| 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 | $13K | — | $13K | 10.87% |
| 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 | — | $1K | $1K | 1.13% |
| JARCEY RAUL RODRIGUEZ3 | 202 S 1ST AVE STE 108 YUMA, AZ 85364 | AFLAC | $1K | $12 | $1K | 5.52% |
| KASIE L RODRIGUEZ3 | 4054 S CEDAR AVE YUMA, AZ 85365 | AFLAC | $750 | $11 | $761 | 3.49% |
| RICK M MCKINNEY3 | 300 RIVERWALK TER STE 260 JENKS, OK 74037 | AFLAC | $467 | — | $467 | 2.14% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $147 | — | $147 | 0.67% |
| FILIPE A COELHO3 | 4515 S MCCLINTOCK DR STE 212 TEMPE, AZ 85282 | AFLAC | $112 | $12 | $124 | 0.57% |
| LYNN MENDOZA3 | 1368 W 13TH ST YUMA, AZ 85364 | AFLAC | $54 | $6 | $60 | 0.28% |
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $58 | — | $58 | 0.27% |
| ROCHELLE R MAURER3 | 2160 MCCULLOCH BLVD N STE 103 LAKE HAVASU CITY, AZ 86403 | AFLAC | $44 | — | $44 | 0.20% |
| ROXANNE WISWOSSER3 | 55 LAKE HAVASU AVE S STE F268 LAKE HAVASU CITY, AZ 86403 | AFLAC | $29 | — | $29 | 0.13% |
| JARCEY RAUL RODRIGUEZ3 | 202 S 1ST AVE STE 108 YUMA, AZ 85364 | AFLAC | $1K | $6 | $1K | 6.38% |
| KASIE L RODRIGUEZ3 | 4054 S CEDAR AVE YUMA, AZ 85365 | AFLAC | $552 | $6 | $558 | 2.94% |
| RICK M MCKINNEY3 | 300 RIVERWALK TER STE 260 JENKS, OK 74037 | AFLAC | $557 | — | $557 | 2.93% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $166 | — | $166 | 0.87% |
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $142 | — | $142 | 0.75% |
| ROCHELLE R MAURER3 | 2160 MCCULLOCH BLVD N STE 103 LAKE HAVASU CITY, AZ 86403 | AFLAC | $81 | — | $81 | 0.43% |
| FILIPE A COELHO3 | 4515 S MCCLINTOCK DR STE 212 TEMPE, AZ 85282 | AFLAC | $43 | $6 | $49 | 0.26% |
| LYNN MENDOZA3 | 1368 W 13TH ST YUMA, AZ 85364 | AFLAC | $13 | $1 | $14 | 0.07% |
| ROXANNE WISWOSSER3 | 55 LAKE HAVASU AVE S STE F268 LAKE HAVASU CITY, AZ 86403 | AFLAC | $3 | — | $3 | 0.02% |
| NODOR INC3 | 955 N ST FRESNO, CA 93721 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 25.00% |
| JARCEY RAUL RODRIGUEZ3 | 202 S 1ST AVE STE 108 YUMA, AZ 85364 | AFLAC | $169 | $3 | $172 | 4.59% |
| KASIE L RODRIGUEZ3 | 4054 S CEDAR AVE YUMA, AZ 85365 | AFLAC | $83 | $4 | $87 | 2.32% |
| RICK M MCKINNEY3 | 300 RIVERWALK TER STE 260 JENKS, OK 74037 | AFLAC | $70 | — | $70 | 1.87% |
| FILIPE A COELHO3 | 4515 S MCCLINTOCK DR STE 212 TEMPE, AZ 85282 | AFLAC | $21 | $3 | $24 | 0.64% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $22 | — | $22 | 0.59% |
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $15 | — | $15 | 0.40% |
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 | 215 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 36 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 252 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 396 | $120K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 396 | $120K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 396 | $127K |
| Other(4 contracts, 2 carriers) | AFLAC | 215 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 396 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.