| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GBS ARIZONA INC3 | 2333 WEST UNIVERSITY DRIVE SUITE C103 TEMPE, AZ 85281 | BLUE CROSS BLUE SHIELD OF ARIZONA | $30K | $0 | $30K | 4.62% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA, INC. | 400 EAST RIVULON BOULEVARD SUITE 116 GILBERT, AZ 85297 | SUN LIFE ASSURANCE COMPANY OF CANADA | $21K | $0 | $21K | 11.87% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA | 400 EAST RIVULON BOULEVARD SUITE 116 GILBERT, AZ 85297 | SUN LIFE ASSURANCE COMPANY OF CANADA | $403 | $0 | $403 | 0.23% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA, INC. | 400 EAST RIVULON BOULEVARD SUITE 116 GILBERT, AZ 85297 | TRANSAMERICA LIFE INSURANCE COMPANY | $12K | $0 | $12K | 14.21% |
| PARAGON PARTNERS LTD3 Filed as: PARAGON PARTNERS LIMITED | 9420 EAST DOUBLETREE RANCH ROAD SUITE C103 SCOTTSDALE, AZ 85258 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 4.41% |
| ARIZONA BENEFIT CONSULTANTS LLC3 Filed as: ARIZONA BENEFIT CONSULTANTS, LLC | PO BOX 32429 PHOENIX, AZ 85064 | TRANSAMERICA LIFE INSURANCE COMPANY | $835 | $0 | $835 | 1.00% |
| DENNEY MOLLIHAN INC3 Filed as: DENNEY MOLLIHAN, INC. | 400 EAST RIVULON BOULEVARD SUITE 116 GILBERT, AZ 85297 | TRANSAMERICA LIFE INSURANCE COMPANY | $93 | $0 | $93 | 0.11% |
| LEAVITT GROUP3 | 216 SOUTH 200 WEST CEDAR CITY, UT 84720 | TRANSAMERICA LIFE INSURANCE COMPANY | $87 | $0 | $87 | 0.10% |
| LEAVITT GROUP3 | 400 EAST RIVULON BOULEVARD SUITE 116 GILBERT, AZ 85297 | VISION SERVICE PLAN | $951 | $0 | $951 | 6.11% |
| KAREN MARIE JONES3 | 16211 NORTH SCOTTSDALE ROAD SCOTTSDALE, AZ 85254 | AFLAC | $655 | $0 | $655 | 4.54% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA, INC. | 2333 WEST UNIVERSITY BOULEVARD SUITE C-103 TEMPE, AZ 85281 | AFLAC | $416 | $0 | $416 | 2.88% |
| NANCY ELLEN CARLSON3 | 9506 WEST APPALOOSA DRIVE SUN CITY, AZ 85373 | AFLAC | $385 | $0 | $385 | 2.67% |
| ORIN LEE WILLIAMS3 Filed as: ORIN LEE WILLIAMS AND OTHER AGENTS | 1951 KINGSTREE COURT ROCHESTER HILLS, MI 48309 | AFLAC | $349 | $0 | $349 | 2.42% |
| DAVID R LATTIMER3 Filed as: DAVID R. LATTIMER | 6605 NORTH 93RD AVENUE GLENDALE, AZ 85305 | AFLAC | $134 | $0 | $134 | 0.93% |
| JASON PERKINS3 Filed as: JASON PERKINS, LLC | 1308 WEST SEASCAPE DRIVE GILBERT, AZ 85233 | AFLAC | $81 | $0 | $81 | 0.56% |
| LANCE D THORSON3 Filed as: LANCE D. THORSON | 1721 12TH AVENUE NE WATERTOWN, SD 57201 | AFLAC | $60 | $0 | $60 | 0.42% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA | 400 EAST RIVULON BOULEVARD SUITE 116 GILBERT, AZ 85297 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 12.92% |
| WILLIAM HARREL4 | 20118 NORTH 67TH AVENUE GLENDALE, AZ 85308 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $353 | $0 | $353 | 8.44% |
No Schedule C service providers reported on this filing.
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 | 150 | 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) | 150 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 94 | $639K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 122 | $178K |
| Vision | VISION SERVICE PLAN | 150 | $16K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 122 | $188K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 10 | $10K |
| Long-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 122 | $188K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 94 | $639K |
| Other(5 contracts, 5 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 122 | $290K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 150 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.