| 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 | $22K | — | $22K | 3.21% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | BLUE CROSS BLUE SHIELD OF ARIZONA | $20K | — | $20K | 2.91% |
| MARSH & MCLENNAN AGENCY LLC3 | 9171 TOWNE CENTRE DR. STE 100 SAN DIEGO, CA 92122 | DELTA DENTAL OF ARIZONA | $2K | — | $2K | 4.65% |
| JULIE KICKER3 Filed as: JULIE A. KICKER | PO BOX 11825 CASA GRANDE, AZ 85130 | AFLAC | $2K | $79 | $2K | 5.07% |
| SETH G KNOWLTON3 Filed as: SETH G. KNOWLTON | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $419 | $50 | $469 | 1.41% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | 160 W SANTA CLARA ST STE 450 SAN JOSE, CA 95113 | AFLAC | $383 | — | $383 | 1.15% |
| KELLY MCGARRY3 | 4750 N ORACLE RD STE 214 TUCSON, AZ 85705 | AFLAC | $267 | $43 | $310 | 0.93% |
| SANDRA L SARFF3 Filed as: SANDRA L. SARFF | 7090 N ORACLE RD PMB 152 TUCSON, AZ 85704 | AFLAC | $182 | — | $182 | 0.55% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $171 | — | $171 | 0.51% |
| MICHAEL FATHERREE3 | 171 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $149 | — | $149 | 0.45% |
| MICAIAH LORELEI BOYEA3 | 505 W 10TH ST APT F CASA GRANDE, AZ 85122 | AFLAC | $52 | $94 | $146 | 0.44% |
| MARSHA L ECHOLS3 Filed as: MARSHA L. ECHOLS | PO BOX 594 THATCHER, AZ 85552 | AFLAC | $132 | — | $132 | 0.40% |
| JAMES HUNT3 Filed as: JAMES K. HUNT | 15010 N 61ST PLACE SCOTTSDALE, AZ 85254 | AFLAC | $131 | — | $131 | 0.39% |
| BENEFIT INTELLIGENCE INC3 | 4862 E BASELINE RD STE 101 MESA, AZ 85206 | AFLAC | $115 | — | $115 | 0.34% |
| KAMIL A BREEDLOVE3 Filed as: KAMIL A. BREEDLOVEE | 1701 E MEADOWBROOK AVE APT 355 PHOENIX, AZ 85016 | AFLAC | $115 | — | $115 | 0.34% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $90 | — | $90 | 0.27% |
| TULA BOYLES3 Filed as: TULA G. BOYLES | 1236 E LESTER STREET TUCSON, AZ 85719 | AFLAC | $86 | — | $86 | 0.26% |
| LOVITT AND TOUCHE, INC.3 Filed as: LOVITT AND TOUCHE INC | PO BOX 32702 TUCSON, AZ 85719 | AFLAC | $85 | — | $85 | 0.25% |
| JOHN DOLLAR3 Filed as: JOHN R. DOLLAR | 588 E WOLF HOLLOW DR CASA GRANDE, AZ 85122 | AFLAC | $68 | — | $68 | 0.20% |
| MARK HILL3 | 5188 E PARK VISTA DR TUCSON, AZ 85756 | AFLAC | $62 | — | $62 | 0.19% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $45 | — | $45 | 0.13% |
| JACOB C ECHOLS3 Filed as: JACOB C. ECHOLS | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $42 | — | $42 | 0.13% |
| J M ELLWOOD3 | 8220 E SAN MIGUEL AVE SCOTTSDALE, AZ 85250 | AFLAC | $40 | — | $40 | 0.12% |
| SCOTT WEBB3 | 26729 N 91ST DR PEORIA, AZ 85383 | AFLAC | $35 | — | $35 | 0.10% |
| LAUREL L HARLOW3 Filed as: LAUREL L. HARLOW | 2030 W BASELINE RD STE 182 PHOENIX, AZ 85041 | AFLAC | $35 | — | $35 | 0.10% |
| NANCY L SIGL3 Filed as: NANCY L. SIGL | 8683 RAWHIDE LN SPC 1 WILTON, CA 95693 | AFLAC | $35 | — | $35 | 0.10% |
| DONALD GREEN3 Filed as: DONALD A. GREEN | 1611 W PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $34 | — | $34 | 0.10% |
| PREFERRED MARKETING CORP3 | 744 E DENIM TRL SAN TAN VALLEY, AZ 85143 | AFLAC | $34 | — | $34 | 0.10% |
| ZACHARY HARTMAN3 | 13820 S 44TH ST APT 1190 PHOENIX, AZ 85044 | AFLAC | $19 | — | $19 | 0.06% |
| DAVID R LATTIMER3 | 3029 N SONORAN HILLS MESA, AZ 85207 | AFLAC | $18 | — | $18 | 0.05% |
| KIMBERY D. ADAMS3 | PO BOX 167 UMPQUA, OR 97486 | AFLAC | $16 | — | $16 | 0.05% |
| HEALTHCARE NETWORKS OF AMERICA3 | 6127 S RAINBOW BLVD STE 100 LAS VEGAS, NV 89118 | AFLAC | $10 | — | $10 | 0.03% |
| DAVID R LATTIMER3 Filed as: DAVID R. LATTIMER | 6605 N 93RD AVE GLENDALE, AZ 85305 | AFLAC | $10 | — | $10 | 0.03% |
| CHAD P SCHNEIDER3 Filed as: CHAD P. SCHNEIDER | 4470 WOODMAN AVE UNIT 303 SHERMAN OAKS, CA 91423 | AFLAC | $9 | — | $9 | 0.03% |
| VIRGINIA RUTH HUNT3 | 15010 N 61ST PLACE SCOTTSDALE, AZ 85254 | AFLAC | $9 | — | $9 | 0.03% |
| JOHNNY WAYNE ROBBINS3 | 29744 AWBREY LN UNIT B EUGENE, OR 97402 | AFLAC | $9 | — | $9 | 0.03% |
| JEFFREY A KLEINMAN SR3 Filed as: JEFFREY A. KLEINMAN SR | 33202 N 46TH WAY CAVE CREEK, AZ 85331 | AFLAC | $6 | — | $6 | 0.02% |
| VIRGINIA DIANE HALL3 | 5500 W LAKE RIVER LN BOISE, ID 83703 | AFLAC | $6 | — | $6 | 0.02% |
| MICHAEL G GLADNICK3 Filed as: MICHAEL G. GLADNICK | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $5 | — | $5 | 0.01% |
| SHARON MCKELVEY3 | 197 N NOTTINGHAM LN LOT 3 PAYSON, AZ 85541 | AFLAC | $5 | — | $5 | 0.01% |
| NATALIE MALHAM3 | 5822 N 13TH ST PHOENIX, AZ 85014 | AFLAC | $5 | — | $5 | 0.01% |
| BRENDA S O BERRY3 | PO BOX 686 THATCHER, AZ 85552 | AFLAC | $5 | — | $5 | 0.01% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $4 | — | $4 | 0.01% |
| JEROMY E. CILLEY3 | 2683 E WILSHIRE DR EUGENE, OR 97405 | AFLAC | $4 | — | $4 | 0.01% |
| JEFFERY S GIBSON3 Filed as: JEFFERY S. GIBSON | 4030 TATES CREEK RD APT 1004 CONSHOHOCKEN, PA 40517 | AFLAC | $3 | — | $3 | 0.01% |
| JOHN BURLEY3 Filed as: JOHN DOUGLAS BURLEY | 3989 W ORANGEWOOD DR TUCSON, AZ 85741 | AFLAC | $3 | — | $3 | 0.01% |
| MICHAEL LOUIS D'ANGELO3 | 8251 N SUWANNEE DR TUCSON, AZ 85741 | AFLAC | $3 | — | $3 | 0.01% |
| NICHOLAS J DONIA3 | 843 W CALLE MURO FUERTE SAHUARITA, AZ 85629 | AFLAC | $3 | — | $3 | 0.01% |
| JASON ELIJAH ANGEL3 | 18001 N 79TH AVE STE C62 GLENDALE, AZ 85308 | AFLAC | $2 | — | $2 | 0.01% |
| BARBARA ANN MCNAUGHTON3 | 4910 CORPORATE DR NW STE G HUNTSVILLE, AL 35805 | AFLAC | $2 | — | $2 | 0.01% |
| JASON ELIJAH ANGEL3 | 2550 W UNION HILLS DR STE 350 PHOENIX, AZ 85027 | AFLAC | $2 | — | $2 | 0.01% |
| JULIA ANN COAST3 | 1409 E MALIBU DR TEMPE, AZ 85282 | AFLAC | $2 | — | $2 | 0.01% |
| STEPHEN WHITE3 | 12901 N MACARTHUR BLVD APT 13 OKLAHOMA CITY, OK 73142 | AFLAC | $1 | — | $1 | 0.00% |
| STEPHEN WHITE3 | 615 S TWIN OAKS VALLEY RD APT 46 SAN MARCOS, CA 92078 | AFLAC | $1 | — | $1 | 0.00% |
| JEFFRY KENT DELLINGER3 | 603 EMANCIPATION HWY STE 201 FREDERICKSBURG, VA 22401 | 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 | $2K | $1K | $3K | 10.94% |
| MARSH & MCLENNAN AGENCY LLC3 | 7202 E ROSEWOOD ST STE 200 TUCSON, AZ 85710 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 8.77% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 452632886 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $910 | $2K | 12.15% |
| MARSH & MCLENNAN AGENCY LLC3 | 7202 E ROSEWOOD ST STE 200 TUCSON, AZ 85710 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 8.09% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 452632886 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $719 | $849 | $2K | 9.25% |
| MARSH & MCLENNAN AGENCY LLC3 | 7202 E ROSEWOOD ST STE 200 TUCSON, AZ 85710 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $977 | — | $977 | 5.76% |
| MARSH & MCLENNAN AGENCY LLC3 | 7202 E ROSEWOOD ST STE 200 TUCSON, AZ 85710 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $483 | — | $483 | 5.82% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 452632886 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $430 | — | $430 | 5.18% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $287 | $367 | $654 | 9.86% |
| MARSH & MCLENNAN AGENCY LLC3 | 7202 E ROSEWOOD ST STE 200 TUCSON, AZ 85710 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $376 | — | $376 | 5.67% |
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 | 117 | 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) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 117 | $676K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF ARIZONA | 91 | $77K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 98 | $8K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 93 | $33K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 32 | $50K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 19 | $17K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 117 | $676K |
| Other(3 contracts, 2 carriers) | AFLAC | 93 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 117 | — |
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.