| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK J MATSOCK & ASSOCIATES INC3 Filed as: MARK J. MATSOCK & ASSOCIATES | 2400 EAST ARIZONA BILTMORE C SUITE 1100 PHOENIX, AZ 85016 | BLUE CROSS BLUE SHIELD OF ARIZONA | $98K | — | $98K | 11.24% |
| MARK J MATSOCK & ASSOCIATES INC3 Filed as: MARK J. MATSOCK ASSOCIATES INC. | 2400 EAST ARIZONA BILTMORE CIRCLE SUITE 1100 PHOENIX, AZ 85016 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $1K | $12K | 3.46% |
| MARK J MATSOCK3 Filed as: MARK MATSOCK | 2400 EAST ARIZONA BILTOMORE CIRCLE SUITE 1100 PHOENIX, AZ 85016 | SUN LIFE ASSURANCE COMPANY OF CANADA | $23K | — | $23K | 10.00% |
| MARK J MATSOCK3 Filed as: MARK MATSOCK | 2400 EAST ARIZONA BILTOMORE CIRCLE SUITE 1100 PHOENIX, AZ 85016 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 10.00% |
| MARK J MATSOCK & ASSOCIATES INC3 Filed as: MARK J. MATSOCK AND ASSOCIATES | 2400 EAST ARIZONA BILTOMORE CIRCLE SUITE 1100 PHOENIX, AZ 850162134 | VISION SERVICE PLAN | $5K | — | $5K | 10.00% |
| MARK J MATSOCK3 Filed as: MARK MATSOCK | 2400 EAST ARIZONA BILTOMORE CIRCLE SUITE 1100 PHOENIX, AZ 85016 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 10.00% |
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 | 371 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 380 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 334 | $874K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 731 | $350K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ARIZONA | 334 | $924K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 371 | $228K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 297 | $18K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 221 | $84K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 334 | $874K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF ARIZONA | 334 | $874K |
| Other(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 371 | $313K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 731 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.