| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AP BENEFIT ADVISORS, LLC3 | C/O KEENAN - SETECH TORRANCE, CA 90510 | AETNA LIFE INSURANCE CO. | $28K | $13K | $41K | 0.64% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA LLC | 4544 E CAMP LOWELL DRIVE TUSCSON, AZ 85712 | AETNA LIFE INSURANCE CO. | — | $18K | $18K | 0.29% |
| AP BENEFIT ADVISORS, LLC3 | 200 INTERNATIONAL CIRCLE HUNT VALLEY, MD 21031 | AETNA LIFE INSURANCE CO. | $8K | — | $8K | 0.13% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: KEENAN & ASSOCIATES | 2355 CRENSHAW BLVD STE 200 TORRANCE, CA 90501 | KAISER FOUNDATION HEALTH PLAN, INC. | $11K | — | $11K | 5.86% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA, LLC | 7500 N DREAMY DRAW DRIVE, SUITE 100 PHOENIX, AZ 85020 | RELIANCE STANDARD | $8K | — | $8K | 5.00% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA, LLC | 7500 N DREAMY DRAW DRIVE, SUITE 100 PHOENIX, AZ 85020 | RELIANCE STANDARD | $8K | — | $8K | 5.00% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA LLC | 4544 E CAMP LOWELL DRIVE TUCSON, AZ 85712 | AETNA LIFE INSURANCE CO. | $36K | — | $36K | 26.38% |
| THE BOON INSURANCE AGENCY3 | 6300 BRIDGEPOINT PARKWAY AUSTIN, TX 78730 | AETNA LIFE INSURANCE CO. | $17K | — | $17K | 15.09% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA, LLC | 7500 N DREAMY DRAW DRIVE, SUITE 100 PHOENIX, AZ 85020 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 1.91% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA, LLC | 7500 N DREAMY DRAW DRIVE, SUITE 100 PHOENIX, AZ 85020 | RELIANCE STANDARD | $13K | — | $13K | 14.95% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA, LLC | 7500 N DREAMY DRAW DRIVE, SUITE 100 PHOENIX, AZ 85020 | RELIANCE STANDARD | $7K | — | $7K | 10.00% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA, LLC | 7500 N DREAMY DRAW DRIVE, SUITE 100 PHOENIX, AZ 85020 | RELIANCE STANDARD | $865 | — | $865 | 14.99% |
| THE BOON INSURANCE AGENCY3 | 6300 BRIDGEPOINT PARKWAY AUSTIN, TX 78730 | TRANSAMERICA LIFE INSURANCE COMPANY | $141 | — | $141 | 8.99% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA, LLC | 7500 N DREAMY DRAW DRIVE, SUITE 100 PHOENIX, AZ 85020 | TRANSAMERICA LIFE INSURANCE COMPANY | $16 | — | $16 | 1.02% |
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 | 926 | 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) | 926 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 914 | $6.8M |
| Dental(2 contracts) | AETNA LIFE INSURANCE CO. | 914 | $6.5M |
| Vision(2 contracts) | AETNA LIFE INSURANCE CO. | 914 | $6.5M |
| Life insurance(3 contracts, 2 carriers) | RELIANCE STANDARD | 924 | $158K |
| Short-term disability | RELIANCE STANDARD | 926 | $154K |
| Long-term disability | RELIANCE STANDARD | 926 | $165K |
| Other(3 contracts, 2 carriers) | RELIANCE STANDARD | 924 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 926 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.