Form 5500 · Employee benefit plan · SCOTTSDALE, AZ
INTERFACE INC
The filing calls this plan INTERFACE, INC. HEALTH AND WELFARE PLAN.
Public Form 5500 records show how INTERFACE INC of SCOTTSDALE, AZ, a manufacturing employer, structures its employee benefits. Its broker of record is MARSH AND MCLENNAN AGENCY. Coverage is written through BLUE CROSS BLUE SHIELD OF ARIZONA and 1 other carrier. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-0217908 · plan 740 · plan year 2025, filed Feb 25, 2026
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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
Also declared: death benefits, 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.
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 2 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF ARIZONA, covers 330 people.
Reported premium across the insured contracts is $1,953,217, with $96,139 in disclosed broker commissions — about 4.9% of premium.
The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.
MARSH AND MCLENNAN AGENCY is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: BLUE CROSS BLUE SHIELD OF ARIZONA and EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ARIZONA | Health, Dental | 330 | Sep 1, 2025 | $1,736,809 | $66,980 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Vision, Life, Disability | 205 | Sep 1, 2025 | $216,408 | $29,159 |
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.
Reported to OSHA
Reported to OSHA for 2025: 205 employees, 4 recordable cases, 5 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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