| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WINCLINE LLC3 | 2720 EAST CAMELBACK ROAD SUITE 275 PHOENIX, AZ 85016 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $20K | — | $20K | 5.74% |
| WINCLINE LLC3 | 3219 EAST CAMELBACK ROAD SUITE 538 PHOENIX, AZ 85018 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $15K | — | $15K | 15.00% |
| WINCLINE LLC3 | 3219 EAST CAMELBACK ROAD SUITE 538 PHOENIX, AZ 85018 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $12K | — | $12K | 15.00% |
| JOHN HARVEY3 | 3219 EAST CAMELBACK ROAD SUITE 538 PHOENIX, AZ 85018 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $10K | — | $10K | 17.97% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ INSURANCE SERVICES, INC. | 44 BALTIMORE STREET CUMBERLAND, MD 21502 | FEDERAL INSURANCE COMPANY | $681 | — | $681 | 14.59% |
| WINCLINE LLC3 | 2720 EAST CAMELBACK ROAD SUITE 275 PHOENIX, AZ 85016 | FEDERAL INSURANCE COMPANY | $19 | — | $19 | 0.41% |
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 | 1,176 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,179 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 873 | $364K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ARIZONA | 873 | $457K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,176 | $354K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 668 | $111K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 510 | $202K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 873 | $364K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF ARIZONA | 873 | $364K |
| Other(6 contracts, 4 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,208 | $292K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,208 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.