| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS. OF AZ, INC | PO BOX 2800 PHOENIX, AZ 850022800 | KAISER FOUNDATION HEALTH PLAN INC. | $17K | — | $17K | 4.98% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN/ AZ | 915 E GURLEY ST PRESCOTT, AZ 86301 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $5K | — | $5K | 5.17% |
| JOHN J. ONEILL4 | 12560 N. FALLEN SHADOWS DR MARANA, AZ 85658 | PRE-PAID LEGAL SERVICES, INC. | $2K | — | $2K | 12.78% |
| WCH CONSULTANTS LLC4 | 20118 N 67TH AVE SUITE 300-180 GLENDALE, AZ 85308 | PRE-PAID LEGAL SERVICES, INC. | $2K | — | $2K | 10.97% |
| WAJUCO ASSOCIATES LLC4 | 3004 N 190TH DR LITCHFIELD PARK, AZ 85308 | PRE-PAID LEGAL SERVICES, INC. | $51 | — | $51 | 0.27% |
| LOYD R. SCHMIDT4 | 1304 S 105TH PL APT 1042 MESA, AZ 85209 | PRE-PAID LEGAL SERVICES, INC. | $19 | — | $19 | 0.10% |
| PATTI STOLTZ4 | 14617 N. 45TH PL PHOENIX, AZ 85032 | PRE-PAID LEGAL SERVICES, INC. | $14 | — | $14 | 0.07% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INC | PO BOX 2800 PHOENIX, AZ 85002 | AETNA INTERNATIONAL | $964 | — | $964 | — |
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 | 418 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 429 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA INTERNATIONAL | 67 | $391K |
| Dental | AETNA INTERNATIONAL | 67 | $391K |
| Vision(2 contracts, 2 carriers) | AETNA INTERNATIONAL | 352 | $480K |
| Life insurance | AMERICAN GENERAL LIFE INSURANCE COMPANY | 417 | $105K |
| Long-term disability | AMERICAN GENERAL LIFE INSURANCE COMPANY | 417 | $105K |
| Prescription drug | AETNA INTERNATIONAL | 67 | $391K |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE AND HEALTH INSURANCE COMPANY | 365 | $396K |
| Other(3 contracts, 3 carriers) | AMERICAN GENERAL LIFE INSURANCE COMPANY | 417 | $124K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 417 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.