| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | — | VISION SERVICE PLAN | $244K | — | $244K | 7.04% |
| MULTI AGENT SYSTEM CORP3 | — | MAPFRE LIFE INSURANCE COMPANY OF PR | $10K | — | $10K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE CO NA | Other services; Direct payment from the plan Service code 49 | 115 WEST WAUSAU AVE WAUSAU, WI 54401 | $2.8M |
| RX SAVINGS SOLUTIONS EIN 26-3642434 NA | Direct payment from the plan; Other services Service code 49 | — | $971K |
| MILLIMAN NA | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 1301 FIFTH AVENUE SUITE 3800 SEATTLE, WA 98101 | $753K |
| DST HEALTH SOLUTIONS LLC EIN 23-2423802 NA | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $500K |
| CHANGE HEALTHCARE SOLUTIONS LLC EIN 45-3637794 NA | Direct payment from the plan; Other services Service code 49 | — | $466K |
| BITS IN GLASS US INC NA | Direct payment from the plan; Consulting (general) Service code 16 | 633 17TH STREET SUITE 1405 DENVER, CO 80202 | $334K |
| NAYYA HEALTH INC NA | Other services; Direct payment from the plan Service code 49 | 215 PARK AVE S FL 4 NEW YORK, NY 10003 | $323K |
| CHANGE HEALTHCARE ENGAGEMENT SOLUTI NA | Other services; Direct payment from the plan Service code 49 | PO BOX 572490 MURRAY, UT 84157 | $298K |
| LIVONGO HEALTH INC EIN 26-3542036 NA | Other services; Direct payment from the plan Service code 49 | — | $284K |
| METLIFE EIN 13-5581829 NA | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $264K |
| SIDLEY AUSTIN LLP EIN 36-4474078 NA | Legal; Direct payment from the plan Service code 29 | — | $165K |
| HEALTHTRIO LLC EIN 26-0725535 NA | Other services; Direct payment from the plan Service code 49 | — | $163K |
| ZIONS NA | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | ONE SOUTH MAIN FLOOR 11 SALT LAKE CITY, UT 84133 | $155K |
| DELOITTE EIN 13-3891517 NA | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $154K |
| GDIT NA | Other services; Direct payment from the plan Service code 49 | PO BOX 829968 PHILADELPHIA, PA 19182 | $144K |
| UTAH HEALTH INFORMATION NETWORK NA | Other services; Direct payment from the plan Service code 49 | 1226 E 6600 S SALT LAKE CITY, UT 84121 | $132K |
| OPTUMINSIGHT INC EIN 41-1858498 NA | Other services; Direct payment from the plan Service code 49 | — | $131K |
| LMD LLC EIN 26-3246253 NA | Consulting fees; Direct payment from the plan Service code 50 | — | $84K |
| DESERET TRUST COMPANY EIN 87-0291656 AFFILIATE OF SPONSOR | Custodial (securities); Direct payment from the plan Service code 19 | — | $74K |
| KIRTON MCCONKIE EIN 87-0375296 NA | Legal; Direct payment from the plan Service code 29 | — | $70K |
| UPTODATE EIN 04-3310941 NA | Other services; Direct payment from the plan Service code 49 | — | $33K |
| MDX EIN 99-0283091 NA | Other services; Direct payment from the plan Service code 49 | — | $32K |
| PSG CONSULTING LLC EIN 27-2345574 NA | Direct payment from the plan; Other services Service code 49 | — | $30K |
| JP MORGAN CHASE BANK EIN 13-4994650 NA | Investment management fees paid directly by plan Service code 51 | — | $27K |
| NUANCE INVESTMENTS LLC EIN 26-3649176 NA | Investment management fees paid directly by plan Service code 51 | — | $26K |
| EAGLE CAPITAL MANAGEMENT EIN 22-3361201 NA | Soft dollars commissions; Investment management fees paid directly by plan Service code 51 | — | $26K |
| LSV ASSET MANAGEMENT EIN 23-2772200 NA | Investment management fees paid directly by plan Service code 51 | — | $24K |
| PARR BROWN GEE AND LOVELESS EIN 87-0307691 NA | Legal; Direct payment from the plan Service code 29 | — | $23K |
| IPD ANALYTICS NA | Direct payment from the plan; Other services Service code 49 | 19950 W COUNTRY CLUB DR SUITE 700 AVENTURA, FL 33180 | $21K |
| OPTUM360 EIN 46-3328307 NA | Other services; Direct payment from the plan Service code 49 | — | $20K |
| ZAZOVE ASSOCIATES LLC EIN 36-3984373 NA | Investment management fees paid directly by plan; Soft dollars commissions Service code 51 | — | $17K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NA | Custodial (securities); Investment management fees paid indirectly by plan Service code 19 | — | $17K |
| NEWTON INVESTMENT MANAGEMENT EIN 86-1751460 NA | Investment management fees paid directly by plan Service code 51 | — | $15K |
| FACTSET RESEARCH SYSTEMS INC NA | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | PO BOX 414756 BOSTON, MA 02241 | $13K |
| FISHER INVESTMENTS EIN 20-2480800 NA | Investment management fees paid directly by plan Service code 51 | — | $12K |
| COLUMBIA MANAGEMENT INVESTMENT ADVI EIN 13-3180631 NA | Investment management fees paid directly by plan; Soft dollars commissions Service code 51 | — | $11K |
| DELOITTE TAX EIN 86-1065772 NA | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $11K |
| IBM CORPORATION NA | Direct payment from the plan; Other services Service code 49 | PO BOX 534151 ATLANTA, GA 30353 | $9K |
| CLEARWATER ANALYTICS NA | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 777 WEST MAIN STREET SUITE 900 BOISE, ID 83702 | $9K |
| IMAXSOFT CORPORATION NA | Direct payment from the plan; Other services Service code 49 | 13772 LEXINGTON CT SARATOGA, CA 95070 | $7K |
| BLOOMBERG FINANCE LP NA | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 731 LEXINGTON AVE NEW YORK, NY 10022 | $7K |
| GROOM LAW GROUP EIN 52-1219029 NA | Legal; Direct payment from the plan Service code 29 | — | $7K |
| 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 |
| RAFI INDICES LLC EIN 81-4400235 NA | Investment management fees paid directly by plan Service code 51 | — | $6K |
| MARKIT NORTH AMERICA INC EIN 13-4153988 NA | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $5K |
| UNICOM SYSTEMS INC EIN 95-4539998 NA | Direct payment from the plan; Other services 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 | 21,482 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10,966 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 2,194 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 32,448 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MAPFRE LIFE INSURANCE COMPANY OF PR | 13 | $193K |
| Vision | VISION SERVICE PLAN | 16,732 | $3.5M |
| Other | CARELON BEHAVIORAL HEALTH | 48,926 | $724K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 48,926 | — |
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.