| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT MANAGEMENT, INC.3 Filed as: BENEFIT MANAGEMENT SERVICES, INC. | 370 E. SOUTH TEMPLE SUITE 200 SALT LAKE CITY, UT 84111 | HARTFORD LIFE & ACCIDENT | $6K | $0 | $6K | 15.89% |
| BENEFIT MANAGEMENT, INC.3 Filed as: BENEFIT MANAGEMENT SERVICES, INC. | 370 E. SOUTH TEMPLE SUITE 200 SALT LAKE CITY, UT 84111 | OPTICARE OF UTAH | $754 | $0 | $754 | 10.00% |
| BENEFIT MANAGEMENT, INC.3 Filed as: BENEFIT MANAGEMENT SERVICES, INC. | 370 E. SOUTH TEMPLE SUITE 200 SALT LAKE CITY, UT 84111 | STANDARD INSURANCE COMPANY | $527 | $0 | $527 | 12.39% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ALTIUS (COVENTRY HEALTHCARE, INC) EIN 87-0345631 THIRD PARTY ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | 750 PRIDES CROSSING, SUITE 200 NEWARK, DE 19713 | $107K |
| BENEFIT MANAGEMENT SERVICES, INC. EIN 87-0457933 BROKER/CONSLTANT | Consulting (general) Service code 16 | 370 EAST SOUTH TEMPLE SUITE 200 SALT LAKE CITY, UT 84111 | $36K |
| BEHAVIORAL HEALTH STRATEGIES, LLC EIN 97-0540958 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | 9980 S. 300 W. SUITE 100 SANDY, UT 84070 | $28K |
| EMI HEALTH (DENTAL) EIN 20-4023720 THIRD PARTY ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | 852 E. ARROWHEAD LANE MURRAY, UT 84107 | $17K |
| BLOMQUIST HALE CONSULTING, INC EIN 87-0462684 THIRD PARTY ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | 860 EAST 4500 SOUTH SUITE 202 SALT LAKE CITY, UT 84107 | $9K |
| UNIVERSITY OF UTAH NEUROPSYCHIATRIC EIN 87-0521827 THIRD PARTY ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | 501 CHEPETA WAY SALT LAKE CITY, UT 84108 | $8K |
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 | 193 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 193 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | OPTICARE OF UTAH | 53 | $8K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE & ACCIDENT | 194 | $42K |
| Short-term disability | HARTFORD LIFE & ACCIDENT | 33 | $38K |
| Long-term disability | HARTFORD LIFE & ACCIDENT | 33 | $38K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE & ACCIDENT | 194 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 194 | — |
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.