Plan Ledger DOL Form 5500 · updated monthly

Mesa Fully Formed, LLC.benefits

Mesa Fully Formed Health & Welfare Benefit Plan · MESA, AZ · plan year 2025

Broker compensation reported · 2025
$53,485

Mesa Fully Formed, LLC.'s benefits plan covered 191 active participants in 2025, providing health · life · dental · vision · death benefits · other. Insurance brokers and agents were paid $53,485 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $280 per covered person, above the median for employer plans that report broker pay.

Insurance contracts · 20253
UNITEDHEALTHCARE INSURANCE COMPANY · visionpremiums n/a · 133 covered
BLUE CROSS BLUE SHIELD OF ARIZONA · health drug dental ppopremiums n/a · 142 covered
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY · lifepremiums n/a · 191 covered
Brokers & agents paid · 20251
MJ INSURANCE$53,485 · incl $1,180 fees
Also brokered by Mj Insurance5
Hopebridge, LLC IN$384,685

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 271260137 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.