| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LAURIE NICOLARY3 | 14021 E HUPPENTHAL BLVD. VAIL, AZ 85641 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $36K | $0 | $36K | 10.19% |
| INTEGRITY ADMINISTRATORS, INC.5 | 1787 TRIBUTE RD., STE. E SACRAMENTO, CA 95815 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $12K | $0 | $12K | 3.40% |
| CENTRAL AUTOMOTIVE UNDERWRITERS OF3 | P O BOX 7320 RENO, NV 89510 | AMERICAN FIDELITY ASSURANCE COMPANY | $4K | $0 | $4K | 5.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P O BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$60 | $0 | -$60 | -0.07% |
| CENTRAL AUTOMOTIVE UNDERWRITERS OF3 | P O BOX 7320 RENO, NV 89510 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | $0 | $1K | 5.01% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P O BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$543 | $0 | -$543 | -2.23% |
| CENTRAL AUTOMOTIVE UNDERWRITERS OF3 | P O BOX 7320 RENO, NV 89510 | AMERICAN FIDELITY ASSURANCE COMPANY | $478 | $0 | $478 | 3.22% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P O BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$270 | $0 | -$270 | -1.82% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P O 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $31 | $0 | $31 | 0.30% |
| CENTRAL AUTOMOTIVE UNDERWRITERS OF3 | P O BOX 7320 RENO, NV 89510 | AMERICAN FIDELITY ASSURANCE COMPANY | $456 | $0 | $456 | 5.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P O BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $98 | $0 | $98 | 1.08% |
| CENTRAL AUTOMOTIVE UNDERWRITERS OF3 | P O BOX 7320 RENO, NV 89510 | AMERICAN FIDELITY ASSURANCE COMPANY | $315 | $0 | $315 | 5.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P O BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$182 | $0 | -$182 | -2.89% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INTEGRITY ADMINISTRATORS, INC. EIN 68-0394770 ADMIN | Claims processing Service code 12 | 1787 TRIBUTE RD., STE. E SACRAMENTO, CA 95815 | $36K |
| NEVADA PREFERRED HEALTHCARE PROVIDE EIN 80-0442103 ADMIN | Claims processing Service code 12 | 1510 MEADOW WOOD LN RENO, NV 89502 | $6K |
| HINES & ASSOCIATES, INC. EIN 35-3545085 ADMIN | Claims processing Service code 12 | 115 EAST HIGHLAND AVE ELGIN, IL 60120 | $3K |
| DIVERSIFIED DENTAL SERVICES INC. EIN 88-0346054 ADMIN | Claims processing Service code 12 | 4720 N. ORADE RD., STE. 100 TUCSON, AZ 85705 | $900 |
| INTEGRADED PRESCRIPTION MANAGMENT EIN 27-0281281 ADMIN | Claims processing Service code 12 | 1301 SOLANA BLVD. BLD 1, STE 1400 WESTLAKE, TX 76262 | $0 |
| WARRIOR COST MANAAGEMENT, LL EIN 85-3740555 ADMIN | Claims processing Service code 12 | 7141 W. MONTE LINDO GLENSDALE, AZ 85310 | $0 |
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 | 109 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 109 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 176 | $367K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 57 | $24K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 43 | $80K |
| Other(4 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 50 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 176 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.