| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EMPLOYEE BENEFITS INTERNATIONAL AZ3 Filed as: EMPLOYEE BENEFITS INT ARIZONA, INC. | 7901 NORTH 16TH STREET, SUITE 200 PHOENIX, AZ 85020 | BLUE CROSS BLUE SHIELD OF ARIZONA | $9K | $0 | $9K | 0.58% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA, INC. | 2333 WEST UNIVERSITY DRIVE SUITE C103 TEMPE, AZ 85297 | BLUE CROSS BLUE SHIELD OF ARIZONA | $766 | $0 | $766 | 0.05% |
| EMPLOYEE BENEFITS INTERNATIONAL AZ3 Filed as: EMPLOYEE BENEFITS INT ARIZONA, INC. | 8828 NORTH CENTRAL AVENUE SUITE 100 PHOENIX, AZ 85020 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | $933 | $12K | 9.18% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA | 400 EAST RIVULON BOULEVARD SUITE 116 GILBERT, AZ 85297 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $231 | $0 | $231 | 0.18% |
| EMPLOYEE BENEFITS INTERNATIONAL AZ3 Filed as: EMPLOYEE BENEFITS INT ARIZONA, INC. | 8828 NORTH CENTRAL AVENUE SUITE 100 PHOENIX, AZ 85020 | VISION SERVICE PLAN | $956 | $0 | $956 | 5.62% |
| LEAVITT GROUP3 | 400 EAST RIVULON BOULEVARD SUITE 116 GILBERT, AZ 85297 | VISION SERVICE PLAN | $147 | $0 | $147 | 0.86% |
| GLEN DOUGLAS GABLE3 | 3521 SOUTH CAMELLIA PLACE CHANDLER, AZ 85248 | AFLAC | $85 | $0 | $85 | 3.22% |
| PATRICIA GEE3 Filed as: PATRICIA J. GEE AND OTHER AGENTS | PO BOX 2334 MESA, AZ 85214 | AFLAC | $48 | $0 | $48 | 1.82% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA, INC. | 400 EAST RIVULON BOULEVARD SUITE 116 GILBERT, AZ 85297 | AFLAC | $35 | $0 | $35 | 1.33% |
| MICHAEL A. TOTTIS3 | 8438 EAST CHAPARRAL ROAD SCOTTSDALE, AZ 85250 | AFLAC | $25 | $0 | $25 | 0.95% |
| KAREN MARIE JONES3 | 16211 NORTH SCOTTSDALE ROAD PMB 614 SCOTTSDALE, AZ 85254 | AFLAC | $25 | $0 | $25 | 0.95% |
| HAROLD W ELLIOTT LLC3 Filed as: HAROLD W. ELLIOTT | 15838 SOUTH 1ST AVENUE PHOENIX, AZ 85045 | AFLAC | $20 | $0 | $20 | 0.76% |
| SUSAN A. POSADA3 | 17 WEST VERNON AVENUE, UNIT 105 PHOENIX, AZ 85003 | AFLAC | $15 | $0 | $15 | 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 | 226 | 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) | 226 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 203 | $1.5M |
| Dental | BLUE CROSS BLUE SHIELD OF ARIZONA | 203 | $1.5M |
| Vision | VISION SERVICE PLAN | 113 | $17K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 146 | $126K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 146 | $126K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 146 | $126K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 203 | $1.5M |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 248 | $137K |
| 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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.