Form 5500 · Employee benefit plan · MIAMI, AZ
PINTO VALLEY MINING CORP.
The filing calls this plan PINTO VALLEY MINING CORP. SALARIED HEALTH AND WELFARE PLAN.
PINTO VALLEY MINING CORP. of MIAMI, AZ is a 228-participant mining and energy extraction employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is ALLIANT INSURANCE SERVICES INC. Coverage is written through BLUE CROSS BLUE SHIELD OF ARIZONA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-2885758 · plan 501 · plan year 2024, filed Jul 31, 2025
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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 4 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF ARIZONA, covers 688 people.
Reported premium across the insured contracts is $5,035,628, with $117,554 in disclosed broker commissions — about 2.3% 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.
ALLIANT INSURANCE SERVICES INC 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 BLUE CROSS BLUE SHIELD OF ARIZONA, AMERITAS LIFE INSURANCE CORP., PRUDENTIAL INSURANCE COMPANY OF AMERICA and COMPSYCH CORPORATION. BLUE CROSS BLUE SHIELD OF ARIZONA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ARIZONA | Health | 688 | Jan 1, 2025 | $3,968,626 | $79,373 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, Disability | 304 | Jan 1, 2025 | $440,662 | $19,917 |
| AMERITAS LIFE INSURANCE CORP. | Dental, Vision | 1,377 | Jan 1, 2025 | $608,669 | $18,264 |
| COMPSYCH CORPORATION | — | 632 | Jan 1, 2025 | $17,671 | $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. We publish company names only.
Other plans filed by this employer
How this plan compares
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