| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVS INC | 8800 E RAINTREE DR STE 250 SCOTTSDALE, AZ 85260 | BLUE CROSS BLUE SHIELD OF ARIZONA | $150K | — | $150K | 2.02% |
| GBS BENEFITS INC3 | 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | BLUE CROSS BLUE SHIELD OF ARIZONA | $10K | — | $10K | 0.13% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVS INC | 8800 E RAINTREE DR STE 250 SCOTTSDALE, AZ 85260 | BLUE CROSS BLUE SHIELD OF ARIZONA | $55K | — | $55K | 2.22% |
| GBS BENEFITS INC3 | 465 S 400 E STE 300 SALT LAKE CITY, UT 84111 | BLUE CROSS BLUE SHIELD OF ARIZONA | $4K | — | $4K | 0.17% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVS | PO BOX 95287 CHICAGO, IL 60694 | HARTFORD LIFE AND ACCIDENT | $13K | — | $13K | 20.73% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SVCS INC | GALLAGHER BENEFITS SVCS INC ROLLING MEADOWS, IL 60008 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $3K | — | $3K | 9.10% |
| BSBS OF ARIZONA3 | BSBS OF ARIZONA PHOENIX, AZ 85021 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | — | $794 | $794 | 2.27% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA | 14805 N 73RD ST SCOTTSDALE, AZ 85260 | SYMETRA LIFE INSURANCE COMPANY | $18K | — | $18K | — |
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 | 810 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 810 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS BLUE SHIELD OF ARIZONA | 769 | $9.9M |
| Dental(2 contracts) | BLUE CROSS BLUE SHIELD OF ARIZONA | 769 | $9.9M |
| Vision | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 322 | $35K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 810 | $64K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 810 | $64K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 810 | $64K |
| Prescription drug(2 contracts) | BLUE CROSS BLUE SHIELD OF ARIZONA | 769 | $9.9M |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 810 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 810 | — |
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.