Form 5500 · Employee benefit plan · SCOTTSDALE, AZ
ARIZONA DENTAL INSURANCE SERVICE, INC.
ARIZONA DENTAL INSURANCE SERVICE, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is MERCER HEALTH & BENEFITS LLC. Coverage is written through RELIANCE STANDARD LIFE INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-0274899 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 142 | December | $3,725 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 142 | December | $3,306 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 142 | December | $3,100 |
| UNITED BEHAVIORAL HEALTH DBA OPTUM | — | — | December | $0 |
| DELTA DENTAL OF ARIZONA | Vision | 339 | December | $0 |
| DELTA DENTAL OF ARIZONA | Dental | 392 | December | $0 |
Questions
Who is ARIZONA DENTAL INSURANCE SERVICE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, ARIZONA DENTAL INSURANCE SERVICE, INC.'s broker of record is MERCER HEALTH & BENEFITS LLC.
What insurance carrier does ARIZONA DENTAL INSURANCE SERVICE, INC. use?
ARIZONA DENTAL INSURANCE SERVICE, INC.'s benefit plan is written through RELIANCE STANDARD LIFE INSURANCE COMPANY, among 6 disclosed carriers.
When does ARIZONA DENTAL INSURANCE SERVICE, INC.'s group plan renew?
The most recent Schedule A policy period for ARIZONA DENTAL INSURANCE SERVICE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from ARIZONA DENTAL INSURANCE SERVICE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.