| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ARIZONA BENEFIT CONSULTANTS LLC3 Filed as: ARIZONA BENEFIT CONSULTANTS LL | 6245 N 24TH PARKWAY STE 201 PHOENIX, AZ 85016 | BLUE CROSS BLUE SHIELD OF ARIZONA | $47K | — | $47K | 4.15% |
| WOODS, LACHELLE3 | 11445 E VIA LINDA STE 2 PMB 313 SCOTTSDALE, AZ 85259 | BLUE CROSS BLUE SHIELD OF ARIZONA | $14K | — | $14K | 1.25% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BLACK GOULD & ASSOCIATION INC | 3800 N CENTRAL AVE FL 9 PHOENIX, AZ 850121979 | METROPOLITAN LIFE INSURANCE COMPANY | $25K | $5K | $30K | 12.52% |
| ARIZONA BENEFIT CONSULTANTS LLC3 | 6245 N 24TH PKWY STE 201 PHOENIX, AZ 850162030 | METROPOLITAN LIFE INSURANCE COMPANY | $16K | — | $16K | 6.84% |
| JOHNSON BRYANT CORPORATION3 | 6245 N 24TH PKWY STE 201 PHOENIX, AZ 850162030 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 1.93% |
| CSA GENERAL INSURANCE AGENCY3 Filed as: CSA | 8220 N 23RD AVE PHOENIX, AZ 85021 | COMPANION LIFE | $4K | — | $4K | 20.21% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BLACK, GOULD & ASSOCIATES, INC | 3800 N CENTRAL AVE FL 9 PHOENIX, AZ 850121979 | VISION SERVICE PLAN | $983 | — | $983 | 5.76% |
| ARIZONA BENEFIT CONSULTANTS LLC3 Filed as: ARIZONA BENEFIT CONSULTANTS, LLC | 6245 N 24TH PKWY STE 201 PHOENIX, AZ 850162030 | VISION SERVICE PLAN | $872 | — | $872 | 5.11% |
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 | 117 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 103 | $1.1M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 489 | $236K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ARIZONA | 121 | $1.1M |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 489 | $256K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 489 | $236K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 489 | $236K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 103 | $1.1M |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 489 | $256K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 489 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.