| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT & TOUCHE INC | PO BOX 32702 TUCSON, AZ 85751 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $2K | $2K | 1.83% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ARIZONA EIN 86-0004538 CLAIMS ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $128K |
| SUNTRUST BANK EIN 58-1575035 TRUSTEE SERVICES | Investment management; Investment advisory (plan); Investment advisory (participants) Service code 26 | — | $80K |
| CAREHERE MANAGEMENT PLLC EIN 26-2652933 CLINIC ADMIN | Other services Service code 49 | — | $16K |
| AMERICAN SPECIALTY HEALTH SYSTEMS EIN 33-0938349 SERVICE PROVIDER | Other services Service code 49 | — | $0 |
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 | 700 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 700 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | EMPLOYERS DENTAL SERVICES | 16 | $2K |
| Vision | VISION SERVICE PLAN | 109 | $19K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 700 | $131K |
| Other | UNITEDHEALTHCARE INSURANCE COMPANY | 459 | $811K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 700 | — |
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.