| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CREST INSURANCE GROUP LLC3 | 5285 E WILLIAMS CIRCLE STE 4500 TUCSON, AZ 85711 | BLUE CROSS BLUE SHIELD OF ARIZONA | $13K | $0 | $13K | 8.41% |
| CREST INSURANCE GROUP LLC3 Filed as: CREST INSURANCE GROUP | 5285 E WILLIAMS CIRCLE STE 4500 TUCSON, AZ 85711 | DELTA DENTAL OF ARIZONA | $3K | $0 | $3K | 10.08% |
| GUSSIO EDWARD - 111728S3 Filed as: GUSSIO EDWARD | 5285 E WILLIAMS CIRCLE STE 4500 TUCSON, AZ 85711 | KANSAS CITY LIFE INSURANCE COMPANY | $2K | $0 | $2K | 24.85% |
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 | 60 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 60 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 44 | $152K |
| Dental | DELTA DENTAL OF ARIZONA | 60 | $30K |
| Vision | DELTA DENTAL OF ARIZONA | 60 | $30K |
| Life insurance | KANSAS CITY LIFE INSURANCE COMPANY | 23 | $6K |
| Short-term disability | KANSAS CITY LIFE INSURANCE COMPANY | 23 | $6K |
| Long-term disability | KANSAS CITY LIFE INSURANCE COMPANY | 23 | $6K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 44 | $152K |
| Other | KANSAS CITY LIFE INSURANCE COMPANY | 23 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 60 | — |
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.