| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT & TOUCHE INC | 1050 W WASHINGTON ST #233 TEMPE, AZ 85281 | AMERITAS LIFE INSURANCE CORP. | $2K | $0 | $2K | 1.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP | 14300 N NORTHSIGHT BLVD #221 SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE CO | $272 | $0 | $272 | 0.16% |
| CSA GENERAL INSURANCE AGENCY3 Filed as: CSA GENERAL INSURANCE AGENCY INC | 2480 W LAS PALMARITAS DR PHOENIX, AZ 85021 | SYMETRA LIFE INSURANCE COMPANY (AMERIBEN) | — | $8K | $8K | 4.72% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP | 14300 N NORTHSIGHT BLVD #221 SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE CO | $115 | $0 | $115 | 0.16% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP | 14300 N NORTHSIGHT BLVD #221 SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE CO | $49 | $0 | $49 | 0.16% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP | 14300 N NORTHSIGHT BLVD #221 SCOTTSDALE, AZ 85260 | VISION SERVICE PLAN | $1K | $0 | $1K | 5.03% |
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT & TOUCHE INC | 7202 E ROSEWOOD ST #200 TUCSON, AZ 85710 | VISION SERVICE PLAN | $1K | $0 | $1K | 4.97% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP | 14300 N NORTHSIGHT BLVD #221 SCOTTSDALE, AZ 85260 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 10.83% |
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT & TOUCHE INC | P O BOX 32702 TUCSON, AZ 85751 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 9.17% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP | 14300 N NORTHSIGHT BLVD #221 SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE CO | $17 | $0 | $17 | 0.19% |
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 | 1,688 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,688 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNIFIED LIFE INSURANCE COMPANY | 41 | $65K |
| Dental | AMERITAS LIFE INSURANCE CORP. | 2,072 | $213K |
| Vision(2 contracts, 2 carriers) | AMERITAS LIFE INSURANCE CORP. | 2,072 | $242K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE CO | 1,688 | $106K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE CO | 1,688 | $172K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE CO | 31 | $9K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY (AMERIBEN) | 597 | $167K |
| Other(4 contracts, 3 carriers) | AMERITAS LIFE INSURANCE CORP. | 2,072 | $336K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,072 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.