| 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 | 2.24% |
| CUSTOM INSURANCE SPECIALISTS INC3 Filed as: CUSTOM INS SPECIALISTS | 886 E 3200 N KAMAS, UT 84036 | COLONIAL LIFE & ACCIDENT INS COMPANY | $5K | $2K | $7K | 16.40% |
| DESIREE ROBERTSON3 | 5691 S STONE BLUFFWAY TAYLORSVILLE, UT 84118 | COLONIAL LIFE & ACCIDENT INS COMPANY | $2K | $225 | $2K | 4.54% |
| JILL HUGHES3 | 6510 TAMARA DR SALT LAKE CITY, UT 84129 | COLONIAL LIFE & ACCIDENT INS COMPANY | $710 | $78 | $788 | 1.78% |
| PATTI A VINCENT3 | 3489 WEST 10305 SOUTH SOUTH JORDAN, UT 84095 | COLONIAL LIFE & ACCIDENT INS COMPANY | $312 | — | $312 | 0.71% |
| GBS BENEFITS INS AGENCY3 Filed as: GBS BENEFIT INS AGENCY | 465 S 400 E SALT LAKE CITY, UT 84111 | COLONIAL LIFE & ACCIDENT INS COMPANY | $173 | — | $173 | 0.39% |
| D TODD WADE3 | 2506 E GRANITE PASS CT SANDY, UT 84092 | COLONIAL LIFE & ACCIDENT INS COMPANY | $88 | — | $88 | 0.20% |
| LUKE A ROCKWELL3 Filed as: LUKE MCDERMOTT | 883 W BAXTER DR SOUTH JORDAN, UT 84095 | COLONIAL LIFE & ACCIDENT INS COMPANY | $62 | — | $62 | 0.14% |
| SOUTHERN CAPITAL BROKERAGE LLC3 | ATTN BROKERAGE JACKSON, MS 39205 | COLONIAL LIFE & ACCIDENT INS COMPANY | $19 | — | $19 | 0.04% |
| NELLYN COX3 | 16755 EAST NICKLAUS DR FOUNTAIN HILLS, AZ 85268 | COLONIAL LIFE & ACCIDENT INS COMPANY | $19 | — | $19 | 0.04% |
| PAM ANDERSON & ASSOCIATES INC3 | 5818 S 900 E MURRAY, UT 84121 | COLONIAL LIFE & ACCIDENT INS COMPANY | $19 | — | $19 | 0.04% |
| TOM GILLIGAN3 | 12 SPEEN ST NATICK, MA 01760 | COLONIAL LIFE & ACCIDENT INS COMPANY | $12 | — | $12 | 0.03% |
| LEE JOLLY SMITH3 | 128 MARITIME TRAIL LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INS COMPANY | $9 | — | $9 | 0.02% |
| 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 | 16.33% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $455K |
| GBS BENEFITS EIN 87-0680571 BROKER | Other commissions Service code 55 | — | $109K |
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 | 696 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 696 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | EDUCATORS MUTUAL PLANS LIFE ACCIDENT & HEALTH | 1,648 | $463K |
| Vision | OPTICARE OF UTAH | 566 | $59K |
| Life insurance(3 contracts, 3 carriers) | LIFEMAP ASSURANCE COMPANY | 1,121 | $472K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 65 | $21K |
| Long-term disability(2 contracts, 2 carriers) | LIFEMAP ASSURANCE COMPANY | 1,121 | $428K |
| Prescription drug | NAVITUS HEALTH SOLUTIONS | 1,623 | $0 |
| Other(3 contracts, 3 carriers) | STEALTH PARTNER GROUP- BERKSHIRE | 696 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,648 | — |
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.