| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: BENEFIT COMMERCE GROUP LLC | 14300 N NORTHSIGHT BLVD STE 221 SCOTTSDALE, AZ 852603677 | BLUE CROSS BLUE SHIELD OF ARIZONA | $80K | $0 | $80K | 4.73% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP LLC | 14300 N NORTHSIGHT BLVD STE 221 SCOTTSDALE, AZ 852603677 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $12K | $0 | $12K | 7.50% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE STE 1100 CHICAGO, IL 606036115 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $63 | $63 | 0.04% |
| KAREN MARIE JONES Filed as: KAREN JONES | 16211 N SCOTTSDALE RD A61 NO 614 SCOTTSDALE, AZ 85254 | AFLAC | $11K | $600 | $12K | 9.05% |
| RANDY DOPITA | 16211 N SCOTTSDALE RD STE A6A #614 SCOTTSDALE, AZ 85254 | AFLAC | $2K | $190 | $2K | 1.43% |
| NANCY ELLEN CARLSON Filed as: NANCY CARLSON | 17434 N PARADISE PARK DR PHOENIX, AZ 85032 | AFLAC | $2K | $130 | $2K | 1.41% |
| KIM J JONES Filed as: KIM JONES | PO BOX 13081 SCOTTSDALE, AZ 85267 | AFLAC | $1K | $0 | $1K | 0.77% |
| CLINTON CHARLES ZELEZ Filed as: CLINTON ZELEZ | 6986 W QUAIL AVE GLENDALE, AZ 85308 | AFLAC | $840 | $123 | $963 | 0.74% |
| SHAWN HOLTORF | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $952 | $0 | $952 | 0.73% |
| JEFFREY A KLEINMAN SR Filed as: JEFFREY KLEINMAN SR | 3420 E SHEA BLVD STE 168 PHOENIX, AZ 85028 | AFLAC | $716 | $154 | $870 | 0.67% |
| TREVOR NORENBERG | 6529 SAHALEE CT RAPID CITY, SD 57702 | AFLAC | $788 | $21 | $809 | 0.62% |
| MICHAEL SHAUN DAGEN Filed as: MICHAEL DAGEN | 30782 N 126TH AVE PEORIA, AZ 85383 | AFLAC | $602 | $0 | $602 | 0.46% |
| SCOTT WEBB | 2155 W PINNACLE PEAK RD STE 205 PHOENIX, AZ 85027 | AFLAC | $407 | $0 | $407 | 0.31% |
| JEFFERY S GIBSON Filed as: JEFFERY GIBSON | 4805 LAKE BROOK DR STE 220 GLEN ALLEN, VA 23060 | AFLAC | $209 | $0 | $209 | 0.16% |
| JASON ELIJAH ANGEL Filed as: JASON ANGEL | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $167 | $30 | $197 | 0.15% |
| CHAD P SCHNEIDER Filed as: CHAD SCHNEIDER | 14430 BENEFIT ST APT 308 SHERMAN OAKS, CA 91423 | AFLAC | $75 | $0 | $75 | 0.06% |
| ORIN LEE WILLIAMS Filed as: ORIN WILLIMAS | 1664 E PARK AVE GILBERT, AZ 85234 | AFLAC | $59 | $0 | $59 | 0.05% |
| RYAN KADAVY | 8542 W FOOTHILL DR PEORIA, AZ 85383 | AFLAC | $41 | $9 | $50 | 0.04% |
| BARBARA ANN MCNAUGHTON Filed as: BARBARA MCNAUGHTON | 29622 N 21ST DR PHOENIX, AZ 85085 | AFLAC | $32 | $0 | $32 | 0.02% |
| RUSSELL M FERREE Filed as: RUSSELL FERREE | 14697 W EDGEMONT AVE GOODYEAR, AZ 85395 | AFLAC | $27 | $0 | $27 | 0.02% |
| SHARON MCKELVEY | 197 N NOTTINGHAM LN LOT 3 PAYSON, AZ 85541 | AFLAC | $22 | $0 | $22 | 0.02% |
| NATALIE MALHAM | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $17 | $0 | $17 | 0.01% |
| MICHAEL G GLADNICK | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $17 | $0 | $17 | 0.01% |
| PREFERRED MARKETING CORP Filed as: PREFERRED MARKETING GROUP | 1194 E LAKEVIEW DR SAN TAN VALLEY, AZ 85143 | AFLAC | $16 | $0 | $16 | 0.01% |
| ZAKERY HARLOW | 3204 N ACADEMY BLVD STE 130 COLORADO SPRINGS, CO 80917 | AFLAC | $12 | $0 | $12 | 0.01% |
| DEBRA TORNBERG | 14227 N 14TH ST PHOENIX, AZ 85022 | AFLAC | $8 | $0 | $8 | 0.01% |
| GREGORY STENZEL | 2302 KNOX WAY MELISSA, TX 75454 | AFLAC | $8 | $0 | $8 | 0.01% |
| ALFREDO VARGAS | 6230 N FLORENCE AVE LITCHFIELD PARK, AZ 85340 | AFLAC | $6 | $0 | $6 | 0.00% |
| LAUREL L HARLOW Filed as: LAUREL HARLOW | 6200 W ROAN PL TUCSON, AZ 85743 | AFLAC | $4 | $0 | $4 | 0.00% |
| TIMOTHY MARTIN | 20516 N 80TH LN PEORIA, AZ 85382 | AFLAC | $2 | $0 | $2 | 0.00% |
| WILLIAM J SHARP Filed as: WILLIAM SHARP | 17836 N 43RD WAY PHOENIX, AZ 85032 | AFLAC | $2 | $0 | $2 | 0.00% |
| MJ INSURANCE Filed as: VARIOUS AGENTS | — | AFLAC | $1 | $0 | $1 | 0.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP LLC | 14300 N NORTHSIGHT BLVD STE 221 SCOTTSDALE, AZ 852603677 | UNION SECURITY INSURANCE COMPANY | $12K | $2K | $14K | 11.25% |
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: BENEFIT COMMERCE GROUP LLC | 14300 N NORTHSIGHT BLVD STE 221 SCOTTSDALE, AZ 852603677 | ARIZONA EYECARE ALLIANCE DBA VISION CARE DIRECT AZ | $5K | — | $5K | 11.63% |
| SANDRA HIGHSMITH3 | 9234 N 32ND PLACE PHOENIX, AZ 85028 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $414 | $0 | $414 | 3.82% |
| BILL HIGHSMITH3 | 9234 N 32ND PLACE PHOENIX, AZ 85028 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $102 | $0 | $102 | 0.94% |
| JOHN T OSBORNE3 | 8801 EAST 29TH STREET TUCSON, AZ 85710 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $0 | $13 | 0.12% |
| REYNALDO R GRAJEDA3 | 4915 CAMINO DE MONTE NE ALBUQUERQUE, NM 87111 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | $0 | $10 | 0.09% |
| JOSEPH QUINTANA3 | 27 N COUNTRY CLUB DR PHOENIX, AZ 85014 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | $0 | $9 | 0.08% |
| PECK FINANCIAL SERVICES INC3 | 27566 N 98TH LN PEORIA, AZ 85383 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $0 | $4 | 0.04% |
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 | 194 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 194 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 132 | $1.7M |
| Dental(3 contracts, 3 carriers) | AFLAC | 160 | $263K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ARIZONA | 591 | $1.7M |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 214 | $165K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 105 | $140K |
| Long-term disability | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 214 | $165K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 132 | $1.7M |
| Other(3 contracts, 3 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 214 | $305K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 591 | — |
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.