 | $36K |
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 | 2,686 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,686 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC | 66 | $461K |
| Dental | DELTA DENTAL INSURANCE COMPANY | 1,967 | $0 |
| Vision | VISION SERVICE PLAN | 1,645 | $313K |
| Life insurance | STANDARD INSURANCE COMPANY | 2,757 | $1.0M |
| Short-term disability | STANDARD INSURANCE COMPANY | 988 | $418K |
| Long-term disability | STANDARD INSURANCE COMPANY | 2,685 | $698K |
| Prescription drug | NAVITUS HEALTH SOLUTIONS | 2,400 | $0 |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE | 1,803 | $2.0M |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 1,300 | $514K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,757 | — |
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.