| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHNSON INSURANCE SERVICES LLC3 | 1103 HUNTER DRIVE MOUNT PLEASANT, WI 53406 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $53K | $53K | 5.00% |
| JOHNSON INSURANCE SERVICES LLC3 | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $10K | $2K | $11K | 7.92% |
| SUSAN HENDRICKS3 | 6718 NORTH PALM CANYON DRIVE PHOENIX, AZ 85018 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $183 | $4K | 2.55% |
| RENE ADRIAN RODRIGUEZ3 | 1814 EAST BELL RD PHOENIX, AZ 85022 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $293 | $3K | 2.34% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 21700 OXNARD ST STE 1200 WOODLAND HILLS, CA 91367 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 1.97% |
| SANDRA KELLY3 | 10223 N 8TH PLACE PHOENIX, AZ 85020 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 0.99% |
| GEORGE E GENTRY3 | 10550 W ALEXANDER RD LAS VEGAS, NV 89129 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 0.88% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: KERWIN VAUGN BROWN | 1939 E MISSOURI AVE APT 5 PHOENIX, AZ 85016 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $748 | — | $748 | 0.52% |
| TRACY LYNN ALEXIS3 | PO BOX 30994 ALBUQUERQUE, NM 87190 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $738 | — | $738 | 0.52% |
| NELLYN COX3 | 15825 EAST SUNFLOWER DR FOUNTAIN HILLS, AZ 85268 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $672 | — | $672 | 0.47% |
| CHANDA MANSKE3 | 12145 W JESSIE CT SUN CITY, AZ 85373 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $441 | $169 | $610 | 0.43% |
| JEFFREY THOMAS3 | PO BOX 11312 TEMPE, AZ 85284 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $524 | — | $524 | 0.37% |
| DAVID DOUGLAS MANSKE3 | 4636 N 94TH LN PHOENIX, AZ 85037 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $317 | $147 | $464 | 0.33% |
| GARSON FINANCIAL SERVICES S C3 | 904 E PEARSON STREET MILWAUKEE, WI 53202 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $273 | $4 | $277 | 0.19% |
| DONNA JEAN NEUZIL3 | 15022 W MONTEREY WAY GOODYEAR, AZ 85395 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $222 | — | $222 | 0.16% |
| DONNA ROSS SMITH3 Filed as: DONNA MARIE WARREN | 4142 N 25TH ST APT 23 PHOENIX, AZ 85016 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $208 | $9 | $217 | 0.15% |
| JAROLD L WELKER3 | 1922 N 45TH ST PHOENIX, AZ 85008 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $203 | — | $203 | 0.14% |
| JOANNE ESCOBAR3 | 5219 W BEVERLY RD LAVEEN, AZ 85339 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $166 | $12 | $178 | 0.12% |
| JOE SILVA3 | 5 WOLFE RD LOS LUNAS, NM 87031 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $111 | $5 | $116 | 0.08% |
| DAPHNE STOKES3 | 10221 NORTH 8TH PL PHOENIX, AZ 85020 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $112 | — | $112 | 0.08% |
| STERLING WEALTH MANAGEMENT LLC3 | W175 N11163 STONEWOOD DR GERMANTOWN, WI 53022 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $89 | — | $89 | 0.06% |
| FORTRESS INSURANCE SERVICES3 | 20325 N. 51ST AVE STE 134 GLENDALE, AZ 85308 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $61 | — | $61 | 0.04% |
| WILLIAM HOWARD HANNA3 | 3134 E. ENCANTO ST. MESA, AZ 85213 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $38 | — | $38 | 0.03% |
| GEORGE WIENER3 | C/O JAN WIENER PHOENIX, AZ 85051 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $29 | — | $29 | 0.02% |
| R AND T FIGUEROA LLC3 | 7569 S CARLISLE AVE TUCSON, AZ 85746 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.00% |
| DENISE PATRICIA MERIDITH3 | 1201 E PALO VERDE DRIVE PHOENIX, AZ 85014 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.00% |
| BRIAN DOUGLAS SCHROEDER3 | 16224 N. 65TH PL SCOTTSDALE, AZ 85254 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.00% |
| DAVID W HOUK3 | 1826 EAST RANCH RD TEMPE, AZ 85284 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| CAROL JEAN HALL3 | 5737 E CHAPTER DR TUCSON, AZ 85708 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| BILL HIGHSMITH3 | 9234 N 32ND PLACE PHOENIX, AZ 85028 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT MICHAEL ANASAGASTI | 5208 SOUTH GOLDLEAF PL CHANDLER, AZ 85249 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| AUSTIN WALTON3 | 14414 N 44TH DR. GLENDALE, AZ 85306 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JOHSNON INSURANCE SERVICES LLC3 | 318 S WASHINGTON ST GREEN BAY, WI 543014242 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $375 | $3K | 7.06% |
| JOHNSON INSURANCE SERVICES LLC3 | 555 MAIN ST RACINE, WI 53403 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
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 | 117 | 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) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 167 | $1.1M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 122 | $39K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 85 | $13K |
| Life insurance | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 132 | $143K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 132 | $143K |
| Other | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 132 | $143K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 167 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.