Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
Premium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan has rich benefits or a bad rate.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 7 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 2,262 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,267 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 4,081 | $4.0M |
| Vision | EYE MED | 3,714 | $415K |
| Life insurance(3 contracts, 2 carriers) | COMBINED INSURANCE COMPANY | 3,016 | $1.6M |
| Short-term disability | COMBINED INSURANCE COMPANY | 1,287 | $938K |
| Long-term disability | THE LINCOLN LIFE INSURANCE COMPANY | 2,484 | $483K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 4,081 | $4.0M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF ARIZONA | 4,081 | $4.0M |
| Other(3 contracts, 2 carriers) | COMBINED INSURANCE COMPANY | 3,016 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,081 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ARIZONA EIN 86-0004538 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $1.9M |
| LINCOLN NATIONAL LIFE INSURANCE CO EIN 35-0472300 NONE | Direct payment from the plan; Claims processing; Insurance services Service code 12 | — | $294K |
| HEALTH ADVOCATE SOLUTIONS INC EIN 23-3080019 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $173K |
| UNITED PET CARE LLC EIN 86-0814427 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $106K |
| DELTA DENTAL OF ARIZONA EIN 86-0274899 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $97K |
| FIRST AMERICAN ADMINISTRATORS INC EIN 86-0773195 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $49K |
| P&A ADMINISTRATIVE SERVICES INC EIN 16-1324521 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $14K |
| TELADOC HEALTH INC. EIN 04-3705970 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $13K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
2 contacts
11 filings · 2015 to 2025