| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC | 701 5TH AVE #550 SEATTLE, WA 98104 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | — | $928 | $928 | 5.11% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BROWN & BROWN INSURANCE SERVICES, D EIN 59-0691921 CONSULTANT | Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance services; Insurance agents and brokers; Direct payment from the plan; Consulting fees; Finders' fees / placement fees; Consulting (general) Service code 15 | — | $113K |
| VIMLY BENEFIT SOLUTIONS, INC. EIN 91-1603312 CONTRACT ADMINISTRATOR | Recordkeeping fees; Direct payment from the plan; Contract Administrator; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Copying and duplicating; Other commissions Service code 10 | — | $70K |
| VIGILANT SERVICES, INC EIN 93-0877675 SUBSIDIARY OF SPONSOR | Direct payment from the plan; Insurance brokerage commissions and fees; Finders' fees / placement fees; Insurance agents and brokers; Consulting fees; Contract Administrator; Insurance services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general) Service code 13 | — | $53K |
| MAGNUSON AND ASSOCIATES, LTD EIN 26-2814059 INSURANCE BROKER | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $46K |
| BLACK, GOULD, & ASSOCIATES, INC EIN 86-0396463 INSURANCE BROKER | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | — | $40K |
| EMPLOYEE BENEFIT EXCHANGE, CORP. EIN 20-0270427 INSURANCE BROKER | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $39K |
| VECTOR FINANCIAL INSURANCE BROKER | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | 8110 S HOUGHTON RD 158-198 TUCSON, AZ 85747 | $21K |
| KEN OTT INSURANCE, LLC DBA KENDY BE INSURANCE BROKER | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 1710 VIA HUNGRIA RIO RICO, AZ 85648 | $13K |
| ROGERS BENEFIT GROUP, INC. EIN 41-1596522 INSURANCE BROKER | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $13K |
| EMERSON ROGERS, LLC EIN 13-3938007 INSURANCE BROKER | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $12K |
| ANNA L. HECKATHORNE INSURANCE BROKER | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | 2820 CARILLO WAY CARLSBAD, CA 920093026 | $10K |
| SCHOEDEL & SCHOEDEL, CPAS, PLLC EIN 91-0614823 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $9K |
| CREST INSURANCE GROUP, LLC EIN 27-2359016 INSURANCE BROKER | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | — | $9K |
| KENNETH W. TAYLOR INSURANCE & INVES EIN 86-0193353 INSURANCE BROKER | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $9K |
| CAPITAL FINANCIAL, PLC EIN 20-5078854 INSURANCE BROKER | Insurance agents and brokers; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | — | $9K |
| DIGITAL INSURANCE, LLC EIN 58-2522668 INSURANCE BROKER | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $9K |
| ASSUREDPARTNERS OF ARIZONA DBA HEST EIN 36-4883819 INSURANCE BROKER | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $5K |
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 | 497 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 497 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 939 | $3.7M |
| Dental | BLUE CROSS BLUE SHIELD OF ARIZONA | 939 | $3.7M |
| Vision | VISION SERVICE PLAN | 61 | $6K |
| Life insurance | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 496 | $18K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 939 | $3.7M |
| Other | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 496 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 939 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.