| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT TOUCHE INC | PO BOX 32702 TUCSON, AZ 85751 | BLUE CROSS BLUE SHIELD OF ARIZONA | $53K | — | $53K | 20.20% |
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT TOUCHE INC | PO BOX 32702 TUCSON, AZ 857512702 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $2K | $6K | 15.48% |
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT TOUCHE INC | PO BOX 32702 TUCSON, AZ 857512702 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $2K | $7K | 21.12% |
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT TOUCHE | 1050 W WASHINGTON ST STE 233 TEMPE, AZ 85281 | SIGHTCARE INC | $2K | — | $2K | 10.00% |
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT TOUCHE INC | PO BOX 32702 TUCSON, AZ 857512702 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $949 | $3K | 15.26% |
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT TOUCHE INC | PO BOX 32702 TUCSON, AZ 857512702 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $734 | $294 | $1K | 21.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ARIZONA EIN 86-0004538 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $223K |
| DELTA DENTAL OF ARIZONA EIN 86-0274899 ADMINISTRATOR | Contract Administrator Service code 13 | — | $16K |
| EAP PREFERRED SERVICE PROVIDER | Other services Service code 49 | 99 E VIRGINIA AVENUE STE 275 PHOENIX, AZ 85004 | $7K |
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 | 482 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 482 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 345 | $265K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ARIZONA | 345 | $286K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 498 | $51K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 496 | $36K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 10 | $5K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 345 | $265K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF ARIZONA | 345 | $265K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 498 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 498 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.