| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DBP INSURANCE SOLUTIONS3 | 14805 N 73RD ST SCOTTSDALE, AZ 852603107 | KAISER FOUNDATION HEALTH PLAN INC. | $39K | — | $39K | 4.92% |
| DULEY BOLWAR & ASSOCIATES INC3 | 14805 N 73RD ST SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $23K | $27K | $50K | 10.93% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ARIZONA LLC | 7500 N DREAMY DRAW DR STE 100 PHOENIX, AZ 85020 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | — | $8K | 1.68% |
| UNITED OF OMAHA LIFE INSURANCE CO5 Filed as: UNITED OF OMAHA LIFE INSURANCE | MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $7K | $7K | 1.53% |
| BILL HARRAL WCH CONSULTANTS LLC4 | 20118 N 67TH AVE SUITE 300-180 GLENDALE, AZ 85308 | PRE-PAID LEGAL SERVICES, INC. | $3K | — | $3K | 13.90% |
| JOHN J. ONEILL4 | 12560 N. FALLEN SHADOWS DR MARANA, AZ 85658 | PRE-PAID LEGAL SERVICES, INC. | $272 | — | $272 | 1.33% |
| BKA BENEFITS4 | 6717 W WAHALLA LN GLENDALE, AZ 85308 | PRE-PAID LEGAL SERVICES, INC. | $28 | — | $28 | 0.14% |
| WAJUCO ASSOCIATES LLC4 | 11899 N SPEARFISH ST SURPRICE, AZ 85388 | PRE-PAID LEGAL SERVICES, INC. | $27 | — | $27 | 0.13% |
| USI INSURANCE SERVICES LLC4 Filed as: USI INSURANCE SERVICES | 4605 COLUMBUS ST VIRGINIA BEACH, VA 23462 | PRE-PAID LEGAL SERVICES, INC. | $20 | — | $20 | 0.10% |
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 | 324 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 331 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA INTERNATIONAL | 15 | $179K |
| Dental | AETNA INTERNATIONAL | 15 | $179K |
| Vision(2 contracts, 2 carriers) | AETNA INTERNATIONAL | 310 | $255K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 376 | $454K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 376 | $454K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 376 | $454K |
| Prescription drug | AETNA INTERNATIONAL | 15 | $179K |
| Stop-loss / reinsurancereinsurance | BERKELEY LIFE & HEALTH INSURANCE COMPANY | 339 | $773K |
| Other(4 contracts, 4 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 800 | $515K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 800 | — |
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.