| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INCOR SERVICES INC3 | 1500 EAST BETHANY HOME ROAD SUITE 200 PHOENIX, AZ 85014 | BLUE CROSS & BLUE SHIELD OF ARIZONA | $13K | — | $13K | 0.10% |
| INCOR SERVICES INC3 Filed as: INCOR SERVICES | 1500 EAST BETHANY HOME ROAD SUITE 200 PHOENIX, AZ 85014 | DELTA DENTAL OF ARIZONA | $141K | — | $141K | 12.93% |
| INCOR SERVICES INC3 | 1500 EAST BETHANY HOME ROAD SUITE 200 PHOENIX, AZ 85014 | METROPOLITAN LIFE INSURANCE COMPANY | $70K | $3K | $73K | 14.29% |
| INCOR SERVICES INC3 Filed as: INCOR SERVICES | 1500 EAST BETHANY HOME ROAD SUITE 200 PHOENIX, AZ 85014 | DELTA DENTAL OF ARIZONA | $17K | — | $17K | 10.13% |
| INCOR SERVICES INC3 | 1500 EAST BETHANY HOME ROAD SUITE 200 PHOENIX, AZ 85014 | METROPOLITAN LIFE INSURANCE COMPANY | $17K | $2K | $18K | 14.53% |
| INCOR SERVICES INC3 | — | ALPHA DENTAL OF ARIZONA, INC. | $18K | — | $18K | 15.03% |
| INCOR SERVICES INC3 | 1500 EAST BETHANY HOME ROAD PHOENIX, AZ 85014 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13K | — | $13K | 18.78% |
| ANGELA M COOK3 | 400 NORTH CORONADO STREET APARTMENT 2108 CHANDLER, AZ 85224 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 8.16% |
| FILIPE A COELHO3 | 4515 SOUTH MCCLINTOCK DRIVE SUITE 212 TEMPE, AZ 85282 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 6.93% |
| JOSE A SCHIENEMAN3 | 1881 SOUTH CARRAIGE LANE SUITE 212 CHANDLER, AZ 85286 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 6.41% |
| JEFFREY D TORELLO3 | 14 BUSINESS PARK DRIVE SUITE 8 BRANFORD, CT 06405 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.11% |
| JASON PERKINS3 Filed as: JASON PERKINS LLC | 2162 EAST HAWKEN WAY CHANDLER, AZ 85286 | CONTINENTAL AMERICAN INSURANCE COMPANY | $971 | — | $971 | 1.45% |
| ROY CHILDRESS3 Filed as: ROY QUINONES | 1441 EAST GERMANN ROAD #2103 CHANDLER, AZ 85286 | CONTINENTAL AMERICAN INSURANCE COMPANY | $225 | — | $225 | 0.34% |
| FILIPE A COELHO3 | 4515 SOUTH MCCLINTOCK DRIVE SUITE 212 TEMPE, AZ 85282 | CONTINENTAL AMERICAN INSURANCE COMPANY | $64 | — | $64 | 0.10% |
| ASHLEY INSURANCE GROUP3 Filed as: ASHLEY M BOEHLER | 14301 NORTH 87TH STREET SCOTTSDALE, AZ 85260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | — | $38 | 0.06% |
| JOSEPH R GUNTHER3 | 327 NORTH TIAGO DRIVE GILBERT, AZ 85233 | CONTINENTAL AMERICAN INSURANCE COMPANY | $37 | — | $37 | 0.06% |
| MARY M MATTOS3 | 355 A HUALANI STREET KAILUA, HI 96734 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 14.83% |
| MARY M MATTOS3 | 355 A HUALANI STREET KAILUA, HI 96734 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $858 | — | $858 | 14.99% |
| INCOR SERVICES INC3 Filed as: INCOR SERVICES | 1500 EAST BETHANY HOME ROAD SUITE 200 PHOENIX, AZ 85014 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $629 | — | $629 | 15.00% |
| MARY M MATTOS3 | 355 A HUALANI STREET KAILUA, HI 96734 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $362 | — | $362 | 15.02% |
No Schedule C service providers reported on this filing.
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 | 1,347 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 339 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,695 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS & BLUE SHIELD OF ARIZONA | 38 | $13.8M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF ARIZONA | 2,769 | $1.2M |
| Vision | DELTA DENTAL OF ARIZONA | 2,567 | $166K |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 1,133 | $635K |
| Short-term disability(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 1,133 | $635K |
| Long-term disability(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 1,133 | $635K |
| Other(8 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,600 | $739K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,769 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.