| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOVITT AND TOUCHE, INC.3 | PO BOX 412703 BOSTON, AZ 02241 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | $41K | $43K | 2.09% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | 4703 EAST CAMP LOWELL, SUITE 101 TUCSON, AZ 85712 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $390 | $390 | 0.02% |
| LOVITT AND TOUCHE, INC.3 | PO BOX 412703 BOSTON, MA 02241 | METROPOLITAN LIFE INSURANCE COMPANY | $22K | $0 | $22K | 9.29% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | 250 PEHLE AVENUE, SUITE 400 SADDLE BROOK, NJ 07663 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 0.93% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | 6279 TRI RIDGE BOULEVARD, SUITE 400 LOVELAND, OH 45140 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $21 | $21 | 0.01% |
| LOVITT AND TOUCHE, INC.3 | 6279 TRI RIDGE BOULEVARD, SUITE 400 LOVELAND, OH 45140 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $8 | $8 | 0.00% |
| CAROL E MONTGOMERY3 Filed as: CAROL E. MONTGOMERY | 519 SOUTH 5TH AVENUE TUCSON, AZ 85701 | AFLAC | $2K | $0 | $2K | 3.66% |
| JIM EDWARD WARNER3 | 30112 EAST SLATER LANE MARANA, AZ 85658 | AFLAC | $2K | $0 | $2K | 3.48% |
| DONALD GREEN3 Filed as: DONALD A. GREEN AND OTHER AGENTS | 4719 SOUTH HARVEST MOON DRIVE GREEN VALLEY, AZ 85622 | AFLAC | $1K | $0 | $1K | 3.36% |
| NICHOLAS J DONIA3 Filed as: NICHOLAS J. DONIA | 843 WEST CALLE MURO FUERTE SAHUARITA, AZ 85629 | AFLAC | $440 | $0 | $440 | 0.99% |
| KIMBERLY RODRIGUEZ3 Filed as: KIMBERLY JOY GRAHAM RODRIGUEZ | 1201 NORTH 45TH DRIVE SHOW LOW, AZ 85901 | AFLAC | $415 | $0 | $415 | 0.94% |
| SETH G KNOWLTON3 Filed as: SETH G. KNOWLTON | 11396 NORTH SILVER PHEASANT LOOP ORO VALLEY, AZ 85737 | AFLAC | $359 | $0 | $359 | 0.81% |
| KELLY MCGARRY3 | 474 NORTH ORACLE ROAD, SUITE 210 TUCSON, AZ 85705 | AFLAC | $320 | $0 | $320 | 0.72% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | 250 PEHLE AVENUE, SUITE 400 SADDLE BROOK, NJ 07663 | EMPLOYERS DENTAL SERVICES | $1K | — | $1K | 7.94% |
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 | 209 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 212 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 334 | $2.0M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 284 | $247K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 334 | $2.0M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 284 | $232K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 284 | $232K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 284 | $232K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 334 | $2.0M |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 284 | $276K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 334 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.