| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AMERITAS LIFE INSURANCE CORP | $4K | $2K | $6K | 3.75% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $2K | $10K | 25.81% |
| KIMBERLY RODRIGUEZ3 | 37057 S GAMBEL QUAIL DR MARANA, AZ 85658 | AFLAC | $2K | $217 | $3K | 6.83% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INS SERVICES INC. | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $1K | — | $1K | 2.58% |
| SETH G KNOWLTON3 Filed as: SETH KNOWLTON | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $897 | $65 | $962 | 2.44% |
| RACHEL DAY3 | 5533 E 24TH STREET TUCSON, AZ 85711 | AFLAC | $414 | $90 | $504 | 1.28% |
| DAVID R LATTIMER3 Filed as: DAVID LATTIMER | 3029 N SONORAN MESA, AZ 85207 | AFLAC | $224 | $6 | $230 | 0.58% |
| JARCEY RODRIGUEZ3 | 202 S 1ST AVE STE 108 YUMA, AZ 85364 | AFLAC | $173 | $52 | $225 | 0.57% |
| TREVOR BRYAN DAVIS3 Filed as: TREVOR DAVIS | 9160 E LOMA LINDA PL TUCSON, AZ 85749 | AFLAC | $126 | $7 | $133 | 0.34% |
| LAUREL L HARLOW3 Filed as: LAUREL HARLOW | 6200 W ROAN PLACE TUCSON, AZ 85743 | AFLAC | $86 | — | $86 | 0.22% |
| ZAKERY HARLOW3 | 2960 N ACADEMY BLVD. STE 101 COLORADO SPRINGS, CO 80917 | AFLAC | $53 | — | $53 | 0.13% |
| CATHERINE DAVIS3 | 9160 E LOMA LINDA PL TUCSON, AZ 85749 | AFLAC | $51 | — | $51 | 0.13% |
| MARIA MULLIGAN3 | 24654 N LAKE PLEASANT PARKWAY 103-417 PEORIA, AZ 85383 | AFLAC | $23 | — | $23 | 0.06% |
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT & TOUCHE INC | PO BOX 32702 TUCSON, AZ 85751 | AFLAC | $21 | — | $21 | 0.05% |
| MARK MCDANIEL3 | 11928 HIGHWAY 62 FORT GIBSON, OK 74434 | AFLAC | $21 | — | $21 | 0.05% |
| ALEXANDRA JACOBI3 Filed as: ALEXANDRA DIBIASI LLC | PO BOX 72105 PHOENIX, AZ 85050 | AFLAC | $18 | — | $18 | 0.05% |
| GLEN GABLE3 | 3521 S CAMELLIA PL CHANDLER, AZ 85248 | AFLAC | $18 | — | $18 | 0.05% |
| MICHAEL FATHERREE3 | 171 COUNTY RD 1559 ALBA, TX 75410 | AFLAC | $17 | — | $17 | 0.04% |
| RICK M MCKINNEY3 Filed as: RICK MCKINNEY | 202 N ARMSTRONG ST BIXBY, OK 74008 | AFLAC | $14 | — | $14 | 0.04% |
| ASPEN COVE-DASTRUP INSURANCE INC3 Filed as: ASPEN COVE INSURANCE INC | 4844 N 300 W STE 100 PROVO, UT 84604 | AFLAC | $12 | — | $12 | 0.03% |
| ANGELONE & ASSOCIATES, INC.3 Filed as: ANGELONE & ASSOCIATES INC | 14300 N NORTHSIGHT STE 221 SCOTTSDALE, AZ 85260 | AFLAC | $10 | — | $10 | 0.03% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA INC | 16220 N SCOTTSDALE RD STE 600 SCOTTSDALE, AZ 85254 | AFLAC | $10 | — | $10 | 0.03% |
| PAMELA UTTER3 | 7750 W BOCA RATON RD PEORIA, AZ 85381 | AFLAC | $9 | — | $9 | 0.02% |
| SCOTT WOOD3 Filed as: SCOTT KOSTEL | 9566 E WINDROSE DR. SCOTTSDALE, AZ 85260 | AFLAC | $8 | — | $8 | 0.02% |
| SCOTT WEBB3 | 26729 N 91ST DR. PEORIA, AZ 85383 | AFLAC | $8 | — | $8 | 0.02% |
| SCOTT W BLACKSHEAR3 Filed as: SCOTT GUTHRIE | 14227 N 14TH ST PHOENIX, AZ 85022 | AFLAC | $8 | — | $8 | 0.02% |
| MELISSA B BOYLE3 Filed as: MELISSA BOYLE | 6300 E HAMPDEN AVE STE C101 DENVER, CO 80222 | AFLAC | $7 | — | $7 | 0.02% |
| EXEL IVAN CARABALLO JR3 Filed as: EXEL IVAN CARABALLO | 2329 E BOWKER ST PHOENIX, AA 85040 | AFLAC | $7 | — | $7 | 0.02% |
| JOHNSON INSURANCE SERVICES LLC3 | 1103 HUNTER DR. STE 291 MOUNT PLEASANT, WI 53406 | AFLAC | $6 | — | $6 | 0.02% |
| MARK HILL3 | PO BOX 85715 TUCSON, AZ 85754 | AFLAC | $6 | — | $6 | 0.02% |
| MARK HILL3 | 5188 E PARK VISTA DR. TUCSON, AZ 85756 | AFLAC | $5 | — | $5 | 0.01% |
| RICK M MCKINNEY3 Filed as: RICK MCKINNEY | PO BOX 26132 COLORADO SPRINGS, CO 80936 | AFLAC | $5 | — | $5 | 0.01% |
| ROBERT LABONTE3 | 1659 W SAN ROMO ST GILBERT, AZ 85233 | AFLAC | $5 | — | $5 | 0.01% |
| JENNIFER GOOCH3 | 4897 W HURSTON DR. TUCSON, AZ 85742 | AFLAC | $3 | — | $3 | 0.01% |
| MICHAEL ARTHUR KIRK3 Filed as: MICHAEL KIRK | 4150 S 100TH EAST AVE STE 101 TULSA, OK 74146 | AFLAC | $2 | — | $2 | 0.01% |
| RAYMOND MULLIGAN3 | 8765 W KELTON LANE BLDG B1 PEORIA, AZ 85382 | AFLAC | $2 | — | $2 | 0.01% |
| MULLIGAN BENEFITS LLC3 | 2454 N LAKE PLEASANT PARKWAY 103-417 PEORIA, AZ 85383 | AFLAC | $1 | — | $1 | 0.00% |
| MICHAEL G GLADNICK3 Filed as: MICHAEL GLADNICK | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $1 | — | $1 | 0.00% |
| NATALIE MALHAM3 | 3850 E BASELINE RD SUITE 116 MESA, AZ 85206 | AFLAC | $1 | — | $1 | 0.00% |
| LESLIE J BAILEY3 Filed as: LESLIE BAILEY | 4234 N PORTAGE AVE MERIDIAN, ID 83646 | AFLAC | $1 | — | $1 | 0.00% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR. GLENDALE, AZ 85310 | AFLAC | $1 | — | $1 | 0.00% |
| DONALD GREEN3 | 1611 W PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $1 | — | $1 | 0.00% |
| JEFFERY S GIBSON3 Filed as: JEFFERY GIBSON | 3009 HUNTON COTTAGE LANE GLEN ALLEN, VA 23059 | AFLAC | $1 | — | $1 | 0.00% |
| JEFFREY A KLEINMAN SR3 Filed as: JEFFREY KLEINMAN SR | 3420 E SHEA BLVD STE 168 PHOENIX, AZ 85028 | AFLAC | $1 | — | $1 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $6K | 15.18% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $2K | $9K | 25.86% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 15.20% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | VISION SERVICE PLAN | $1K | — | $1K | 4.08% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $83K |
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 | 512 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 512 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP | 512 | $164K |
| Vision(2 contracts, 2 carriers) | AMERITAS LIFE INSURANCE CORP | 512 | $190K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 285 | $68K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 98 | $74K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 285 | $38K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 285 | $68K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 512 | — |
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.