No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Contract Administrator Service code 13 | 2001 W CAMELBACK RD STE B350 PHOENIX, AZ 850157404 | $398K |
| BLUE CROSS BLUE SHIELD EIN 86-0004538 NONE | Insurance services Service code 23 | 8220 N 23RD AVE PHOENIX, AZ 85021 | $237K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Consulting (general) Service code 16 | PO BOX 63610 PHOENIX, AZ 85082 | $72K |
| JENNINGS, STROUSS & SALMON PLC EIN 86-0108229 NONE | Legal Service code 29 | ONE EAST WASHINGTON STREET STE 1900 PHOENIX, AZ 85004 | $42K |
| VERUS EIN 91-1320111 NONE | Investment advisory (plan) Service code 27 | 999 THIRD AVENUE, SUITE 4200 SEATTLE, WA 98104 | $23K |
| SEGAL SELECT INSURANCE EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $22K |
| WARD KEENAN AND BARRETT, PC EIN 86-0274260 NONE | Legal Service code 29 | 3838 N CENTRAL AVE SUITE 1720 PHOENIX, AZ 85012 | $17K |
| BALDWIN & BALDWIN PLLC EIN 46-4370753 NONE | Accounting (including auditing) Service code 10 | 701 NORTH 44TH STREET PHOENIX, AZ 85008 | $16K |
| INTERNATIONAL PRINTING CO NONE | Copying and duplicating Service code 36 | 2241 S 7TH ST PHOENIX, AZ 85034 | $10K |
| WELLS FARGO BANK EIN 86-0002768 NONE | Custodial (securities) Service code 19 | 100 W WASHINGTON ST 22ND FLOOR MAC S4101-228 PHOENIX, AZ 85003 | $8K |
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 | 1,190 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 83 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,273 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED DENTAL CARE OF ARIZONA | 1,283 | $28K |
| Vision | VISION SERVICE PLAN | 1,283 | $12K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,283 | $70K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 1,283 | $361K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 1,283 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,283 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.