| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 Filed as: POWERS LEAVITT INSURANCE | PO BOX 125 BUCKEYE, AZ 85326 | BLUE CROSS BLUE SHIELD OF ARIZONA | $39K | — | $39K | 4.87% |
| LEAVITT GROUP3 Filed as: POWERS LEAVITT INSURANCE AGENCY INC | PO BOX 125 BUCKEYE, AZ 85326 | AMERITAS LIFE INSURANCE CORPORATION | $3K | — | $3K | 3.29% |
| LEAVITT GROUP3 Filed as: POWERS LEAVITT INSURANCE AGENCY INC | PO BOX 125 BUCKEYE, AZ 85326 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | — | $6K | 14.36% |
| REBECCA J MERRITT3 | 927 EAST KEIM DRIVE PHOENIX, AZ 85014 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $192 | $2K | 5.14% |
| MARK MARQUEZ3 | 11680 EAST CARON STREET SCOTTSDALE, AZ 85259 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $641 | $1K | $2K | 3.80% |
| LEOBARDO J PINEDA3 | 1451 WEST HAWKEN WAY CHANDLER, AZ 85286 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 3.75% |
| DONNA ROSS SMITH3 Filed as: DONNA MARIE WARREN | 4142 NORTH 25TH STREET APT 23 PHOENIX, AZ 85016 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $717 | — | $717 | 1.58% |
| PHYLLIS JANELL QUINT3 | 715 WEST NORTHVIEW AVENUE PHOENIX, AZ 85021 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $519 | $51 | $570 | 1.26% |
| DEBORAH ANN BERRY3 | 1042 EAST 9TH PLACE MESA, AZ 85203 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $442 | $23 | $465 | 1.03% |
| WEHRLE CONSULTING INC3 | 5820 NORTH 81ST STREET SCOTTSDALE, AZ 85250 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $306 | $6 | $312 | 0.69% |
| ALMA A CASTELLANOS3 | 4066 EAST WHITTON AVENUE PHOENIX, AZ 85018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $250 | — | $250 | 0.55% |
| JAMES D THRESHER3 Filed as: JAMES THRESHER | 1316 EAST NIGHTINGALE LANE GILBERT, AZ 85297 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $54 | $133 | $187 | 0.41% |
| BLAKE INSURANCE SERVICES INC3 | 17319 WEST YOUNG STREET SURPRISE, AZ 85388 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $178 | — | $178 | 0.39% |
| SHAWN JEFFERY WARREEN3 | 3131 NORTH 70TH STREET APT 2011 SCOTTSDALE, AZ 85251 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $47 | $84 | $131 | 0.29% |
| PATRICIA FERNANDEZ3 | 1113 WEST MONTE CRISTO AVENUE PHOENIX, AZ 85023 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $104 | — | $104 | 0.23% |
| GREGORY ALLEN ELDER3 | 4232 EAST MAYA WAY CAVE CREEK, AZ 85331 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $73 | — | $73 | 0.16% |
| ALAN SUCKERMAN3 | 7304 EAST PLEASANT RUN SCOTTSDALE, AZ 85258 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $66 | — | $66 | 0.15% |
| RBA ENTERPRISES3 | 1113 WEST MONTE CRISTO AVENUE PHOENIX, AZ 85023 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $64 | — | $64 | 0.14% |
| DONNA JEAN NEUZIL3 | 15022 WEST MONTEREY WAY GOODYEAR, AZ 85395 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $52 | $5 | $57 | 0.13% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT MICHAEL ANASAGASTI | 5208 SOUTH GOLDLEAF PLACE CHANDLER, AZ 85249 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $35 | $1 | $36 | 0.08% |
| AHG ENTERPRISES LLC3 | 5702 EAST CHESTER OAK ROAD SCOTTSDALE, AZ 85254 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | — | $19 | 0.04% |
| PECK FINANCIAL SERVICES INC3 | 27566 NORTH 98TH LANE PEORIA, AZ 85383 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $1 | $14 | 0.03% |
| SUSAN HENDRICKS3 | 6718 NORTH PALM CANYON DRIVE PHOENIX, AZ 85018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | $5 | $13 | 0.03% |
| JEFFREY THOMAS3 | PO BOX 11312 TEMPE, AZ 85284 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.03% |
| VINCENT TAYLOR ECHOLS3 | PO BOX 594 THATCHER, AZ 85552 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | $2 | $12 | 0.03% |
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 | 127 | 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) | 127 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 126 | $794K |
| Dental | AMERITAS LIFE INSURANCE CORPORATION | 151 | $95K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ARIZONA | 151 | $890K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 102 | $45K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 126 | $794K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 102 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.