| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JULIE KICKER3 Filed as: JULIE A. KICKER | PO BOX 11825 CASA GRANDE, AZ 85130 | AFLAC | $1K | — | $1K | 3.87% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLELLAN AGENCY LLC | PO BOX 32702 TUCSON, AZ 85751 | AFLAC | $238 | — | $238 | 0.87% |
| SETH G KNOWLTON3 Filed as: SETH G. KNOWLTON | 11396 N SILVER PHEASANT LOOP ORO VALLEY, AZ 85737 | AFLAC | $176 | — | $176 | 0.64% |
| SANDRA L SARFF3 Filed as: SANDRA L. SARFF | 3811 E CHICO LN TUCSON, AZ 85739 | AFLAC | $172 | — | $172 | 0.63% |
| MARSHA L ECHOLS3 Filed as: MARSHA L. ECHOLS | PO BOX 594 THATCHER, AZ 85552 | AFLAC | $145 | — | $145 | 0.53% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $140 | — | $140 | 0.51% |
| KELLY MCGARRY3 | 4750 N ORACLE RD STE 214 TUCSON, AZ 85705 | AFLAC | $136 | — | $136 | 0.50% |
| JAMES HUNT3 Filed as: JAMES K. HUNT | 15010 N 61ST PLACE SCOTTSDALE, AZ 85254 | AFLAC | $136 | — | $136 | 0.50% |
| NICHOLAS CAFFREY3 | 6502 N CALLE LOTTIE TUCSON, AZ 85718 | AFLAC | $129 | — | $129 | 0.47% |
| MICHAEL FATHERREE3 | 171 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $128 | — | $128 | 0.47% |
| BENEFIT INTELLIGENCE INC3 | 4862 E BASELINE RD STE 101 MESA, AZ 85206 | AFLAC | $111 | — | $111 | 0.41% |
| TULA BOYLES3 Filed as: TULA G. BOYLES | 12495 W GINI LN MARANA, AZ 85663 | AFLAC | $80 | — | $80 | 0.29% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $67 | — | $67 | 0.25% |
| MARK HILL3 | 5188 E PARK VISTA DR TUCSON, AZ 85756 | AFLAC | $57 | — | $57 | 0.21% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $50 | — | $50 | 0.18% |
| JOHN DOLLAR3 Filed as: JOHN R. DOLLAR | PO BOX 403 YOUNG, AZ 85554 | AFLAC | $47 | — | $47 | 0.17% |
| J M ELLWOOD3 | 8220 E SAN MIGUEL AVE SCOTTSDALE, AZ 85250 | AFLAC | $44 | — | $44 | 0.16% |
| PREFERRED MARKETING CORP3 | 817 CYPRESS OAK CIR DELAND, FL 32720 | AFLAC | $37 | — | $37 | 0.14% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT AND INS SERVICES INC | 160 W SANTA CLARA ST STE 450 SAN JOSE, CA 95113 | AFLAC | $36 | — | $36 | 0.13% |
| KIMBERY D. ADAMS3 | PO BOX 167 UMPQUA, OR 97486 | AFLAC | $33 | — | $33 | 0.12% |
| SCOTT WEBB3 | 26729 N 91ST DR PEORIA, AZ 85383 | AFLAC | $31 | — | $31 | 0.11% |
| NANCY L SIGL3 Filed as: NANCY L. SIGL | 8683 RAWHIDE LN SPC 1 WILTON, CA 95693 | AFLAC | $30 | — | $30 | 0.11% |
| DAVID R LATTIMER3 | 6605 N 93RD AVE GLENDALE, AZ 85305 | AFLAC | $29 | — | $29 | 0.11% |
| JACOB C ECHOLS3 Filed as: JACOB C. ECHOLS | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $27 | — | $27 | 0.10% |
| DONALD GREEN3 Filed as: DONALD A. GREEN | 4719 S HARVEST MOON DR GREEN VALLEY, AZ 85622 | AFLAC | $26 | — | $26 | 0.10% |
| JACOB C ECHOLS3 | 15824 E PARK AVE GILBERT, AZ 85234 | AFLAC | $15 | — | $15 | 0.05% |
| ZACHARY HARTMAN3 Filed as: ZACHARY K HARTMAN | 13820 S 44TH ST APT 1190 PHOENIX, AZ 85044 | AFLAC | $14 | — | $14 | 0.05% |
| LAUREL L HARLOW3 Filed as: LAUREL L. HARLOW | 2030 W BASELINE RD STE 182 PHOENIX, AZ 85041 | AFLAC | $11 | — | $11 | 0.04% |
| HEALTHCARE NETWORKS OF AMERICA3 | 6127 S RAINBOW BLVD STE 100 LAS VEGAS, NV 89118 | AFLAC | $10 | — | $10 | 0.04% |
| CHAD P SCHNEIDER3 Filed as: CHAD P. SCHNEIDER | 22213 1/2 ERWIN ST WOODLAND HILLS, CA 91367 | AFLAC | $9 | — | $9 | 0.03% |
| JEROMY E. CILLEY3 | 2683 E WILSHIRE DR EUGENE, OR 97405 | AFLAC | $8 | — | $8 | 0.03% |
| VIRGINIA DIANE HALL3 | 5500 W LAKE RIVER LN BOISE, ID 83703 | AFLAC | $7 | — | $7 | 0.03% |
| SHARON MCKELVEY3 | 589 E CONESTOGA CIR LOT 3 GRAND JUNCTION, CO 81504 | AFLAC | $6 | — | $6 | 0.02% |
| JEFFREY A KLEINMAN SR3 | 33202 N 46TH WAY CAVE CREEK, AZ 85331 | AFLAC | $5 | — | $5 | 0.02% |
| BRENDA S O BERRY3 | PO BOX 686 THATCHER, AZ 85552 | AFLAC | $5 | — | $5 | 0.02% |
| MICHAEL G GLADNICK3 Filed as: MICHAEL G. GLADNICK | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $4 | — | $4 | 0.01% |
| NATALIE MALHAM3 | 5822 N 13TH ST PHOENIX, AZ 85014 | AFLAC | $4 | — | $4 | 0.01% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $4 | — | $4 | 0.01% |
| JOHNNY WAYNE ROBBINS3 | 2530 N TERRY ST SPC 105 EUGENE, OR 97402 | AFLAC | $3 | — | $3 | 0.01% |
| JEFFERY S GIBSON3 Filed as: JEFFERY S. GIBSON | 4030 TATES CREEK RD APT 1004 CONSHOHOCKEN, PA 40517 | AFLAC | $2 | — | $2 | 0.01% |
| BARBARA ANN MCNAUGHTON3 | 4910 CORPORATE DR NW STE G HUNTSVILLE, AL 35805 | AFLAC | $2 | — | $2 | 0.01% |
| JULIA ANN COAST3 | 1409 E MALIBU DR TEMPE, AZ 85282 | AFLAC | $2 | — | $2 | 0.01% |
| JOHNNY WAYNE ROBBINS3 | 29744 AWBREY LN UNIT B EUGENE, OR 97402 | AFLAC | $1 | — | $1 | 0.00% |
| VIRGINIA RUTH HUNT3 | 15010 N 61ST PLACE SCOTTSDALE, AZ 85254 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN BURLEY3 Filed as: JOHN DOUGLAS BURLEY | 5576 W MONTEREY DR TUCSON, AZ 85742 | AFLAC | $1 | — | $1 | 0.00% |
| LINDA J DOSS3 | 6556 S VAN BUREN AVE TUCSON, AZ 85756 | AFLAC | $0 | — | $0 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 | 7202 E ROSEWOOD ST STE 200 TUCSON, AZ 85710 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 20.79% |
| MARSH & MCLENNAN AGENCY LLC3 | 7202 E ROSEWOOD ST STE 200 TUCSON, AZ 85710 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $915 | $4K | 20.24% |
| MARSH & MCLENNAN AGENCY LLC3 | 7202 E ROSEWOOD ST STE 200 TUCSON, AZ 85710 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $818 | $3K | 14.81% |
| MARSH & MCLENNAN AGENCY LLC3 | 7202 E ROSEWOOD ST STE 200 TUCSON, AZ 85710 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $668 | $377 | $1K | 15.64% |
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 | 104 | 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) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AFLAC | 26 | $27K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 104 | $28K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 34 | $44K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 27 | $17K |
| Other(3 contracts, 2 carriers) | AFLAC | 104 | $55K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 104 | — |
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.