| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVISON BENEFITS GROUP LLC3 Filed as: DAVISON BENEFITS GROUP | 6900 E INDIAN SCHOOL RD. STE 100 SCOTTSDALE, AZ 852513824 | METROPOLITAN LIFE INSURANCE COMPANY | $235K | $0 | $235K | 4.31% |
| DAVISON BENEFITS GROUP LLC3 Filed as: DAVISON BNEFITS GROUP, LLC | 6900 E. INDIANA SCHOOL RD. #100 SCOTTSDALE, AZ 85251 | TRANSAMERICA PREMIER LIFE INSURANCE CO. | $134K | $0 | $134K | 14.12% |
| DAVISON BENEFITS GROUP LLC3 Filed as: DAVISON BENEFITS GROUP | 6900 E. INDIAN SCHOOL RD. SCOTTSDALE, AZ 85251 | EYEMED VISION CARE | $16K | $0 | $16K | 2.24% |
| AGIS NETWORK INC3 Filed as: AGIS NETWORK INC. | 2122 KRATKY RD. ST. LOUIS, MD 63114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $48K | $3K | $51K | 10.70% |
| DAVISON BENEFITS GROUP LLC3 | 6900 E INDIAN SCHOOL RD. STE 100 SCOTTSDALE, AZ 85251 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $48K | $0 | $48K | 10.09% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHSMART BENEFIT SOLUTIONS EIN 75-1857307 NETWORK ADMINISTRATOR | Other fees Service code 99 | — | $1.2M |
| BLUE CROSS BLUE SHIELD OF ARIZONA EIN 86-0004538 NETWORK ADMINISTRATOR | Other fees Service code 99 | — | $290K |
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 NETWORK ADMINISTRATOR | Other fees Service code 99 | — | $210K |
| HANNA GLOBAL SOLUTIONS, INC EIN 20-8485395 ENROLLMENT SUPPORT | Other fees Service code 99 | — | $89K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $63K |
| MATRIX RISK MANAGEMENT SERVICES, LL EIN 83-0360667 INSURANCE PROVIDER | Consulting (general) Service code 16 | — | $56K |
| AETNA BEHAVIORAL HEALTH, LLC CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE RSAA HARTFORD, CT 06156 | $55K |
| AMERICAN HEALTH GROUP EIN 86-0494854 CONTRACT ADMINISTRATOR | Other fees Service code 99 | — | $36K |
| DAVISON BENEFITS GROUP, INC EIN 86-0936245 BROKER | Insurance agents and brokers Service code 22 | — | $35K |
| HEALTH AND HUMAN RESOURCE CENTER, I EIN 33-0052273 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVE. RSAA HARTFORD, CT 06156 | $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 | 3,477 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 62 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,539 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 9,361 | $5.5M |
| Vision | EYEMED VISION CARE | 5,874 | $713K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 9,361 | $5.5M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 9,361 | $5.5M |
| Stop-loss / reinsurancereinsurance | TRANSAMERICA PREMIER LIFE INSURANCE CO. | 2,897 | $952K |
| Other(5 contracts, 5 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 9,361 | $6.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,361 | — |
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.