| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GBS BENEFITS INC3 | 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | LIFEMAP ASSURANCE COMPANY | — | $9K | $9K | 2.43% |
| CUSTOM INSURANCE SPECIALISTS INC3 Filed as: CUSTOM INS SPECIALISTS | 886 E 3200 N KAMAS, UT 84036 | COLONIAL LIFE & ACCIDENT INS COMPANY | $6K | $2K | $8K | 18.96% |
| JILL HUGHES3 | 6510 TAMARA DR SALT LAKE CITY, UT 84129 | COLONIAL LIFE & ACCIDENT INS COMPANY | $2K | $163 | $2K | 4.85% |
| DESIREE ROBERTSON3 | 5691 S STONE BLUFFWAY TAYLORSVILLE, UT 84118 | COLONIAL LIFE & ACCIDENT INS COMPANY | $1K | $79 | $1K | 2.59% |
| PATTI A VINCENT3 | 3489 WEST 10305 SOUTH SOUTH JORDAN, UT 84095 | COLONIAL LIFE & ACCIDENT INS COMPANY | $604 | — | $604 | 1.40% |
| 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 | $313 | $38 | $351 | 0.82% |
| GBS BENEFITS INS AGENCY3 Filed as: GBS BENEFIT INS AGENCY | 465 S 400 E SALT LAKE CITY, UT 84111 | COLONIAL LIFE & ACCIDENT INS COMPANY | $285 | — | $285 | 0.66% |
| D TODD WADE3 | 2506 E GRANITE PASS CT SANDY, UT 84092 | COLONIAL LIFE & ACCIDENT INS COMPANY | $140 | — | $140 | 0.33% |
| LUKE A ROCKWELL3 Filed as: LUKE MCDERMOTT | 883 W BAXTER DR SOUTH JORDAN, UT 84095 | COLONIAL LIFE & ACCIDENT INS COMPANY | $67 | — | $67 | 0.16% |
| PAM ANDERSON & ASSOCIATES INC3 | 5818 S 900 E MURRAY, UT 84121 | COLONIAL LIFE & ACCIDENT INS COMPANY | $27 | — | $27 | 0.06% |
| SOUTHERN CAPITAL BROKERAGE LLC3 | ATTN BROKERAGE JACKSON, MS 39205 | COLONIAL LIFE & ACCIDENT INS COMPANY | $21 | — | $21 | 0.05% |
| LEE JOLLY SMITH3 | 128 MARITIME TRAIL LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INS COMPANY | $17 | — | $17 | 0.04% |
| TOM GILLIGAN3 | 12 SPEEN ST NATICK, MA 01760 | COLONIAL LIFE & ACCIDENT INS COMPANY | $13 | — | $13 | 0.03% |
| SANDRA J RUNION3 Filed as: SANDRA RUNION | 104 SIR EDWARDS LN LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INS COMPANY | $2 | — | $2 | 0.00% |
| 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; Direct payment from the plan; Claims processing Service code 12 | — | $529K |
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 | 812 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 812 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUECROSS BLUESHIELD OF UTAH | 1,858 | $670K |
| Dental | EDUCATORS MUTUAL PLANS LIFE ACCIDENT & HEALTH | 1,841 | $518K |
| Vision | OPTICARE OF UTAH | 618 | $60K |
| Life insurance(3 contracts, 3 carriers) | LIFEMAP ASSURANCE COMPANY | 1,334 | $446K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 51 | $17K |
| Long-term disability(2 contracts, 2 carriers) | LIFEMAP ASSURANCE COMPANY | 1,334 | $403K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 51 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,858 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.