| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX INSURANCE AGENCY INC | 150 SAWGRASS DRIVE ROCHESTER, NY 14620 | UNITEDHEALTHCARE INSURANCE COMPANY | $8K | $43K | $51K | 4.59% |
| CHRISTOPHER E FISCHER3 Filed as: CHRISTOPHER EUGENE FISCHER | 35035 NORTH NORTH VALLEY PARKWAY SUITE 132A PHOENIZ, AZ 85086 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | $0 | $8K | 15.42% |
| JASON E. ANGEL3 Filed as: JASON E ANGEL | 3022 WEST GRAN PARADISO DRIVE PHOENIX, AZ 85086 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | $0 | $1K | 2.20% |
| THOMAS P MCKIERNAN3 | 3015 NORTH SCOTTSDALE ROAD SUITE 1210 SCOTTSDALE, AZ 85251 | SUN LIFE ASSURANCE COMPANY OF CANADA | $342 | $0 | $342 | 0.64% |
| CHRISTOPHER E FISCHER3 Filed as: CHRISTOPHER EUGENE FISCHER | 35035 NORTH NORTH VALLEY PARKWAY SUITE 132A PHOENIX, AZ 85086 | CONTINENTAL AMERICAN INSURANCE COMPANY | $109 | $0 | $109 | 1.15% |
| THOMAS P MCKIERNAN3 | 687 EAST BROADWAY MILFORD, CT 06460 | CONTINENTAL AMERICAN INSURANCE COMPANY | $46 | $0 | $46 | 0.49% |
| JASON ELIJAH ANGEL3 | 5339 WEST MOUNTAIN VIEW ROAD GLENDALE, AZ 85302 | CONTINENTAL AMERICAN INSURANCE COMPANY | $43 | $0 | $43 | 0.45% |
| ROBERT ELI WHITNEY3 Filed as: ROBERT D ALLEN | 11632 TENAZA DRIVE PEORIA, AZ 85383 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | $0 | $13 | 0.14% |
| ERNEST GREEN3 Filed as: ERNEST ROBERT GREEN | 640 I EAST SWEETWATER SCOTTSDALE, AZ 85254 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | $0 | $13 | 0.14% |
| ROSEMARY CURTIS3 | 21041 NORTH 61ST DRIVE GLENDALE, AZ 85308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | $0 | $13 | 0.14% |
| JEFFREY A KLEINMAN SR3 Filed as: JEFFREY AARON KLEINMAN | 33202 NORTH 46TH WAY CAVE CREEK, AZ 85331 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | $0 | $13 | 0.14% |
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 | 282 | 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) | 282 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 282 | $1.1M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 282 | $1.1M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 282 | $1.1M |
| Life insurance(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 282 | $1.2M |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 276 | $53K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 276 | $53K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 282 | $1.1M |
| Other(4 contracts, 4 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 356 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 356 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.