| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DULEY BOLWAR & ASSOCIATES INC. | 14805 N 73RD STREET SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $7K | $17K | 15.97% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ARIZONA LLC | 7500 N DREAMY DRAW DR STE 100 PHOENIX, AZ 85020 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 6.14% |
| DULEY BOLWAR & ASSOCIATES INC3 | 14805 N 73RD ST SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $6K | $14K | 15.47% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ARIZONA LLC | 7500 N DREAMY DRAW DR STE 100 PHOENIX, AZ 85020 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 6.16% |
| DULEY BOLWAR & ASSOCIATES INC3 | 14805 N 73RD ST SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $4K | $9K | 16.25% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ARIZONA LLC | 7500 N DREAMY DRAW DR STE 100 PHOENIX, AZ 85020 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 5.99% |
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DULEY BOLWAR & ASSOCIATES INC. | 14805 N 73RD STREET SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $2K | $4K | 16.29% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ARIZONA LLC | 7500 N DREAMY DRAW DR STE 100 PHOENIX, AZ 85020 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 6.11% |
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DULEY BOLWAR & ASSOCIATES INC. | 14805 N 73RD STREET SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $2K | $4K | 16.62% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ARIZONA LLC | 7500 N DREAMY DRAW DR STE 100 PHOENIX, AZ 85020 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 6.05% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA LLC | 14805 N 73RD ST SCOTTSDALE, AZ 85260 | EYEMED VISION | $90 | — | $90 | 0.43% |
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DULEY BOLWAR & ASSOCIATES | 14805 N 73RD STREET SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $926 | $2K | 15.23% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF AZ LLC | 7500 N DREAMY DRAW DR STE 100 PHOENIX, AZ 85020 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $893 | — | $893 | 6.16% |
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DULEY BOLWAR & ASSOCIATES | 14805 N 73RD ST SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 11.96% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ARIZONA LLC | 7500 N DREAMY DRAW DR STE 100 PHOENIX, AZ 85020 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $874 | — | $874 | 8.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CLAIM ADMIN ETC VIA ASA | Direct payment from the plan; Claims processing; Other services; Contract Administrator; Non-monetary compensation; Float revenue; Participant communication Service code 12 | — | $155K |
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 | 407 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 407 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED VISION | 375 | $21K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE CO | 407 | $579K |
| Other(7 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 301 | $328K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 407 | — |
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.