Form 5500 · Employee benefit plan · GLENDALE, AZ
ELITE ROOFING SUPPLY-AZ, LLC
ELITE ROOFING SUPPLY-AZ, LLC of GLENDALE, AZ insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is WALLACE WELCH & WILLINGHAM, INC.. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-0963459 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering dental, vision, life and disability; the largest, with UNITED OF OMAHA LIFE INSURANCE COMPANY, covers 510 people.
Reported premium across the insured contracts is $563,190, with $67,899 in disclosed broker commissions — about 12% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
WALLACE WELCH & WILLINGHAM, INC. 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 — UNITED OF OMAHA LIFE INSURANCE COMPANY, METROPOLITAN LIFE INSURANCE COMPANY and EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO — with UNITED OF OMAHA LIFE INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 510 | July | $277,523 | $40,779 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 756 | July | $243,245 | $25,368 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | Vision | 721 | July | $42,422 | $1,752 |
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.
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