| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP Filed as: LEAVITT GROUP BENEFITS SERVICES | 7881 W CHARLESTON BLVD #140 LAS VEGAS, NV 89117 | PROMINENCE HEALTH PLAN | $35K | — | $35K | 2.02% |
| GBS BENEFITS INS AGENCY Filed as: GBS NEVADA INC | 7881 W CHARLESTON BLVD #140 LAS VEGAS, NV 89117 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $13K | — | $13K | 2.17% |
| GBS BENEFITS INS AGENCY Filed as: GBS NEVADA INC | 7881 W CHARLESTON BLVD #140 LAS VEGAS, NV 89117 | UNUM INSURANCE COMPANY | $7K | — | $7K | 15.00% |
| GBS BENEFITS INS AGENCY Filed as: GBS NEVADA INC | 7881 W CHARLESTON BLVD #140 LAS VEGAS, NV 89117 | STARMOUNT LIFE INSURANCE COMPANY | $4K | — | $4K | 12.00% |
| GBS BENEFITS INS AGENCY Filed as: GBS NEVADA INC | 7881 W CHARLESTON BLVD #140 LAS VEGAS, NV 89117 | UNUM INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| LEAVITT GROUP Filed as: LEAVITT GROUP BENEFITS SERVICES | 7881 W CHARLESTON BLVD #140 LAS VEGAS, NV 89117 | HUMANADENTAL INSURANCE COMPANY | $2K | — | $2K | 14.19% |
| ROGERS BENEFIT GROUP INC | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | HUMANADENTAL INSURANCE COMPANY | $16 | — | $16 | 0.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KUSHNER & COMPANY INC EIN 38-2444337 | Consulting (general); Accounting (including auditing) Service code 10 | 2427 W CENTRE AVE PORTAGE, MI 49024 | $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 | 291 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 291 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PROMINENCE HEALTH PLAN | 378 | $1.7M |
| Dental | HUMANADENTAL INSURANCE COMPANY | 267 | $16K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 259 | $37K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 291 | $581K |
| Short-term disability(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 291 | $656K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 291 | $581K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 378 | — |
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."
No prospect flags tripped on this filing.