Form 5500 · Employee benefit plan · MESA, AZ
ORTHOTIC HOLDINGS, INC.
The filing calls this plan ORTHOTIC HOLDINGS, INC HEALTH AND WELFARE PLAN.
ORTHOTIC HOLDINGS, INC. of MESA, AZ is a 119-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is BROWN & BROWN INSURANCE SVCS, INC.. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND FFILIATES and 1 other carrier. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-3487947 · plan 501 · plan year 2025, filed Apr 6, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
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
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.
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 5 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY AND FFILIATES, covers 83 people.
Reported premium across the insured contracts is $127,114, with $20,284 in disclosed broker commissions — about 16% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
BROWN & BROWN INSURANCE SVCS, INC. is the broker of record on 2 of the 5 contracts; the rest name a different broker or none.
Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND FFILIATES and UNITED OF OMAHA LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 117 | Dec 1, 2025 | $17,188 | $9,347 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND FFILIATES | Health, Dental, Vision | 83 | Dec 1, 2025 | $68,495 | $6,794 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 117 | Dec 1, 2025 | $19,795 | $1,979 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 117 | Dec 1, 2025 | $14,671 | $1,467 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 20 | Dec 1, 2025 | $6,965 | $697 |
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: 121 employees, 4 recordable cases, 28 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
Subscribers see how this compares with similar plans in Arizona. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
More employer plans in Arizona — largest plans, brokers, carriers and renewal months.