Form 5500 · Employee benefit plan · MESA, AZ
STATESERV MEDICAL LLC
STATESERV MEDICAL LLC of MESA, AZ is a 868-participant retail employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is AON RISK SERVICES CENTRAL INC.. Coverage is written through AETNA LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-1563028 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA LIFE INSURANCE COMPANY, covers 1,273 people.
Reported premium across the insured contracts is $8,304,887, with $1,539 in disclosed broker commissions — about 0% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
AON RISK SERVICES CENTRAL 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 — AETNA LIFE INSURANCE COMPANY, RELIASTAR LIFE INSURANCE COMPANY, METROPOLITAN GENERAL INSURANCE COMPANY and VOYA FINANCIAL EMPLOYEE BENEFITS DIVISION OF RELIASTAR LIFE INSURANCE — with AETNA LIFE INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| METROPOLITAN GENERAL INSURANCE COMPANY | — | 0 | March | $14,574 | $1,539 |
| RELIASTAR LIFE INSURANCE COMPANY | Life, Disability | 1,447 | March | $312,419 | $0 |
| AETNA LIFE INSURANCE COMPANY | Health, Dental, Vision | 1,273 | March | $7,970,446 | $0 |
| VOYA FINANCIAL EMPLOYEE BENEFITS DIVISION OF RELIASTAR LIFE INSURANCE | — | 1,040 | March | $7,448 | $0 |
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