See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 7 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
See commissions and fees for 5 broker rows. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ASHTON TIFFANY EIN 86-0804559 INSURANCE ADMINISTRATOR | Contract Administrator Service code 13 | — | $300K |
| AMERIBEN IEC GROUP EIN 82-0497661 CLAIMS PROCESSING | Claims processing Service code 12 | — | $120K |
| BLUE CROSS BLUE SHIELD OF ARIZONA EIN 86-0004538 INSURANCE ADMINISTRATION | Insurance services Service code 23 | — | $88K |
| WILLIS OF ARIZONA EIN 86-0223854 LEGAL | Legal Service code 29 | — | $47K |
| DELTA DENTAL OF ARIZONA EIN 86-0274899 INSURANCE ADMINISTRATOR | Insurance services Service code 23 | — | $18K |
| WILLIS TOWERS WATSON EIN 53-0181291 LEGAL | Legal Service code 29 | — | $15K |
| ALLIANT INSURANCE SERVICES EIN 33-0785439 INSURANCE SERVICES | Insurance services Service code 23 | — | $13K |
| HEALTH EQUITY EIN 52-2383166 HEALTH SAVINGS ACCOUNT A | Other fees Service code 99 | — | $11K |
| CERIDIAN HCM, INC. EIN 59-3228107 EMPLOYEE ASSISTANCE PROG | Other fees Service code 99 | — | $6K |
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 | 395 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 399 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 729 | $88K |
| Vision(2 contracts, 2 carriers) | AVESIS INSURANCE INCORPORATED | 247 | $32K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 396 | $88K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 395 | $69K |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE AND HEALTH INSURANCE CO. | 729 | $259K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 285 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 729 | — |
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."
Multiple-employer welfare arrangement. It has its own regulatory and compliance rules.