| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CROWN RISK MANAGEMENT, LLC3 Filed as: SOUTHWEST RISK MANAGEMENT LLC | 4801 E MCKELLIPS RD MESA, AZ 852152527 | PRINCIPAL LIFE INSURANCE COMPANY | $15K | — | $15K | 12.05% |
| TULA G BOYLES3 | 8880 N SILVER MOON WAY TUCSON, AZ 85743 | AFLAC | $6K | — | $6K | 12.04% |
| CARLOS CHAVEZ3 Filed as: CARLOS E CHAVEZ | 4750 N ORACLE RD STE 214 TUCSON, AZ 85705 | AFLAC | $6K | — | $6K | 11.52% |
| KELLY MCGARRY3 | 4742 N ORACLE RD STE 210 TUCSON, AZ 85705 | AFLAC | $2K | — | $2K | 3.92% |
| JARCEY RAUL RODRIGUEZ3 | 202 S 1ST AVE STE 108 YUMA, AZ 85364 | AFLAC | $623 | — | $623 | 1.29% |
| NICHOLAS J DONIA3 | 843 W CALLE MURO FUERTE SAHUARITA, AZ 85629 | AFLAC | $346 | — | $346 | 0.72% |
| RICK M MCKINNEY3 | 2448 E 81ST ST TULSA, OK 74137 | AFLAC | $285 | — | $285 | 0.59% |
| ROXANNE WISWOSSER3 | 1004 GEORGIA ST TEHACHAPI, CA 93561 | AFLAC | $92 | — | $92 | 0.19% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $92 | — | $92 | 0.19% |
| JACKIE G BARTA3 | 3500 N MALLARD CIR SIERRA VISTA, AZ 85635 | AFLAC | $88 | — | $88 | 0.18% |
| ROCHELLE R MAURER3 | 3031 PERO DR LAKE HAVASU CITY, AZ 86404 | AFLAC | $45 | — | $45 | 0.09% |
| KASIE L RODRIGUEZ3 | 4054 S CEDAR AVE YUMA, AZ 85365 | AFLAC | $44 | — | $44 | 0.09% |
| FILIPE A COELHO3 | 4515 S MCCLINTOCK DR STE 212 TEMPE, AZ 85282 | AFLAC | $35 | — | $35 | 0.07% |
| KAYELA FORD3 | 976 YESTERDAY LN MEDINA, OH 44256 | AFLAC | $22 | — | $22 | 0.05% |
| LYNN MENDOZA3 | 2451 S JAMES DR YUMA, AZ 85365 | AFLAC | $10 | — | $10 | 0.02% |
| SETH G KNOWLTON3 | 11396 N SILVER PHEASANT LOOP ORO VALLEY, AZ 85737 | AFLAC | $9 | — | $9 | 0.02% |
| CARLOS CHAVEZ3 Filed as: CARLOS E CHAVEZ | 4750 N ORACLE RD STE 214 TUCSON, AZ 85705 | AFLAC | $2K | — | $2K | 7.73% |
| TULA G BOYLES3 | 8880 N SILVER MOON WAY TUCSON, AZ 85743 | AFLAC | $1K | — | $1K | 5.99% |
| KELLY MCGARRY3 | 4742 N ORACLE RD STE 210 TUCSON, AZ 85705 | AFLAC | $536 | — | $536 | 2.68% |
| JARCEY RAUL RODRIGUEZ3 | 202 S 1ST AVE STE 108 YUMA, AZ 85364 | AFLAC | $440 | — | $440 | 2.20% |
| RICK M MCKINNEY3 | 2448 E 81ST ST TULSA, OK 74137 | AFLAC | $237 | — | $237 | 1.19% |
| SETH G KNOWLTON3 | 11396 N SILVER PHEASANT LOOP ORO VALLEY, AZ 85737 | AFLAC | $114 | — | $114 | 0.57% |
| KASIE L RODRIGUEZ3 | 4054 S CEDAR AVE YUMA, AZ 85365 | AFLAC | $69 | — | $69 | 0.35% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $61 | — | $61 | 0.31% |
| JACKIE G BARTA3 | 3500 N MALLARD CIR SIERRA VISTA, AZ 85635 | AFLAC | $55 | — | $55 | 0.28% |
| FILIPE A COELHO3 | 4515 S MCCLINTOCK DR STE 212 TEMPE, AZ 85282 | AFLAC | $36 | — | $36 | 0.18% |
| NICHOLAS J DONIA3 | 843 W CALLE MURO FUERTE SAHUARITA, AZ 85629 | AFLAC | $34 | — | $34 | 0.17% |
| KAYELA FORD3 | 976 YESTERDAY LN MEDINA, OH 44256 | AFLAC | $21 | — | $21 | 0.11% |
| LYNN MENDOZA3 | 2451 S JAMES DR YUMA, AZ 85365 | AFLAC | $7 | — | $7 | 0.04% |
| NODOR INC3 | 955 N ST FRESNO, CA 93721 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $2K | $4K | 60.85% |
| JARCEY RAUL RODRIGUEZ3 | 202 S 1ST AVE STE 108 YUMA, AZ 85364 | AFLAC | $95 | — | $95 | 4.93% |
| ROXANNE WISWOSSER3 | 1004 GEORGIA ST TEHACHAPI, CA 93561 | AFLAC | $30 | — | $30 | 1.56% |
| ROCHELLE R MAURER3 | 3031 PERO DR LAKE HAVASU CITY, AZ 86404 | AFLAC | $15 | — | $15 | 0.78% |
| KASIE L RODRIGUEZ3 | 4054 S CEDAR AVE YUMA, AZ 85365 | AFLAC | $14 | — | $14 | 0.73% |
| RICK M MCKINNEY3 | 2448 E 81ST ST TULSA, OK 74137 | AFLAC | $9 | — | $9 | 0.47% |
| SETH G KNOWLTON3 | 11396 N SILVER PHEASANT LOOP ORO VALLEY, AZ 85737 | AFLAC | $7 | — | $7 | 0.36% |
| FILIPE A COELHO3 | 4515 S MCCLINTOCK DR STE 212 TEMPE, AZ 85282 | AFLAC | $6 | — | $6 | 0.31% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $3 | — | $3 | 0.16% |
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 | 198 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 16 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 218 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 307 | $127K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 307 | $127K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 307 | $133K |
| Other(4 contracts, 2 carriers) | AFLAC | 275 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 307 | — |
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.