| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GBS BENEFITS INC3 | 465 E 400 S STE 300 SALT LAKE CITY, UT 84111 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $48K | — | $48K | 9.97% |
| GBS BENEFITS INC3 Filed as: GBS BENEFITS | 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | PRINCIPAL LIFE INSURANCE COMPANY | $12K | $631 | $12K | 11.87% |
| GBS BENEFITS INC3 Filed as: GBS BENEFITS | 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | HUMANA DENTAL INS AGENCY | $5K | — | $5K | 10.78% |
| GBS BENEFITS INS AGENCY3 Filed as: GBS BENEFITS INSURANCE AGENCY | 465 S 400 E STE 300 SALT LAKE CTY, UT 84111 | HUMANA MEDICAL PLAN OF UTAH, INC. | $1K | — | $1K | 10.74% |
| GBS BENEFITS INC3 Filed as: GBS BENEFITS | 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | OPTICARE OF UTAH | $700 | — | $700 | 9.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CARRIER | Non-monetary compensation; Claims processing; Contract Administrator; Named fiduciary; Float revenue; Participant communication; Other services; Direct payment from the plan Service code 12 | — | $18K |
| HEALTH SOLUTION (INTERACTIVE HEALTH SERVICE PROVIDER | Other services; Direct payment from the plan; Contract Administrator; Participant communication; Float revenue; Named fiduciary; Non-monetary compensation; Claims processing Service code 12 | 11409 CRONHILL DRIVE, SUITE M OWINGS MILLS, MD 21117 | $162 |
| AMERICAN SPECIALITY HEALTH SERVICE PROVIDER | Participant communication; Direct payment from the plan; Non-monetary compensation; Claims processing; Contract Administrator; Other services; Float revenue; Named fiduciary Service code 12 | 10221 WATERIDGE CIRCLE, SUITE 201 SAN DIEGO, CA 92121 | $0 |
| CARECORE DBA EVICORE SERVICE PROVIDER | Other services; Float revenue; Direct payment from the plan; Contract Administrator; Participant communication; Named fiduciary; Claims processing; Non-monetary compensation Service code 12 | 400 BUCKWALTER PLACE BLVD BLUFFON, SC 29910 | $0 |
| CIGNA HEALTH & LIFE INSURANCE COMPA | Participant communication; Float revenue; Named fiduciary; Contract Administrator; Non-monetary compensation; Claims processing; Other services; Direct payment from the plan Service code 12 | — | $0 |
| CIGNA HEALTHY REWARDS VENDORS SERVICE PROVIDER | Claims processing; Contract Administrator; Direct payment from the plan; Participant communication; Float revenue; Other services; Non-monetary compensation; Named fiduciary Service code 12 | 4000 LUXOTTICA PLACE MASON, OH 45040 | $0 |
| MEDSOLUTIONS DBA EVICORE. INC, SERVICE PROVIDER | Named fiduciary; Other services; Contract Administrator; Participant communication; Float revenue; Non-monetary compensation; Direct payment from the plan; Claims processing Service code 12 | 730 COOL SPRINGS BLVD, #800 FRANKLIN, TN 37067 | $0 |
| U.S. BANK NATIONAL ASSOCIATION, SERVICE PROVIDER | Non-monetary compensation; Claims processing; Contract Administrator; Named fiduciary; Float revenue; Participant communication; Other services; Direct payment from the plan Service code 12 | 800 NICHOLLET MALL MINNEAPOLIS, MN 55402 | $0 |
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 | 131 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 134 | $481K |
| Dental(2 contracts, 2 carriers) | HUMANA DENTAL INS AGENCY | 50 | $56K |
| Vision | OPTICARE OF UTAH | 45 | $7K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 355 | $104K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 355 | $104K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 355 | $104K |
| Other | BLOMQUIST HALE CONSULTING | 131 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 355 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.