| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AIG BENEFIT SOLUTIONS3 | 3600 ROUTE 66 NEPTUNE, NJ 07754 | AIG BENEFIT SOLUTIONS | — | $11K | $11K | 5.00% |
| GBS BENEFITS INS AGENCY3 Filed as: GBS BENEFITS INSURANCE AGENCY | 465 S 400 E #300 SALT LAKE CITY, UT 84111 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $2K | $6K | 15.94% |
| GBS BENEFITS INS AGENCY3 Filed as: GBS BENEFITA INSURANCY AGENCY | 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $2K | $4K | 14.02% |
| GBS BENEFITS INS AGENCY3 Filed as: GBS BNENFITS INC. | 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | ALLSTATE | $9K | — | $9K | 45.74% |
| GBS BENEFITS INC3 Filed as: GBS BENEFITS INC. | 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | ALLSTATE | $2K | — | $2K | 12.77% |
| GBS BENEFITS INC3 Filed as: GBS BENEFITS, INC. | 465 E 400 S, STE 300 SALT LAKE CITY, UT 84111 | OPTICARE OF UTAH | $5K | — | $5K | 36.78% |
| GBS BENEFITS INS AGENCY3 Filed as: GBS BENEFITS INSURANCE AGENCY | 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $891 | $339 | $1K | 17.34% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 PHARMACY BENEFIT MANAGEME | Float revenue; Other fees; Claims processing; Direct payment from the plan Service code 12 | 11000 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 | $316K |
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $182K |
| GBS BENEFIT, INC. EIN 87-0680571 BROKER | Other commissions Service code 55 | 465 SOUTH 400 EAST STE 300 SALT LAKE CITY, UT 84111 | $39K |
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 | 253 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 253 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ALLSTATE | 26 | $19K |
| Vision | OPTICARE OF UTAH | 228 | $14K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 245 | $7K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 111 | $36K |
| Stop-loss / reinsurancereinsurance | AIG BENEFIT SOLUTIONS | 253 | $215K |
| Other(3 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 245 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 253 | — |
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.