No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EVERSIDE HEALTH, LLC NONE OTHER THAN CONTRACT | Other services Service code 49 | 1400 WEWATTA STREET SUITE 350 DENVER, CO 80202 | $1.8M |
| CIGNA HEALTH AND LIFE INSURANCE EIN 59-1031071 NONE OTHER THAN CONTRACT | Float revenue; Claims processing; Non-monetary compensation; Direct payment from the plan; Named fiduciary; Participant communication; Other services; Contract Administrator Service code 12 | — | $1.7M |
| BENESYS, INC EIN 38-2383171 NONE OTHER THAN CONTRACT | Contract Administrator Service code 13 | 7180 KOLL CENTER PARKWAY SUITE 200 PLEASANTON, CA 94566 | $768K |
| ALEXANDER BUILDING COMPANY NONE OTHER THAN CONTRACT | Other services; Direct payment from the plan Service code 49 | 7550 E MAIN ST SCOTTSDALE, AZ 85251 | $200K |
| THE SEGAL COMPANY EIN 13-1835864 NONE OTHER THAN CONTRACT | Consulting (general) Service code 16 | 1230 W WASHINGTON SUITE 501 TEMPE, AZ 85281 | $157K |
| DELTA DENTAL EIN 86-0274899 NONE OTHER THAN CONTRACT | Claims processing Service code 12 | PO BOX 61595 PHOENIX, AZ 85004 | $147K |
| LYRA BEHAVIOUAL NONE OTHER THAN CONTRACT | Insurance services Service code 23 | 270 EAST LANE BURLINGAME, CA 94010 | $113K |
| NUCLEUS MEDICAL NONE OTHER THAN CONTRACT | Other fees Service code 99 | 4455 E CAMELBACK RD A242 PHOENIX, AZ 85016 | $109K |
| SEGAL SELECT INSURANCE NONE OTHER THAN CONTRACT | Insurance services Service code 23 | 333 WEST 34TH ST NEW YORK, NY 100012402 | $87K |
| VERUS ADVISORS, INC EIN 91-1320111 NONE OTHER THAN CONTRACT | Investment management Service code 28 | 2321 ROSENCRANS SUITE 2250 EL SEGUNDO, CA 94501 | $73K |
| JENNINGS, STROUSS & SALMON EIN 86-0108229 NONE OTHER THAN CONTRACT | Legal Service code 29 | — | $73K |
| WARD KEENAN AND BARRETT PC EIN 86-0274260 NONE OTHER THAN CONTRACT | Legal Service code 29 | 38389 NORTH CENTRAL AVENUE SUITE 1720 PHOENIX, AZ 85012 | $65K |
| GLENDALE MEDICAL PROPERTIES, L.P. NONE OTHER THAN CONTRACT | Other fees Service code 99 | 2 SUMMIT PARK DRIVE, SUITE 540 CLEVELAND, OH 44131 | $54K |
| SMART SOURCE NONE OTHER THAN CONTRACT | Copying and duplicating Service code 36 | PO BOX 2314 COLUMBUS, GA 319022314 | $38K |
| BALDWIN MOFFITT BEHM LLP EIN 46-4370753 NONE OTHER THAN CONTRACT | Accounting (including auditing) Service code 10 | — | $33K |
| INTERNATIONAL PRINTING COMPANY EIN 86-0528251 NONE OTHER THAN CONTRACT | Copying and duplicating Service code 36 | 2241 S 775 ST PHOENIX, AZ 80534 | $31K |
| CIGNA BEHAVIORAL HEALTH, INC EIN 41-1648670 NONE OTHER THAN CONTRACT | Direct payment from the plan; Contract Administrator; Participant communication; Claims processing Service code 12 | — | $30K |
| CAPTRUST FINANCIAL NONE OTHER THAN CONTRACT | Investment advisory (plan) Service code 27 | SIX FORKS RD. STE 1700 RALEIGH, NC 27609 | $25K |
| AIRPARK SIGNS & GRAPHICS INC NONE OTHER THAN CONTRACT | Direct payment from the plan; Other services Service code 49 | 1205 N MILLER RD TEMPE, AZ 85281 | $18K |
| HEALTHWAVES NONE | Insurance services Service code 23 | 1615 W UNIVERSITY TEMPE, AZ 85281 | $15K |
| US BANK NONE OTHER THAN CONTRACT | Custodial (securities) Service code 19 | 800 NICOLLET MALL MINNEAPOLIS, MN 554027014 | $10K |
| YOUTECH NONE OTHER THAN CONTRACT | Other fees Service code 99 | 8888 E RAINTREE DR SCOTTSDALE, AZ 85260 | $8K |
| CIGNA | Non-monetary compensation; Claims processing; Contract Administrator; Named fiduciary; Float revenue; Participant communication; Other services; Direct payment from the plan Service code 12 | — | $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 | 2,519 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 188 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,712 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | EMPLOYERS DENTAL SERVICES | 100 | $14K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 0 | $159K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,519 | $354K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,519 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.