| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVISON BENEFITS GROUP LLC3 | 5080 N 40TH ST STE 375 SUITE 600 PHOENIX, AZ 85018 | METROPOLITAN LIFE INSURANCE COMPANY | $434K | $11 | $434K | 3.99% |
| DAVISON BENEFITS GROUP LLC3 | 5080 N 40TH ST STE 375 PHOENIX, AK 85018 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $77K | $0 | $77K | 9.61% |
| AGIS NETWORK INC3 | 2122 KRATKY RD ST LOUIS, MO 63114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $77K | $0 | $77K | 9.61% |
| DAVISON BENEFITS GROUP LLC3 Filed as: DAVISON BENEFITS GROUP | 6900 E. INDIAN SCHOOL RD. SCOTTSDALE, AZ 85251 | EYEMED VISION CARE | $35K | $0 | $35K | 4.45% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA | 2325 E CAMELBACK RD SUITE 600 PHOENIX, AZ 85016 | NATIONAL UNION FIRE INS CO PITTSBURGH PA | $10K | $0 | $10K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GILSBAR, LLC EIN 72-0519951 NETWORK ADMINISTRATOR | Other fees Service code 99 | — | $1.3M |
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 NETWORK ADMINISTRATOR | Other fees Service code 99 | — | $619K |
| BLUE CROSS BLUE SHIELD OF ARIZONA EIN 86-0004538 NETWORK ADMINISTRATOR | Other fees Service code 99 | — | $362K |
| DAVISON BENEFITS GROUP, INC. EIN 44-8640493 BROKER | Insurance agents and brokers Service code 22 | — | $281K |
| METROPOLITAN LIFE INSURANCE EIN 13-5581829 SERVICE PROVIDER | Contract Administrator; Claims processing Service code 12 | — | $118K |
| AETNA BEHAVIORAL HEALTH, LLC CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE RSAA HARTFORD, CT 06156 | $98K |
| HEALTH AND HUMAN RESOURCE CENTER, I EIN 33-0052273 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVE. RSAA HARTFORD, CT 06156 | $24K |
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 | 5,474 | 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) | 5,474 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 15,238 | $10.9M |
| Vision | EYEMED VISION CARE | 10,728 | $784K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 15,238 | $10.9M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 15,238 | $10.9M |
| Other(7 contracts, 7 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 15,238 | $12.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 15,238 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.