| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CREST INSURANCE GROUP LLC3 | 5285 E WILLIAMS CIRCLE STE 4500 TUCSON, AZ 85711 | BLUE CROSS BLUE SHIELD OF ARIZONA | $21K | — | $21K | 5.05% |
| CREST INSURANCE GROUP LLC3 | 5285 E. WILLIAMS CIRCLE TUCSON, AZ 85711 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | $873 | $10K | 11.23% |
| NATALIE MALHAM3 Filed as: NATALIE DAWN MALHAM | 5642 E. EDGEMONT AVE SCOTTSDALE, AZ 85257 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $2K | $6K | 6.84% |
| JAMES D THRESHER3 | 1316 E NIGHTINGALE LANE GILBERT, AZ 85298 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $2K | $3K | 2.96% |
| MIRANDELLY HERNANDEZ3 | 6054 N 30TH AVE PHOENIX, AZ 85017 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $179 | $2K | 2.49% |
| NOAH OROPEZA3 | 5305 N GINNING DR LITCHFIELD PARK, AZ 85340 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $863 | $553 | $1K | 1.59% |
| JONAH SCOTT FELDMAN3 | 3427 E PINOT NOIR AVE GILBERT, AZ 85298 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.49% |
| STEVEN D SCOTT3 | 6406 N 83RD DR GLENDALE, AZ 85305 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $594 | $31 | $625 | 0.70% |
| LAUREN ELIZABETH MILNER3 | 5642 E EDGEMONT AVE SCOTTSDALE, AZ 85257 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $518 | — | $518 | 0.58% |
| CECILIA ESCALANTE WOLFSON3 | 2701 N RAINBOW BLVD APT 1093 LAS VEGAS, NV 89108 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $323 | $34 | $357 | 0.40% |
| BRIAN DOUGLAS SCHROEDER3 | 16356 N. THOMPSON PEAK PKWY SCOTTSDALE, AZ 85260 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $266 | $16 | $282 | 0.32% |
| MANUEL DE CABRERA3 | 4361 N 106TH AVE PHOENIX, AZ 85037 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $147 | — | $147 | 0.17% |
| EDUARDO BARAJAS3 | 1703 W NATAL AVE MESA, AZ 85202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $80 | — | $80 | 0.09% |
| DAVID PEPIN3 | 9341 FORT BAYARD AVE LAS VEGAS, NV 89178 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | $16 | $35 | 0.04% |
| WENDY M SHELLY3 Filed as: WENDY MARIE SHELLY | 3355 S TOWN CENTER DRIVE LAS VEGAS, NV 89135 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | $6 | $25 | 0.03% |
| VICTOR MANUEL ZALDO3 | 25714 N 54TH GLEN PHOENIX, AZ 85083 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.01% |
| JOANNE ESCOBAR3 | 5219 W BEVERLY RD LAVEEN, AZ 85339 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.01% |
| KENT BISWANGER3 | 1851 W HIDDENVIEW DR PHOENIX, AZ 85045 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| CREST INSURANCE GROUP LLC3 Filed as: CREST INS GROUP LLC | 7272 E. INDIAN SCHOOL ROAD STE 375 SCOTTSDALE, AZ 85251 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 6.28% |
| ENROLLEASE3 | 660 YORK STREET SUITE 102 SAN FRANCISCO, CA 94110 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 1.83% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN DRISCOLL & COMPANY INC | 5080 N 40TH ST # 400 PHOENIX, AZ 85018 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $124 | — | $124 | 0.21% |
| PACIFIC ADVISORS LLC3 Filed as: PACIFIC ADVISORS INC | 333 INDIAN HILL BLVD CLAREMONT, CA 91711 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4 | — | $4 | 0.01% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 141 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 79 | $424K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 79 | $58K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 79 | $58K |
| Life insurance | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 141 | $89K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 79 | $424K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 141 | $89K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 141 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.