Form 5500 · Employee benefit plan · SCOTTSDALE, AZ
LIFESTANCE HEALTH
The filing calls this plan LIFESTANCE HEALTH & WELFARE BENEFITS PLAN.
LIFESTANCE HEALTH of SCOTTSDALE, AZ files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is AMERICAN BENEFITS CONSULTING, LLC. Coverage is written through LIFE INSURANCE COMPANY OF NORTH AMERICA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-5361406 · plan 501 · plan year 2025, filed Jun 24, 2026
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859 other employer plans in Arizona have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Both, as reported
The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.
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
Health: KAISER FOUNDATION HEALTH PLAN, INC. covers 237 of 8,405 participants (2.8%) on Schedule A.
Also declared: death benefits.
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 4 insured contracts covering health, dental, vision, life and disability; the largest, with LIFE INSURANCE COMPANY OF NORTH AMERICA, covers 5,743 people.
Reported premium across the insured contracts is $14,190,150, with $704,991 in disclosed broker commissions — about 5% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
AMERICAN BENEFITS CONSULTING, LLC is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including LIFE INSURANCE COMPANY OF NORTH AMERICA, DELTA DENTAL OF WASHINGTON, KAISER FOUNDATION HEALTH PLAN, INC. and VISION SERVICE PLAN. LIFE INSURANCE COMPANY OF NORTH AMERICA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life, Disability | 5,743 | Jan 1, 2026 | $6,652,036 | $704,991 |
| DELTA DENTAL OF WASHINGTON | Dental | 9,010 | Jan 1, 2026 | $3,921,815 | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 237 | Jan 1, 2026 | $2,968,623 | $0 |
| VISION SERVICE PLAN | Vision | 5,743 | Jan 1, 2026 | $647,676 | $0 |
Premium and claims on this contract
DELTA DENTAL OF WASHINGTON, contract 9489. For the contract year on this filing, the carrier reported $3,921,815 in premium earned and $3,208,611 in claims incurred. Dividing one by the other gives 82%.
- DELTA DENTAL OF WASHINGTON, contract 9489 reported $411,791 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Other plans filed by this employer
How this plan compares
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Renewal calendar
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