| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA, LLC | 4544 CAMP LOWELL DRIVE TUCSON, AZ 85712 | DELTA DENTAL OF ARIZONA | $15K | — | $15K | 4.04% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA, LLC | 4544 EAST CAMP LOWELL DRIVE SUITE 110 TUCSON, AZ 85712 | DELTA DENTAL OF ARIZONA | $7K | — | $7K | 1.92% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA LLC | 4544 EAST CAMP LOWELL DRIVE SUITE 110 TUCSON, AZ 85712 | STANDARD INSURANCE COMPANY | $33K | — | $33K | 16.46% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA LLC | 4544 EAST CAMP LOWELL DRIVE SUITE 110 TUCSON, AZ 85712 | STANDARD INSURANCE COMPANY | $31K | — | $31K | 16.88% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA LLC | 4544 EAST CAMP LOWELL DRIVE SUITE 110 TUCSON, AZ 85712 | STANDARD INSURANCE COMPANY | $22K | — | $22K | 16.93% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA LLC | 14805 NORTH 73RD STREET SCOTTSDALE, AZ 85260 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $19 | $11K | 19.23% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA, LLC DBA | 14805 NORTH 73RD STREET SCOTTSDALE, AZ 85251 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 5.35% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA, LLC | 14805 NORTH 73RD STREET SCOTTSDALE, AZ 85260 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 4.60% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA LLC | 14805 NORTH 73RD STREET SCOTTSDALE, AZ 85260 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $19 | $5K | 19.79% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ARIZONA EIN 86-0004538 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $148K |
| EVICORE EIN 47-2500642 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $9K |
| 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 | 516 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 43 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 559 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF ARIZONA | 978 | $370K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 797 | $49K |
| Life insurance | STANDARD INSURANCE COMPANY | 511 | $184K |
| Short-term disability | STANDARD INSURANCE COMPANY | 521 | $202K |
| Long-term disability | STANDARD INSURANCE COMPANY | 521 | $130K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF ARIZONA | 931 | $629K |
| Other(3 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 511 | $269K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 978 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.