| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INSURANCE | PO BOX 730054 DALLAS, TX 75373 | DELTA DENTAL OF ARIZONA | $10K | — | $10K | 2.09% |
| JP GRIFFIN COMPANIES LLC3 | 6720 N SCOTTSDALE RD STE 230 SCOTTDALE, AZ 85253 | DELTA DENTAL OF ARIZONA | $4K | — | $4K | 0.84% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INSURANCE | PO BOX 730054 DALLAS, TX 75373 | DELTA DENTAL OF ARIZONA | $9K | — | $9K | 2.13% |
| JP GRIFFIN COMPANIES LLC3 | 6720 N SCOTTSDALE RD STE 230 SCOTTDALE, AZ 85253 | DELTA DENTAL OF ARIZONA | $3K | — | $3K | 0.80% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON WEST INC. | 5055 E. BROADWAY #C 214 TUCSON, AZ 87511 | STANDARD INSURANCE COMPANY | $8K | — | $8K | 4.24% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF AZ INC | WILLIS TOWERS WATSON INS SVCS PO BOX 730054 DALLAS, TX 75373 | STANDARD INSURANCE COMPANY | $6K | — | $6K | 2.96% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | STANDARD INSURANCE COMPANY | — | $945 | $945 | 0.49% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON WEST INC. | 5055 E. BROADWAY #C 214 TUCSON, AZ 87511 | STANDARD INSURANCE COMPANY | $7K | — | $7K | 4.23% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF AZ INC | WILLIS TOWERS WATSON INS SVCS PO BOX 730054 DALLAS, TX 75373 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 2.79% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | STANDARD INSURANCE COMPANY | — | $796 | $796 | 0.49% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON WEST INC. | 5055 E. BROADWAY #C 214 TUSCON, AZ 87511 | STANDARD INSURANCE COMPANY | $6K | — | $6K | 4.52% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF AZ INC | WILLIS TOWERS WATSON INS SVCS PO BOX 730054 DALLAS, TX 75373 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 2.26% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX 28852 PO BOX 2885 NEW YORK, NY 10087 | STANDARD INSURANCE COMPANY | — | $554 | $554 | 0.40% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON WEST INC. | 920 MEMORIAL CITY WAY SUITE 500 HOUSTON, TX 77024 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $3K | — | $3K | 2.16% |
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 | 2,033 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 17 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,050 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | DELTA DENTAL OF ARIZONA | 1,642 | $892K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 1,218 | $117K |
| Life insurance | STANDARD INSURANCE COMPANY | 2,033 | $139K |
| Short-term disability | STANDARD INSURANCE COMPANY | 2,037 | $192K |
| Long-term disability | STANDARD INSURANCE COMPANY | 2,037 | $162K |
| Other | STANDARD INSURANCE COMPANY | 2,033 | $139K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,037 | — |
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."
No prospect flags tripped on this filing.