| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS CORROON CORP OF AZ | 16220 N SCOTTSDALE RD STE 600 SCOTTSDALE, AZ 85254 | AETNA LIFE INSURANCE CO. | $2K | $7K | $9K | 1.15% |
| DAVISON BENEFITS GROUP LLC3 | 6900 E. INDIAN SCHOOL ROAD SUITE 100 SCOTTSDALE, AZ 85251 | AETNA LIFE INSURANCE CO. | $2K | $0 | $2K | 0.19% |
| DAVISON BENEFITS GROUP LLC3 | 6900 E INDIAN SCHOOL RD STE 100 SCOTTSDALE, AZ 85251 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $0 | $3K | 8.38% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA INC | PO BOX 730054 DALLAS, TN 75373 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $254 | $3K | 6.16% |
| DAVISON BENEFITS GROUP LLC3 | 6900 E INDIAN SCHOOL RD STE 100 SCOTTSDALE, AZ 85251 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 8.08% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA INC | PO BOX 730054 DALLAS, TX 75373 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $150 | $1K | 6.47% |
| DAVISON BENEFITS GROUP LLC3 | 6900 E INDIAN SCHOOL RD STE 100 SCOTTSDALE, AZ 85251 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $0 | $1K | 8.09% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA INC | PO BOX 730054 DALLAS, TX 75373 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $123 | $1K | 6.47% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA INC | 16220 NORTH SCOTTSDALE RD SUITE 600 SCOTTSDALE, AZ 85254 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $524 | $0 | $524 | 5.00% |
| DAVISON BENEFITS GROUP LLC3 Filed as: DAVISON BENEFITS GROUP | 6900 E INDIAN SCHOOL RD STE 100 SCOTTSDALE, AZ 85251 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $523 | $0 | $523 | 5.00% |
| DAVISON BENEFITS GROUP LLC3 | 6900 E INDIAN SCHOOL RD STE 100 SCOTTSDALE, AZ 85251 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $372 | $0 | $372 | 8.32% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA INC | PO BOX 730054 DALLAS, TX 75373 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $251 | $27 | $278 | 6.22% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILLIS CORROON CORP OF AZ NONE | Insurance agents and brokers Service code 22 | 16220 N SCOTTSDALE RD STE 600 SCOTTSDALE, AZ 85254 | $19K |
| DAVISON BENEFITS GROUP LLC NONE | Insurance agents and brokers Service code 22 | 6900 E. INDIAN SCHOOL ROAD SUITE 100 SCOTTSDALE, AZ 85251 | $16K |
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 | 97 | 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) | 97 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 176 | $801K |
| Dental | AETNA LIFE INSURANCE CO. | 176 | $801K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 61 | $10K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 97 | $41K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 97 | $22K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 97 | $18K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 97 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 176 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.