| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVISON BENEFITS GROUP LLC3 | 5080 NORTH 40TH STREET, SUITE 375 PHOENIX, AZ 85018 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $96K | $0 | $96K | 8.33% |
| DAVISON BENEFITS GROUP LLC3 Filed as: DAVISON BENEFITS GROUP, LLC | 5080 NORTH 40TH STREET, SUITE 375 PHOENIX, AZ 85018 | DELTA DENTAL OF ARIZONA | $32K | $0 | $32K | 5.07% |
| DAVISON BENEFITS GROUP LLC3 Filed as: DAVISON BENEFITS GROUP, LLC | 5080 NORTH 40TH STREET, SUITE 375 PHOENIX, AZ 85018 | VISION SERVICE PLAN | $18K | $0 | $18K | 9.92% |
| EMPLOYEE NAVIGATOR, LLC3 | 7979 OLD GEORGETOWN ROAD SUITE 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | $916 | — | $916 | 0.50% |
| DAVISON BENEFITS GROUP LLC3 Filed as: DAVISON BENEFITS GROUP | 5080 NORTH 40TH STREET, SUITE 375 PHOENIX, AZ 85018 | TOTAL DENTAL ADMINISTRATORS HEALTH PLANS | $327 | $0 | $327 | 7.01% |
| DAVISON BENEFITS GROUP LLC3 | 5080 NORTH 40TH STREET, SUITE 375 PHOENIX, AZ 85018 | EMPLOYERS DENTAL SERVICES | $272 | $0 | $272 | 7.73% |
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 | 2,167 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 21 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 50 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,238 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(3 contracts, 3 carriers) | DELTA DENTAL OF ARIZONA | 1,788 | $643K |
| Vision | VISION SERVICE PLAN | 932 | $185K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,160 | $1.2M |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,160 | $1.2M |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,160 | $1.2M |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,160 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,160 | — |
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.