Form 5500 · Employee benefit plan · SCOTTSDALE, AZ
DILLON PRECISION PRODUCTS INC
The filing calls this plan DILLON PRECISION PRODUCTS INC WELFARE BENEFITS PLAN.
Public Form 5500 records show how DILLON PRECISION PRODUCTS INC of SCOTTSDALE, AZ, a manufacturing employer, structures its employee benefits. Its broker of record is BLACK GOULD & ASSOCIATES. Coverage is written through BLUE CROSS BLUE SHIELD OF ARIZONA and 2 other carriers. The plan's most recent policy period ended in January.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-0345392 · plan 504 · plan year 2025, filed Oct 29, 2025
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
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 and life; the largest, with BLUE CROSS BLUE SHIELD OF ARIZONA, covers 122 people.
Reported premium across the insured contracts is $1,555,456, with $103,081 in disclosed broker commissions — about 6.6% of premium.
The health contract's policy period ended in January, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.
BLACK GOULD & ASSOCIATES is the broker of record on 2 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, PRINCIPAL LIFE INSURANCE COMPANY and EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA. 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, Dental | 122 | Feb 1, 2025 | $1,530,452 | $101,156 |
| PRINCIPAL LIFE INSURANCE COMPANY | Life | 78 | Jan 1, 2025 | $12,716 | $1,419 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Vision | 71 | Feb 1, 2025 | $12,288 | $506 |
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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