| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | 700 W 47TH STREET SUITE 1100 KANSAS CITY, MO 641121922 | BLUE CROSS BLUE SHIELD OF ARIZONA | $45K | — | $45K | 5.59% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | DELTA DENTAL OF ARIZONA | $2K | — | $2K | 4.52% |
| JULIE KICKER3 | PO BOX 11825 CASA GRANDE, AZ 85130 | AFLAC | $2K | $79 | $2K | 4.99% |
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $911 | $16 | $927 | 2.36% |
| MICAIAH LORELEI BOYEA3 | 505 W 10TH ST APT F CASA GRANDE, AZ 85122 | AFLAC | $752 | — | $752 | 1.91% |
| KELLY MCGARRY3 | 4750 N ORACLE ROAD SUITE 214 TUCSON, AZ 85705 | AFLAC | $410 | — | $410 | 1.04% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | 160 W SANTA CLARA ST SUITE 450 SAN JOSE, CA 95113 | AFLAC | $403 | — | $403 | 1.03% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $250 | — | $250 | 0.64% |
| SANDRA L SARFF3 Filed as: SANDRA L. SARFF | 7090 N ORACLE RD PMB 152 TUCSON, AZ 85704 | AFLAC | $238 | — | $238 | 0.61% |
| MICHAEL FATHERREE3 | 171 COUNTRY ROAD 1559 ALBA, TX 75410 | AFLAC | $193 | — | $193 | 0.49% |
| MARSHA L ECHOLS3 Filed as: MARSHA L. ECHOLS | PO BOX 594 THATCHER, AZ 85552 | AFLAC | $145 | — | $145 | 0.37% |
| JAMES HUNT3 | 15010 N 61ST PLACE SCOTTSDALE, AZ 85254 | AFLAC | $143 | — | $143 | 0.36% |
| BENEFIT INTELLIGENCE INC3 | 4862 E BASELINE RD SUITE 101 MESA, AZ 85206 | AFLAC | $129 | — | $129 | 0.33% |
| TULA BOYLES3 Filed as: TULA G. BOYLES | 1236 LESTER STREET TUCSON, AZ 85719 | AFLAC | $116 | — | $116 | 0.30% |
| ZAKERY ALLEN HARLOW3 | 2960 N ACADEMY BLVD SUITE 101 COLORADO SPRINGS, CO 80917 | AFLAC | $113 | — | $113 | 0.29% |
| JOHN DOLLAR3 | 588 E WOLF HOLLOW DR CASA GRANDE, AZ 85122 | AFLAC | $86 | — | $86 | 0.22% |
| MARK HILL3 | 5188 E. PARK VISTA DR TUCSON, AZ 85756 | AFLAC | $84 | — | $84 | 0.21% |
| DAVID R LATTIMER3 | 3029 N SONORAN HILLS MESA, AZ 85207 | AFLAC | $42 | $15 | $57 | 0.15% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $50 | — | $50 | 0.13% |
| JACOB C ECHOLS3 Filed as: JACOB C. ECHOLS | 3850 E BASELINE RD SUITE 116 MESA, AZ 85206 | AFLAC | $50 | — | $50 | 0.13% |
| SCOTT WEBB3 | 26729 N 91ST DR PEORIA, AZ 85383 | AFLAC | $48 | — | $48 | 0.12% |
| J M ELLWOOD3 | 8220 S SAN MIGUEL AVE SCOTTSDALE, AZ 85250 | AFLAC | $44 | — | $44 | 0.11% |
| LAUREL L HARLOW3 | 6200 W ROAN PLACE TUCSON, AZ 85743 | AFLAC | $41 | — | $41 | 0.10% |
| NANCY L SIGL3 Filed as: NANCY SIGL | 8683 RAWHIDE LN SPC 1 WILTON, CA 95693 | AFLAC | $38 | — | $38 | 0.10% |
| DONALD GREEN3 | 1611 W PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $38 | — | $38 | 0.10% |
| PREFERRED MARKETING CORP3 | 744 E DENIM TRL SAN TAN VALLEY, AZ 85143 | AFLAC | $37 | — | $37 | 0.09% |
| JASON ELIJAH ANGEL3 | 18001 N 79TH AVE STE C62 GLENDALE, AZ 85308 | AFLAC | $26 | — | $26 | 0.07% |
| ZACHARY HARTMAN3 | 13820 SOUTH 44TH ST APT 1190 PHOENIX, AZ 85044 | AFLAC | $21 | — | $21 | 0.05% |
| BARBARA ANN MCNAUGHTON3 Filed as: BARBARA MCNAUGHTON | 4910 CORPORATE DR NW STE G HUNTSVILLE, AL 35805 | AFLAC | $14 | — | $14 | 0.04% |
| HEALTHCARE NETWORKS OF AMERICA3 | 6127 S RAINBOW BLVD SUITE 100 LAS VEGAS, NV 89118 | AFLAC | $11 | — | $11 | 0.03% |
| CHAD P SCHNEIDER3 Filed as: CHAD SCHNEIDER | 4470 WOODMAN AVE UNIT 303 SHERMAN OAKS, CA 91423 | AFLAC | $10 | — | $10 | 0.03% |
| VIRGINIA RUTH HUNT3 | 15010 N 61ST PLACE SCOTTSDALE, AZ 85254 | AFLAC | $10 | — | $10 | 0.03% |
| JEFFREY A KLEINMAN SR3 Filed as: JEFFREY KLEINMAN SR | 33202 N 46TH WAY CAVE CREEK, AZ 85331 | AFLAC | $7 | — | $7 | 0.02% |
| MICHAEL G GLADNICK3 Filed as: MICHAEL GLADNICK | 3850 E BASELINE RD SUITE 116 MESA, AZ 85206 | AFLAC | $7 | — | $7 | 0.02% |
| VIRGINIA DIANE HALL3 | 5500 W LAKE RIVER LANE BOISE, ID 83703 | AFLAC | $7 | — | $7 | 0.02% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $6 | — | $6 | 0.02% |
| SHARON MCKELVEY3 | 197 N NOTTINGHAM LANE LOT 3 PAYSON, AZ 85541 | AFLAC | $6 | — | $6 | 0.02% |
| NATALIE MALHAM3 | 5822 N 13TH ST PHOENIX, AZ 85014 | AFLAC | $5 | — | $5 | 0.01% |
| BRENDA S O BERRY3 Filed as: BRENDA BERRY | PO BOX 686 THATCHER, AZ 85552 | AFLAC | $5 | — | $5 | 0.01% |
| JASON ELIJAH ANGEL3 | 504 S ABBEY WAY HOPKINSVILLE, KY 42240 | AFLAC | $5 | — | $5 | 0.01% |
| JUSTIN WAYNE ECHOLS3 | PO BOX 1283 THATHER, AK 85552 | AFLAC | $5 | — | $5 | 0.01% |
| CHERYL WILLS3 | 12801 ROSECRANS AVE APT 134 NORWALK, CA 90650 | AFLAC | $4 | — | $4 | 0.01% |
| JEFFERY S GIBSON3 Filed as: JEFFERY G GIBSON | 3009 HUNTON COTTAGE LN GLEN ALLEN, VA 23059 | AFLAC | $4 | — | $4 | 0.01% |
| STEPHEN WHITE3 | 615 S TWIN OAKS VALLEY RD APT 46 SAN MARCOS, CA 92078 | AFLAC | $4 | — | $4 | 0.01% |
| JOHN BURLEY3 | 3989 W ORANGEWOOD DR TUCSON, AZ 85741 | AFLAC | $3 | — | $3 | 0.01% |
| MICHAEL LOUIS D'ANGELO3 | 8251 N SUWANNEE DR TUCSON, AZ 85629 | AFLAC | $3 | — | $3 | 0.01% |
| NICHOLAS J DONIA3 | 843 W CALLE MURO FUERTE SAHUARITA, AZ 85629 | AFLAC | $3 | — | $3 | 0.01% |
| JACK GATHINGS3 | 7235 S GOLFSIDE LN PHOENIX, AZ 85042 | AFLAC | $2 | — | $2 | 0.01% |
| JULIA ANN COAST3 | 1409 E MALIBU DR TEMPE, AK 85282 | AFLAC | $2 | — | $2 | 0.01% |
| NATALIE MALHAM3 | 3850 E BASELINE RD SUITE 116 MESA, AK 85206 | AFLAC | $2 | — | $2 | 0.01% |
| JEFFRY KENT DELLINGER3 | 603 JEFFERSON DAVIS HWY STE 201 FREDERICKSBURG, VA 22401 | AFLAC | $2 | — | $2 | 0.01% |
| FILIPE A COELHO3 | 4515 S MCCLINTOCK DR SUITE 212 TEMPE, AZ 85282 | AFLAC | $1 | — | $1 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | P.O. BOX 632886 CINCINNATI, OH 452632886 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $5K | 19.10% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 452632886 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 19.97% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 452632886 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $507 | $2K | 12.69% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 452632886 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 10.07% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $815 | $287 | $1K | 13.53% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| JORGENSEN HEALTHCARE ASSOC INC EIN 86-0687859 EAP PROVIDER | Other services Service code 49 | — | $6K |
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 | 108 | 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) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 71 | $805K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF ARIZONA | 52 | $87K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 104 | $10K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 108 | $36K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 38 | $58K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 26 | $20K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 71 | $805K |
| Other(3 contracts, 2 carriers) | AFLAC | 108 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 108 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.