| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GBS ARIZONA INC3 Filed as: GBS ARIZONA, INC. | 2333 WEST UNIVERSITY DRIVE SUITE C-103 TEMPE, AZ 85281 | BLUE CROSS BLUE SHIELD OF ARIZONA | $9K | $25K | $34K | 2.41% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA | 2333 WEST UNIVERSITY DRIVE SUITE C-103 TEMPE, AZ 85281 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | $0 | $11K | 7.97% |
| LEAVITT GROUP3 | 2333 WEST UNIVERSITY DRIVE SUITE 103 TEMPE, AZ 85281 | VISION SERVICE PLAN | $893 | $0 | $893 | 5.35% |
| GLEN DOUGLAS GABLE3 | 3521 SOUTH CAMELLIA PLACE CHANDLER, AZ 85248 | AFLAC | $113 | $0 | $113 | 3.05% |
| MJ INSURANCE3 Filed as: PATRICIA J. GEE AND VARIOUS AGENTS | PO BOX 2334 MESA, AZ 85214 | AFLAC | $84 | $0 | $84 | 2.27% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA, INC. | 2333 WEST UNIVERSITY DRIVE SUITE C-103 TEMPE, AZ 85281 | AFLAC | $64 | $0 | $64 | 1.73% |
| KAREN MARIE JONES3 | 16211 NORTH SCOTTSDALE ROAD PMB 614 SCOTTSDALE, AZ 85254 | AFLAC | $48 | $0 | $48 | 1.29% |
| MICHAEL A. TOTTIS3 | 8438 EAST CHAPARRAL ROAD SCOTTSDALE, AZ 85250 | AFLAC | $33 | $0 | $33 | 0.89% |
| HAROLD W ELLIOTT LLC3 Filed as: HAROLD W. ELLIOTT | 15838 SOUTH 1ST AVENUE PHOENIZ, AZ 85045 | AFLAC | $25 | $0 | $25 | 0.67% |
| SUSAN A. POSADA3 | 17 WEST VERNON AVENUE, UNIT 105 PHOENIX, AZ 85003 | AFLAC | $21 | $0 | $21 | 0.57% |
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 | 209 | 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) | 209 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 230 | $1.4M |
| Dental | BLUE CROSS BLUE SHIELD OF ARIZONA | 230 | $1.4M |
| Vision | VISION SERVICE PLAN | 126 | $17K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 202 | $139K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 202 | $139K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 202 | $139K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 230 | $1.4M |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 248 | $150K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 248 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.