| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WEINER INSURANCE, INC.3 | 13951 N SCOTTSDALE RD., SUITE 131 SCOTTSDALE, AZ 85254 | HARTFORD LIFE AND ACCIDENT | $132K | — | $132K | 5.25% |
| WEINER INSURANCE, INC.3 | 13951 N. SCOTTSDALE RD SUITE 131 SCOTTSDALE, AZ 85254 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $39K | $4K | $43K | 4.03% |
| WEINER INSURANCE, INC.3 | 13951 N SCOTTSDALE RD., SUITE 131 SCOTTSDALE, AZ 85254 | VISION SERVICE PLAN | $9K | $175K | $183K | 19.65% |
| WILLIAM DAVID WEINER3 | 13951 N SCOTTSDALE RD., SUITE 131 SCOTTSDALE, AZ 85254 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $11K | — | $11K | 5.73% |
| WILLIAM KEHOE3 Filed as: WILLIAM K KEHOE | 9201 S HOMAN AVE EVERGREEN PARK, IL 60805 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $8K | — | $8K | 3.89% |
| BERNARD WEINER3 | 13951 N SCOTTSDALE RD., SUITE 131 SCOTTSDALE, AZ 85254 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 1.16% |
| WEINER INSURANCE, INC.3 Filed as: WEINER INSURANCE ANGENCY | 13951 N SCOTTSDALE RD., SUITE 131 SCOTTSDALE, AZ 85254 | CIGNA DENTAL HEALTH OF ILLINOIS, INC | $2K | — | $2K | 3.50% |
| WILLIAM DAVID WEINER3 | 13951 N SCOTTSDALE RD., SUITE 131 SCOTTSDALE, AZ 85254 | THE PAUL REVERE LIFE INSURANCE COMPANY | $52 | — | $52 | 0.55% |
| BERNARD WEINER3 | 4555 E MAYO BLVD #14101 PHOENIX, AZ 85050 | THE PAUL REVERE LIFE INSURANCE COMPANY | $47 | — | $47 | 0.50% |
| LISA RESNIK3 | 500 E GRANT ST APT 1710 MINNEAPOLIS, MN 55404 | THE PAUL REVERE LIFE INSURANCE COMPANY | $26 | — | $26 | 0.27% |
| EARL E BAIN, JR3 Filed as: EARL EUGENE BAIN JR | PO BOX 53574 FAYETTEVILLE, NC 28305 | THE PAUL REVERE LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| WEINER INSURANCE, INC.3 Filed as: WEINER INSURANCE ANGENCY | 13951 N SCOTTSDALE RD., SUITE 131 SCOTTSDALE, AZ 85254 | CIGNA DENTAL HEALTH OF ARIZONA, INC | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ALLEGIANCE BENEFIT PLAN MANAGEMENT EIN 81-0400550 CONTRACT ADMINISTRATOR | Contract Administrator; Float revenue Service code 13 | — | $622K |
| TOTAL ADMINISTRATIVE SERVICES CORPO EIN 39-1561025 ACT ADMINISTRATOR | Contract Administrator Service code 13 | 2302 INTERNATIONAL LANE MADISON, WI 53704 | $18K |
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 | 2,310 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,323 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(3 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,707 | $1.1M |
| Vision | VISION SERVICE PLAN | 8,246 | $933K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 2,215 | $2.5M |
| Short-term disability(2 contracts, 2 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 97 | $208K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 2,215 | $2.5M |
| Other | HARTFORD LIFE AND ACCIDENT | 2,215 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,246 | — |
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.