| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GBS BENEFITS INS AGENCY3 Filed as: GBS BENEFITS INSURANCE AGENCY | 465 S 400 E SUITE 300 SALT LAKE CITY, UT 84111 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $50K | $50K | 2.35% |
| GBS BENEFITS INC3 Filed as: GBS BENEFITS LLC | 465 S 400 E SUITE 300 SALT LAKE CITY, UT 84111 | AETNA LIFE INSURANCE CO | $105K | $87K | $192K | 26.31% |
| GBS BENEFITS INC3 | 465 S 400 E SUITE 300 SALT LAKE CITY, UT 84111 | EYE MED | $18K | — | $18K | 10.85% |
| FLEXVISION3 | 15400 CALHOUN DR ROCKVILLE, MD 20855 | EYE MED | $5K | — | $5K | 3.26% |
| GBS BENEFITS INC3 | 465 S 400 E SUITE 300 SALT LAKE CITY, UT 84111 | ALLSTATE | $30K | — | $30K | 23.90% |
| GBS BENEFITS INC3 | 465 S 400 E SUITE 300 SALT LAKE CITY, UT 84111 | EYE MED | $64 | — | $64 | 10.42% |
| FLEXVISION3 | 15400 CALHOUN DR ROCKVILLE, MD 20855 | EYE MED | $19 | — | $19 | 3.09% |
No Schedule C service providers reported on this filing.
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 | 3,749 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 3,749 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 3,749 | $2.3M |
| Vision(2 contracts) | EYE MED | 3,080 | $164K |
| Life insurance | AETNA LIFE INSURANCE CO | 3,527 | $730K |
| Short-term disability | AETNA LIFE INSURANCE CO | 3,527 | $730K |
| Long-term disability | AETNA LIFE INSURANCE CO | 3,527 | $730K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 3,749 | $2.1M |
| Other | AETNA LIFE INSURANCE CO | 3,527 | $730K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,749 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.