| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK METTILLE3 Filed as: MARK J MATSOCK & ASSOCIATES INC | 2400 EAST ARIZONA BILTMORE CIRCLE #1100 PHOENIX, AZ 85016 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | — | $66K | $66K | 4.50% |
| MARK METTILLE3 Filed as: MARK J MATSOCK & ASSOCIATES INC | 2400 EAST ARIZONA BILTMORE CIRCLE #1100 PHOENIX, AZ 85016 | CIGNA HEALTHCARE OF ARIZONA, INC. | — | $14K | $14K | 4.50% |
| MARK METTILLE3 Filed as: MARK J MATSOCK ASSOCIATES INC | 2400 EAST ARIZONA BILTMORE CIRCLE SUITE 1100 PHOENIX, AZ 85016 | METROPOLITAN LIFE INSURANCE COMPANY | $29K | — | $29K | 10.80% |
| MARK METTILLE3 Filed as: MARK J MATSOCK & ASSOCIATES, INC. | 2400 EAST ARIZONA BILTMORE CIRCLE #1100 PHOENIX, AZ 85016 | HEALTHIEST YOU | $1K | — | $1K | 15.00% |
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 | 189 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 197 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 163 | $1.8M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 364 | $267K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 364 | $267K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 364 | $267K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 364 | $267K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 364 | $267K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 364 | $274K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 364 | — |
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.