| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EMPLOYEE BENEFITS INTL AZ INC Filed as: EMPLOYEE BENEFITS INT AZ INC | 2525 E ARIZONA BALTIMORE CIRCLE SUITE D144 PHOENIX, AZ 85016 | BLUE CROSS BLUE SHIELD OF ARIZONA | $56K | $133 | $56K | 11.21% |
| THE SABOL AGENCY INC3 | 10105 E VIA LINDA STE 103-398 SCOTTSDALE, AZ 85258 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | $0 | $10K | 3.14% |
| RICHARD W PEARSON & ASSOCIATES LTD3 | 3101 N CENTRAL AVE STE 730 PHOENIX, AZ 85012 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | $0 | $10K | 3.14% |
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT & TOUCHE INC | PO BOX 32702 TUCSON, AZ 85751 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $347 | $0 | $347 | 0.11% |
| EMPLOYEE BENEFITS INTL AZ INC3 Filed as: EMPLOYEE BENEFITS INT AZ | 2525 E ARIZONA BALTIMORE CIRCLE SUITE D144 PHOENIX, AZ 85016 | VISION SERVICE PLAN | $2K | $0 | $2K | 10.00% |
| THE SABOL AGENCY INC3 | 10105 E VIA LINDA STE 103-398 SCOTTSDALE, AZ 85258 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $496 | $0 | $496 | 10.66% |
| RICHARD W PEARSON & ASSOCIATES LTD3 | 3101 N CENTRAL AVE STE 730 PHOENIX, AZ 85012 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $496 | $0 | $496 | 10.66% |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 172 | $504K |
| Dental | BLUE CROSS BLUE SHIELD OF ARIZONA | 172 | $504K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ARIZONA | 172 | $521K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 198 | $322K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 198 | $317K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 198 | $317K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 172 | $504K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF ARIZONA | 172 | $504K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 198 | $317K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 198 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.