| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DULEY BOLWAR AND ASSOCIATES INC | 14805 NORTH 73RD STREET SCOTTSDALE, AZ 85260 | METROPOLITAN LIFE INSURANCE COMPANY | $23K | — | $23K | 3.37% |
| ARIZONA BENEFIT CONSULTANTS LLC3 | 6245 NORTH 24TH PARKWAY SUITE 201 PHOENIX, AZ 85016 | METROPOLITAN LIFE INSURANCE COMPANY | $18K | $117 | $19K | 2.69% |
| GBS BENEFITS INS AGENCY3 Filed as: GBS BENEFITS INSURANCE AGENCY | 2333 WEST UNIVERSITY DRIVE SUITE C-103 TEMPE, AZ 85281 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 0.71% |
| GBS BENEFITS INS AGENCY3 Filed as: GBS BENEFITS INSURANCE AGENCY | 465 SOUTH 400 EAST SUITE 300 SALT LAKE CITY, UT 84111 | METROPOLITAN LIFE INSURANCE COMPANY | — | $119 | $119 | 0.02% |
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DULEY BOLWAR AND ASSOCIATES INC | 14805 NORTH 73RD STREET SCOTTSDALE, AZ 85260 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 10.01% |
| ARIZONA BENEFIT CONSULTANTS LLC3 | 6245 NORTH 24TH PARKWAY SUITE 201 PHOENIX, AZ 85016 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $9 | $2K | 7.31% |
| GBS BENEFITS INS AGENCY3 | 2333 WEST UNIVERSITY DRIVE SUITE C-103 TEMPE, AZ 85281 | METROPOLITAN LIFE INSURANCE COMPANY | $614 | — | $614 | 1.99% |
| GBS BENEFITS INS AGENCY3 | 465 SOUTH 400 EAST SUITE 300 SALT LAKE, UT 84111 | METROPOLITAN LIFE INSURANCE COMPANY | — | $10 | $10 | 0.03% |
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DUDLEY BOLWAR AND ASSOCIATES INC | 14805 NORTH 73RD STREET SCOTTSDALE, AZ 85260 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 9.87% |
| ARIZONA BENEFIT CONSULTANTS LLC3 | 6245 NORTH 24TH PARKWAY SUITE 201 PHOENIX, AZ 85016 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $8 | $2K | 8.11% |
| GBS BENEFITS INS AGENCY3 | 2333 WEST UNIVERSITY DRIVE SUITE C-103 TEMPE, AZ 85281 | METROPOLITAN LIFE INSURANCE COMPANY | $522 | — | $522 | 2.15% |
| GBS BENEFITS INS AGENCY3 | 465 SOUTH 400 EAST SUITE 300 SALT LAKE, UT 84111 | METROPOLITAN LIFE INSURANCE COMPANY | — | $10 | $10 | 0.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ARIZONA EIN 86-0004538 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $239K |
| AMERICAN SPECIALTY HEALTH SYSTEMS EIN 33-0938349 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $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 | 436 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 49 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 485 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 883 | $690K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 883 | $690K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 883 | $690K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 883 | $690K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 883 | $690K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF ARIZONA | 378 | $475K |
| Other(4 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 883 | $752K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 883 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.