| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WESTERN GROWERS INSURANCE SERVICES3 | 15525 SAND CANYON AVE IRVINE, CA 926183114 | PRINCIPAL LIFE INSURANCE COMPANY | $10K | — | $10K | 10.72% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD AND BROWN BENEFIT | ADMINISTRATORS INC 721 S PARKER ST STE 300 ORANGE, CA 928684732 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $329 | $3K | 3.66% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: SOUTHWEST RISK MANAGEMENT LLC | 4801 E MCKELLIPS RD MESA, AK 852152527 | PRINCIPAL LIFE INSURANCE COMPANY | $937 | — | $937 | 1.00% |
| KASIE L RODRIGUEZ3 | 4054 S CEDAR AVE YUMA, AZ 85365 | AFLAC | $2K | $67 | $2K | 6.97% |
| JARCEY RAUL RODRIGUEZ3 | 202 S 1ST AVE STE 108 YUMA, AZ 85364 | AFLAC | $2K | $70 | $2K | 6.77% |
| LYNN MENDOZA3 | 1368 W 13TH ST YUMA, AZ 85364 | AFLAC | $607 | $55 | $662 | 2.39% |
| RICK M MCKINNEY3 | 300 RIVERWALK TER STE 260 JENKS, OK 74037 | AFLAC | $514 | — | $514 | 1.86% |
| FILIPE A COELHO3 | 4515 S MCCLINTOCK DR STE 212 TEMPE, AZ 85282 | AFLAC | $359 | $44 | $403 | 1.46% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $221 | — | $221 | 0.80% |
| RICK M MCKINNEY3 | 202 N ARMSTRONG ST BIXBY, OK 74008 | AFLAC | $178 | — | $178 | 0.64% |
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $59 | — | $59 | 0.21% |
| ROCHELLE R MAURER3 | 2160 MCCULLOCH BLVD N STE 103 LAKE HAVASU CITY, AZ 86403 | AFLAC | $2 | — | $2 | 0.01% |
| JARCEY RAUL RODRIGUEZ3 | 202 S 1ST AVE STE 108 YUMA, AZ 85364 | AFLAC | $1K | $15 | $1K | 5.46% |
| KASIE L RODRIGUEZ3 | 4054 S CEDAR AVE YUMA, AZ 85365 | AFLAC | $934 | $18 | $952 | 4.42% |
| RICK M MCKINNEY3 | 300 RIVERWALK TER STE 260 JENKS, OK 74037 | AFLAC | $482 | — | $482 | 2.24% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $193 | — | $193 | 0.90% |
| RICK M MCKINNEY3 | 202 N ARMSTRONG ST BIXBY, OK 74008 | AFLAC | $164 | — | $164 | 0.76% |
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $157 | — | $157 | 0.73% |
| FILIPE A COELHO3 | 4515 S MCCLINTOCK DR STE 212 TEMPE, AZ 85282 | AFLAC | $144 | $11 | $155 | 0.72% |
| LYNN MENDOZA3 Filed as: LYNN D MENDOZA | 1368 W 13TH ST YUMA, AZ 85364 | AFLAC | $70 | — | $70 | 0.32% |
| ESTEBAN TALAVERA RAMIREZ3 | 1800 E JULIAN ST SAN LUIS, AZ 85336 | AFLAC | $35 | — | $35 | 0.16% |
| ROCHELLE R MAURER3 | 2160 MCCULLOCH BLVD N STE 103 LAKE HAVASU CITY, AZ 86403 | AFLAC | $15 | — | $15 | 0.07% |
| LOURDES FRANCO3 | 11512 E 28TH PL YUMA, AZ 85367 | AFLAC | $8 | $3 | $11 | 0.05% |
| KASIE L RODRIGUEZ3 | 4054 S CEDAR AVE YUMA, AZ 85365 | AFLAC | $311 | $36 | $347 | 7.64% |
| JARCEY RAUL RODRIGUEZ3 | 202 S 1ST AVE STE 108 YUMA, AZ 85364 | AFLAC | $195 | $13 | $208 | 4.58% |
| FILIPE A COELHO3 | 4515 S MCCLINTOCK DR STE 212 TEMPE, AZ 85282 | AFLAC | $52 | $13 | $65 | 1.43% |
| RICK M MCKINNEY3 | 300 RIVERWALK TER STE 260 JENKS, OK 74037 | AFLAC | $52 | — | $52 | 1.14% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $22 | — | $22 | 0.48% |
| RICK M MCKINNEY3 | 202 N ARMSTRONG ST BIXBY, OK 74008 | AFLAC | $17 | — | $17 | 0.37% |
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $15 | — | $15 | 0.33% |
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 | 238 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 40 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 278 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 358 | $94K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 358 | $94K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 358 | $94K |
| Other(4 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 358 | $148K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 358 | — |
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.