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Sponsor portfolioWelfare / HealthEIN 27-1260137

MESA FULLY FORMED, LLC.

1111 SOUTH SIRRINE STREET · MESA, AZ 85210
4808349331
Plans filed
1
Years active
2016–2026
Industry
NAICS 33
Latest filing
2026
Total premiums (latest)
$916K
No prior year
Persons covered
191
No prior year
Total participants
191
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$916K
MESA FULLY FORMED HEALTH & WELFARE BENEFIT PLAN
Fully insured191 covered·3 carriers
Primary: BLUE CROSS BLUE SHIELD OF ARIZONA

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$871K32.4%
Dental$871K32.4%
Prescription drug$871K32.4%
Life$32K1.2%
Other$32K1.2%
Vision$13K0.5%

Carrier overview

3 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
BLUE CROSS OF CALIFORNIA
EIN 860004538
HRxD
$871K95.1%11142
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY
EIN 350472300
LOth
$32K3.5%11191
UNITEDHEALTHCARE INSURANCE COMPANY
EIN 362739571
V
$13K1.4%11133

Broker overview

1 broker · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
MJ INSURANCEPHOENIX, AZBLUE CROSS BLUE SHIELD OF ARIZONA, UNITEDHEALTHCARE INSURANCE COMPANY, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY$52K$1K$53K100.0%1

History & trajectory

11 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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