| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VICTORIA STEPHENS3 | 8110 S HOUGHTON RD STE 158 198 TUCSON, AZ 85747 | BLUE CROSS BLUE SHIELD OF ARIZONA | — | $150 | $150 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BROWN & BROWN OF WA INC DBA DIMART EIN 91-0378940 NONE | Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting fees; Direct payment from the plan; Insurance agents and brokers; Finders' fees / placement fees; Insurance services; Insurance brokerage commissions and fees Service code 15 | — | $41K |
| MAGNUSON & ASSOCIATES, LTD EIN 26-2814059 NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $36K |
| VIMLY BENEFIT SOLUTIONS, INC. EIN 91-1603312 NONE | Copying and duplicating; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Other commissions; Contract Administrator; Direct payment from the plan; Accounting (including auditing); Recordkeeping fees Service code 10 | — | $24K |
| VIGILANT SERVICES, INC. EIN 93-0877675 SUBSIDIARY OF SPONSOR | Insurance agents and brokers; Insurance services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Finders' fees / placement fees; Consulting (general); Consulting fees; Direct payment from the plan; Insurance brokerage commissions and fees; Contract Administrator Service code 13 | — | $20K |
| KENNETH K. OTT (KENDY BENEFIT PLANS NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | P.O. BOX 74007 ANTHEM, AZ 85086 | $14K |
| THE CLEAR GROUP, LLC EIN 81-3105542 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | — | $9K |
| ARIZONA BENEFIT CONSULTANTS EIN 86-0866459 NONE | Insurance agents and brokers; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | — | $7K |
| SCHOEDEL & SCHOEDEL, CPAS PLLC EIN 91-0614823 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $7K |
| VICTORIA STEPHENS NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 8110 S HOUGHTON RD 158-198 TUCSON, AZ 85747 | $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 | 249 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 249 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 227 | $1.4M |
| Dental | BLUE CROSS BLUE SHIELD OF ARIZONA | 227 | $1.4M |
| Vision | VISION SERVICE PLAN | 60 | $6K |
| Life insurance | STANDARD INSURANCE COMPANY | 194 | $9K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 227 | $1.4M |
| Other | STANDARD INSURANCE COMPANY | 194 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 227 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.