| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRANSTAR INSURANCE BROKERS, INC.3 Filed as: TRANSTAR INSURANCE BROKERS,INC. | 5450 EAST HIGH STREET SUITE 230 PHOENIX, AZ 85054 | KAISER FOUNDATION HEALTH PLAN INC | $41K | — | $41K | 4.76% |
| TRANSTAR INSURANCE BROKERS, INC.3 | 5450 EAST HIGH STREET SUITE 230 PHOENIX, AZ 85054 | KAISER FOUNDATION HEALTH PLAN INC | $12K | — | $12K | 4.54% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BLACK GOULD INSURANCE SERVICES | 3800 NORTH CENTRAL AVENUE FLOOR 9 PHOENIX, AZ 85012 | AMERITAS LIFE INSURANCE CORP. | $14K | — | $14K | 13.00% |
| TRANSTAR INSURANCE BROKERS, INC.3 Filed as: TRANSTAR INS BROKERS INC | 5450 EAST HIGH STREET SUITE 230 PHOENIX, AZ 85054 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 10.04% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BLACK GOULD & ASSOCIATION INC | 3800 NORTH CENTRAL AVENUE FLOOR 9 PHOENIX, AZ 85012 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 5.02% |
| TRANSTAR INSURANCE BROKERS, INC.3 Filed as: TRANSTAR INS BROKERS INC | 5450 EAST HIGH STREET SUITE 230 PHOENIX, AZ 85054 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 24.82% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BLACK GOULD & ASSOCIATION INC | 3800 NORTH CENTRAL AVENUE FLOOR 9 PHOENIX, AZ 85012 | METROPOLITAN LIFE INSURANCE COMPANY | $376 | — | $376 | 6.20% |
| TRANSTAR INSURANCE BROKERS, INC.3 Filed as: TRANSTAR INS BROKERS INC | 5450 EAST HIGH STREET SUITE 230 PHOENIX, AZ 85054 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 20.72% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BLACK GOULD & ASSOCIATION INC | 3800 NORTH CENTRAL AVENUE FLOOR 9 PHOENIX, AZ 85012 | METROPOLITAN LIFE INSURANCE COMPANY | $272 | — | $272 | 5.18% |
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 | 209 | 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) | 209 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 161 | $1.1M |
| Dental(2 contracts, 2 carriers) | AMERITAS LIFE INSURANCE CORP. | 396 | $119K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 396 | $111K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 209 | $34K |
| Other(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 209 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 396 | — |
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.