Form 5500 · Employee benefit plan · SCOTTSDALE, AZ
ENVITA MEDICAL CENTERS
The filing calls this plan ENVITA MEDICAL CENTERS EMPLOYEE BENEFIT PLAN & TRUST.
ENVITA MEDICAL CENTERS of SCOTTSDALE, AZ files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Coverage is written through BRECKPOINT INSURANCE COMPANY LLC and 3 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-1044271 · plan 501 · plan year 2025, filed Feb 4, 2026
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How this plan is funded
Self-funded as reported
The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Also declared: other welfare.
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 4 insured contracts covering health and stop-loss; the largest, with BRECKPOINT INSURANCE COMPANY LLC, covers 171 people.
The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.
Reported premium across the insured contracts is $383,503, with $3,485 in disclosed broker commissions — about 0.9% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| MULTIPLAN | Health | 171 | May 1, 2025 | $12,434 | $3,485 |
| BRECKPOINT INSURANCE COMPANY LLC | Health, Stop-loss | 171 | May 1, 2025 | $241,829 | $0 |
| AMWINS | — | 171 | May 1, 2025 | $97,400 | $0 |
| MEDWATCH | — | 171 | May 1, 2025 | $31,840 | $0 |
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. The service providers are named on Schedule C of this filing. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
How this plan compares
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