| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO. WESTERN STATES INC. | 180 HOWARD STREET, SUITE 1100 SAN FRANCISCO, CA 941056147 | METROPOLITAN LIFE INSURANCE COMPANY | $23K | $38 | $23K | 9.09% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY INC | 180 HOWARD STREET, SUITE 1100 SAN FRANCISCO, CA 941056147 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $14K | — | $14K | 8.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ARIZONA EIN 86-0004538 NONE | Contract Administrator Service code 13 | — | $518K |
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 | 775 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 782 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 780 | $1.0M |
| Dental(2 contracts) | DELTA DENTAL OF ARIZONA | 535 | $625K |
| Vision | BLUE CROSS BLUE SHIELD OF ARIZONA | 780 | $1.0M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,073 | $255K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 882 | $176K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 780 | $1.0M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF ARIZONA | 780 | $1.0M |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,073 | $275K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,073 | — |
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."
No prospect flags tripped on this filing.