| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | 7310 NORTH 16TH STREET, SUITE 226 PHOENIX, AZ 85020 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $1K | $1K | 0.12% |
| EMPLOYEE BENEFITS INTERNATIONAL AZ3 Filed as: EMPLOYEE BENEFITS INT. AZ, INC. | 8828 NORTH CENTRAL AVENUE SUITE 100 PHOENIX, AZ 85020 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | $0 | $1K | 0.10% |
| VECTOR FINANCIAL INC3 Filed as: VECTOR FINANCIAL, INC. | PO BOX 703 THATCHER, AZ 85552 | UNITEDHEALTHCARE INSURANCE COMPANY | $102 | $0 | $102 | 0.01% |
| VECTOR FINANCIAL INC3 Filed as: VECTOR FINANCIAL, INC. | PO BOX 703 THATCHER, AZ 85552 | ASSURITY LIFE INSURANCE COMPANY | $22K | $0 | $22K | 24.77% |
| EMPLOYEE BENEFITS INTERNATIONAL AZ3 Filed as: EMPLOYEE BENEFITS INT. AZ, INC. | 8828 NORTH CENTRAL AVENUE SUITE 100 PHOENIX, AZ 85020 | ASSURITY LIFE INSURANCE COMPANY | $4K | $0 | $4K | 4.31% |
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 | 248 | 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) | 248 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 349 | $1.2M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 349 | $1.2M |
| Life insurance | ASSURITY LIFE INSURANCE COMPANY | 304 | $90K |
| Short-term disability | ASSURITY LIFE INSURANCE COMPANY | 304 | $90K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 349 | $1.2M |
| Other | ASSURITY LIFE INSURANCE COMPANY | 304 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 349 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.