| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | — | VISION SERVICE PLAN | $233K | — | $233K | 7.00% |
| MULTI AGENT SYSTEM CORP3 | — | MAPFRE LIFE INSURANCE COMPANY OF PR | $7K | — | $7K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE CO NA | Direct payment from the plan; Other services Service code 49 | 115 WEST WAUSAU AVE WAUSAU, WI 54401 | $2.7M |
| RX SAVINGS SOLUTIONS EIN 26-3642434 NA | Direct payment from the plan; Other services Service code 49 | — | $686K |
| CHANGE HEALTHCARE SOLUTIONS LLC EIN 45-3637794 NA | Other services; Direct payment from the plan Service code 49 | — | $541K |
| DST HEALTH SOLUTIONS LLC EIN 23-2423802 NA | Direct payment from the plan; Other services Service code 49 | — | $352K |
| CHANGE HEALTHCARE ENGAGEMENT SOLUTI NA | Other services; Direct payment from the plan Service code 49 | PO BOX 572490 MURRAY, UT 84157 | $338K |
| METLIFE EIN 13-5581829 NA | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $258K |
| HEALTHTRIO LLC EIN 26-0725535 NA | Direct payment from the plan; Other services Service code 49 | — | $214K |
| DELOITTE EIN 13-3891517 NA | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $205K |
| ZIONS NA | Direct payment from the plan; Other services Service code 49 | ONE SOUTH MAIN 11TH FLOOR SALT LAKE CITY, UT 84133 | $179K |
| UTAH HEALTH INFORMATION NETWORK NA | Other services; Direct payment from the plan Service code 49 | 1226 E 6600 S SALT LAKE CITY, UT 84121 | $163K |
| GDIT NA | Other services; Direct payment from the plan Service code 49 | PO BOX 829968 PHILADELPHIA, PA 19182 | $140K |
| MILLIMAN NA | Direct payment from the plan; Other services Service code 49 | 1301 FIFTH AVENUE SUITE 3800 SEATTLE, WA 98101 | $114K |
| OPTUMINSIGHT, INC EIN 41-1858498 NA | Direct payment from the plan; Other services Service code 49 | — | $97K |
| SIDLEY AUSTIN LLP EIN 36-4474078 NA | Direct payment from the plan; Other services Service code 49 | — | $78K |
| KIRTON MCCONKIE EIN 87-0375296 NA | Legal; Direct payment from the plan Service code 29 | — | $73K |
| RJ HEALTH SYSTEMS NA | Direct payment from the plan; Other services Service code 49 | 30 COLD SPRINGS RD ROCKY HILL, CT 06067 | $51K |
| JP MORGAN CHASE BANK EIN 13-4994650 NA | Investment management fees paid directly by plan Service code 51 | — | $43K |
| PSG CONSULTING LLC EIN 27-2345574 NA | Direct payment from the plan; Other services Service code 49 | — | $41K |
| MDX EIN 99-0283091 NA | Other services; Direct payment from the plan Service code 49 | — | $28K |
| EAGLE CAPITAL MANAGEMENT EIN 22-3361201 NA | Soft dollars commissions; Investment management fees paid directly by plan Service code 51 | — | $25K |
| NUANCE INVESTMENTS LLC EIN 26-3649176 NA | Investment management fees paid directly by plan Service code 51 | — | $22K |
| ZAZOVE ASSOCIATES LLC EIN 36-3984373 NA | Soft dollars commissions; Investment management fees paid directly by plan Service code 51 | — | $21K |
| COLUMBIA MANAGEMENT INVESTMENT ADVI EIN 13-3180631 NA | Soft dollars commissions; Investment management fees paid directly by plan Service code 51 | — | $18K |
| OPTUM360 EIN 46-3328307 NA | Other services; Direct payment from the plan Service code 49 | — | $17K |
| LSV ASSET MANAGEMENT EIN 23-2772200 NA | Investment management fees paid directly by plan Service code 51 | — | $16K |
| FISHER INVESTMENTS EIN 20-2480800 NA | Investment management fees paid directly by plan Service code 51 | — | $14K |
| FACTSET RESEARCH SYSTEMS INC NA | Other services; Direct payment from the plan Service code 49 | PO BOX 414756 BOSTON, MA 02241 | $12K |
| NEWTON INVESTMENT MANAGEMENT EIN 86-1751460 NA | Investment management fees paid directly by plan Service code 51 | — | $12K |
| DELOITTE TAX EIN 86-1065772 NA | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $11K |
| CLEARWATER ANALYTICS NA | Other services; Direct payment from the plan Service code 49 | 777 WEST MAIN STREET STE 900 BOISE, ID 83702 | $10K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NA | Custodial (securities); Investment management fees paid indirectly by plan Service code 19 | — | $9K |
| IBM CORPORATION NA | Other services; Direct payment from the plan Service code 49 | PO BOX 534151 ATLANTA, GA 30353 | $8K |
| PRUDENTIAL INSURANCE CO EIN 22-1211670 NA | Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 51 | — | $7K |
| BLOOMBERG FINANCE LP NA | Direct payment from the plan; Other services Service code 49 | 731 LEXINGTON AVE NEW YORK, NY 10022 | $7K |
| RAFI INDICES LLC EIN 81-4400235 NA | Investment management fees paid directly by plan Service code 51 | — | $6K |
| UNICOM SYSTEMS, INC. EIN 95-4539998 NA | Other services; Direct payment from the plan Service code 49 | — | $5K |
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 | 20,686 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11,039 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 2,163 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 31,725 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MAPFRE LIFE INSURANCE COMPANY OF PR | 13 | $0 |
| Vision | VISION SERVICE PLAN | 15,902 | $3.3M |
| Other | CARELON BEHAVIORAL HEALTH | 42,376 | $323K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 42,376 | — |
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."
No prospect flags tripped on this filing.