| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GBS BENEFITS INC3 Filed as: GBS BENEFITS | ATTN DON MCKEAN 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | EDUCATORS MUTUAL PLANS LIFE ACCIDENT & HEALTH | $1K | — | $1K | 0.32% |
| GBS BENEFITS INC3 | 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | LIFEMAP ASSURANCE COMPANY | $2K | $630 | $2K | 0.75% |
| CUSTOM INSURANCE SPECIALISTS INC3 Filed as: CUSTOM INS SPECIALISTS | 886 E 3200 N KAMAS, UT 84036 | COLONIAL LIFE & ACCIDENT INS COMPANY | $3K | $405 | $3K | 10.53% |
| GBS BENEFITS INS AGENCY3 Filed as: GBS BENEFIT INS AGENCY | 465 S 400 E SALT LAKE CITY, UT 84111 | COLONIAL LIFE & ACCIDENT INS COMPANY | $872 | — | $872 | 2.80% |
| TIM VINCENT INS AGY INC3 Filed as: TIM VINCENT INS AGENCY INC | 3489 W 10305 S SOUTH JORDAN, UT 84095 | COLONIAL LIFE & ACCIDENT INS COMPANY | $591 | $188 | $779 | 2.50% |
| DESIREE ROBERTSON3 | 5691 S STONE BLUFFWAY TAYLORSVILLE, UT 84118 | COLONIAL LIFE & ACCIDENT INS COMPANY | $660 | $27 | $687 | 2.21% |
| JILL HUGHES3 | 6510 TAMARA DR SALT LAKE CITY, UT 84129 | COLONIAL LIFE & ACCIDENT INS COMPANY | $349 | $23 | $372 | 1.19% |
| D TODD WADE3 | 2506 E GRANITE PASS CT SANDY, UT 84092 | COLONIAL LIFE & ACCIDENT INS COMPANY | $159 | — | $159 | 0.51% |
| PAM ANDERSON & ASSOCIATES INC3 | 5818 S 900 E MURRAY, UT 84121 | COLONIAL LIFE & ACCIDENT INS COMPANY | $48 | $15 | $63 | 0.20% |
| LUKE A ROCKWELL3 Filed as: LUKE MCDERMOTT | 883 W BAXTER DR SOUTH JORDAN, UT 84095 | COLONIAL LIFE & ACCIDENT INS COMPANY | $62 | — | $62 | 0.20% |
| SOUTHERN CAPITAL BROKERAGE LLC3 | ATTN BROKERAGE JACKSON, MS 39205 | COLONIAL LIFE & ACCIDENT INS COMPANY | $19 | — | $19 | 0.06% |
| TOM GILLIGAN3 | 12 SPEEN ST NATICK, MA 01760 | COLONIAL LIFE & ACCIDENT INS COMPANY | $12 | — | $12 | 0.04% |
| LEE JOLLY SMITH3 | 128 MARITIME TRAIL LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INS COMPANY | $10 | — | $10 | 0.03% |
| SANDRA J RUNION3 Filed as: SANDRA RUNION | 104 SIR EDWARDS LN LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INS COMPANY | $2 | — | $2 | 0.01% |
| ADVANCED BENEFIT SYSTEM INC3 | 1301 GERVAIS ST COLUMBIA, SC 29201 | COLONIAL LIFE & ACCIDENT INS COMPANY | $1 | — | $1 | 0.00% |
| ROBBINS RESEARCH AND PLANNING INC3 Filed as: ROBBINS RESEARCH & PLANNING INC | 731 AVIGNON DR RIDGELAND, MS 39157 | COLONIAL LIFE & ACCIDENT INS COMPANY | $1 | — | $1 | 0.00% |
| RILEY LUTHER3 | 4099 BILL JON DR RAINBOW CITY, AL 35906 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 16.88% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| REGENCE BLUECROSS BLUESHIELD OF UT EIN 87-0200138 CLAIMS PROCESSING | Float revenue; Claims processing; Direct payment from the plan Service code 12 | — | $451K |
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 | 652 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 652 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | REGENCE BLUECROSS BLUESHIELD OF UTAH | 674 | $775K |
| Dental(2 contracts, 2 carriers) | EDUCATORS MUTUAL PLANS LIFE ACCIDENT & HEALTH | 1,608 | $641K |
| Vision | OPTICARE OF UTAH | 481 | $50K |
| Life insurance(3 contracts, 3 carriers) | LIFEMAP ASSURANCE COMPANY | 1,114 | $351K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 51 | $17K |
| Long-term disability(2 contracts, 2 carriers) | LIFEMAP ASSURANCE COMPANY | 1,114 | $320K |
| Prescription drug | BLUE CROSS & BLUE SHIELD OF ALABAMA | 55 | $199K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 51 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,608 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.