Form 5500 · Employee benefit plan · SIERRA VISTA, AZ
COCHISE PRIVATE INDUSTRY COUNCIL, INC.
The filing calls this plan COCHISE PRIVATE INDUSTRY COUNCIL WELFARE BENEFIT PLAN.
Public Form 5500 records show how COCHISE PRIVATE INDUSTRY COUNCIL, INC. of SIERRA VISTA, AZ, a health care and social assistance employer, structures its employee benefits. Its broker of record is PATRIOT GROWTH INSURANCE SERVICES,L. Coverage is written through BLUE CROSS BLUE SHIELD OF ARIZONA and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-0485021 · plan 501 · plan year 2026, filed Sep 3, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 3 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF ARIZONA, covers 147 people.
Reported premium across the insured contracts is $376,483, with $46,473 in disclosed broker commissions — about 12% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in January. The plan is on a split renewal cycle.
PATRIOT GROWTH INSURANCE SERVICES,L is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF ARIZONA, AMERITAS LIFE INSURANCE CORP. and THE LINCOLN NATIONAL LIFE INSURANCE COMPANY. BLUE CROSS BLUE SHIELD OF ARIZONA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ARIZONA | Health | 147 | Jan 1, 2026 | $275,270 | $39,260 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life, Disability | 144 | Feb 1, 2026 | $33,423 | $4,421 |
| AMERITAS LIFE INSURANCE CORP. | Dental, Vision | 239 | Jan 1, 2026 | $67,790 | $2,792 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
How this plan compares
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