| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVISON BENEFITS GROUP LLC3 Filed as: DAVISON BENEFITS GROUP | 5080 N 40TH ST STE 375 PHOENIX, AZ 85018 | METROPOLITAN LIFE INSURANCE COMPANY | $307K | — | $307K | 7.74% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA, INC. | 2333 W UNIVERSITY DR STE C-103 TEMPE, AZ 85281 | METROPOLITAN LIFE INSURANCE COMPANY | $42K | — | $42K | 1.07% |
| DAVISON BENEFITS GROUP LLC3 Filed as: DAVISON BENEFITS GROUP, INC | 5080 N 40TH ST PHOENIX, AZ 85018 | GILSBAR, LLC | $160K | — | $160K | 4.88% |
| AGIS NETWORK INC3 | 2122 KRATKY RD ST LOUIS, MO 63114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $99K | — | $99K | 10.44% |
| DAVISON BENEFITS GROUP LLC3 | 5080 N 40TH ST STE 375 PHOENIX, AZ 85018 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $78K | — | $78K | 8.25% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA | STE C103 2333 W UNIVERSITY DRIVE W UNIVERSITY DRIVE, AZ 85281 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $21K | — | $21K | 2.19% |
| DAVISON BENEFITS GROUP LLC3 Filed as: DAVISON BENEFITS GROUP | 6900 E. INDIAN SCHOOL RD SCOTTSDALE, AZ 85251 | EYEMED VISION CARE | $31K | — | $31K | 4.20% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA, INC. | 2333 W UNIVERISTY DR C-103 TEMPE, AZ 85281 | EYEMED VISION CARE | $6K | — | $6K | 0.82% |
| GBS ARIZONA INC3 Filed as: GBS ARIZON INC | 2333 W UNIVERSITY DR STE C103 TEMPE, AZ 85281 | ARAG INSURANCE COMPANY | $8K | — | $8K | 2.46% |
| AGIS NETWORK INC3 | 2122 KRATKY RD ST LOUIS, MO 63114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $18K | — | $18K | 10.54% |
| DAVISON BENEFITS GROUP LLC3 | 5080 N 40TH ST STE 375 PHOENIX, AZ 85018 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $14K | — | $14K | 8.36% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA | STE C103 2333 W UNIVERSITY DRIVE TEMPE, AZ 85281 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 2.18% |
| AGIS NETWORK INC3 | 2122 KRATKY RD ST LOUIS, MO 63114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | — | $11K | 10.22% |
| DAVISON BENEFITS GROUP LLC3 | 5080 N 40TH ST STE 375 PHOENIX, AZ 85018 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 6.91% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA | 2333 W UNIVERSITY DRIVE STE C103 TEMPE, AZ 85281 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 3.31% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC. | 2325 E. CAMELBACK ROAD STE 600 PHOENIX, AZ 85016 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH | $10K | — | $10K | 15.00% |
| AGIS NETWORK INC3 | 2122 KRATKY RD ST LOUIS, MO 63114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $598 | — | $598 | 10.40% |
| GBS ARIZONA INC3 Filed as: GBS ARIZONA | 2333 W UNIVERSITY DRIVE STE C103 TEMPE, AZ 85281 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $329 | — | $329 | 5.72% |
| DAVISON BENEFITS GROUP LLC3 | 5080 N 40TH ST STE 375 PHOENIX, AZ 85018 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $268 | — | $268 | 4.66% |
| DAVISON BENEFITS GROUP LLC3 Filed as: DAVISON BENEFITS GROUP | 6900 E. INDIAN SCHOOL RD SCOTTSDALE, AZ 85251 | EYEMED VISION CARE | $105 | — | $105 | 3.82% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC EIN 33-0441200 PHARMACY BENEFIT MANAGEME | Direct payment from the plan; Float revenue; Other fees; Claims processing Service code 12 | — | $12.9M |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 LIFE INSURANCE BENEFIT | Claims processing; Contract Administrator Service code 12 | — | $499K |
| AETNA BEHAVIORAL HEALTH, LLC PLAN ADMINISTRATOR | Claims processing Service code 12 | 151 FARMINGTON AVENUE RSAA HARTFORD, CT 06156 | $84K |
| HEALTH AND HUMAN RESOURCE CENTER EIN 33-0052273 PLAN ADMINISTRATOR | Claims processing Service code 12 | — | $23K |
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 | 5,855 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 5,855 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH AND HUMAN RESOURCE CENTER | 1,170 | $23K |
| Vision(2 contracts) | EYEMED VISION CARE | 10,146 | $743K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 7,420 | $4.0M |
| Short-term disability | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 4,666 | $25K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 7,420 | $4.0M |
| Other(8 contracts, 5 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 7,420 | $8.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,146 | — |
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.