Form 5500 · Employee benefit plan · TUCSON, AZ
GAMING ENTERPRISE DIVISION OF PASCUA YAQUI TRIBE
The filing calls this plan GAMING ENTERPRISE DIVISION OF PASCUA YAQUI TRIBE EMPLOYEE BENEFIT PLAN.
GAMING ENTERPRISE DIVISION OF PASCUA YAQUI TRIBE of TUCSON, AZ spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is CBIZ BENEFITS AND INS SERVICES. Coverage is written through LIFE INSURANCE COMPANY OF NORTH AMERICA and 2 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-1032459 · plan 501 · plan year 2025, filed Mar 25, 2026
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71 other employer plans in Arizona have policy years ending in September. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
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 6 insured contracts covering health, vision, life and disability; the largest, with LIFE INSURANCE COMPANY OF NORTH AMERICA, covers 2,016 people.
The filing declares health, vision, life, disability and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.
Reported premium across the insured contracts is $951,934, with $71,723 in disclosed broker commissions — about 7.5% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
CBIZ BENEFITS AND INS SERVICES is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANSEL | Health | 231 | Oct 1, 2025 | $164,493 | $32,899 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 2,016 | Oct 1, 2025 | $248,674 | $12,434 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 929 | Oct 1, 2025 | $212,759 | $10,638 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 991 | Oct 1, 2025 | $167,386 | $8,369 |
| VISION SERVICE PLAN | Vision | 777 | Oct 1, 2025 | $138,030 | $6,353 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 978 | Oct 1, 2025 | $20,592 | $1,030 |
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.
How this plan compares
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Renewal calendar
71 other employer plans in Arizona are October 1 renewals (policy year ends September).
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