| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PRESIDIO BENEFITS GROUP, INC.3 Filed as: THE PRESIDIO GROUP | 6967 S RIVER GATE DR STE 200 SALT LAKE CITY, UT 84047 | LIFEMAP ASSURANCE COMPANY | $17K | — | $17K | 9.61% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| REGENCE BLUECROSS BLUESHIELD OF UT EIN 87-0200138 CLAIMS PROCESSOR | Claims processing; Direct payment from the plan; Float revenue Service code 12 | — | $291K |
| HEALTHSMART BENEFIT SOLUTIONS EIN 75-1857307 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $11K |
| THE PRESIDIO GROUP EIN 26-2472842 BROKER | Insurance agents and brokers Service code 22 | — | $5K |
| FRED A MORETON & CO BROKER | Insurance agents and brokers Service code 22 | 709 E SOUTH TEMPLE SALT LAKE CITY, UT 84102 | $447 |
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 | 401 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 401 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUECROSS BLUESHIELD OF UTAH | 1,148 | $698K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 789 | $174K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,148 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.