| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HALVORSON INSURANCE INC3 Filed as: HALVORSON INSURANCE, INC. | 8131 E GRANT RD TUCSON, AZ 85712 | BLUE CROSS BLUE SHIELD OF ARIZONA | $34K | — | $34K | 10.35% |
| HELEN HAGARDT3 | 9076 N IRONWOOD MEADOWS DRIVE TUCSON, AZ 85742 | AFLAC | $7K | $352 | $7K | 6.62% |
| SANDRA L SARFF3 Filed as: SANDRA L. SARFF | 7090 N. ORACLE RD 178 PMB 152 TUCSON, AZ 85704 | AFLAC | $2K | — | $2K | 1.96% |
| DONALD GREEN3 Filed as: DONALD A GREEN | 1611 W PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $714 | — | $714 | 0.68% |
| ZAKERY ALLEN HARLOW3 | 3755 N BUSINESS CENTER DR. TUCSON, AZ 85705 | AFLAC | $546 | $70 | $616 | 0.59% |
| ROBERT BRUCE SOROCK3 | 6260 N CERRADA MORENO TUCSON, AZ 85718 | AFLAC | $422 | — | $422 | 0.40% |
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $378 | — | $378 | 0.36% |
| MICHAEL FATHERREE3 | 11876 MOORHEN CIR FORT WORTH, TX 76244 | AFLAC | $308 | $46 | $354 | 0.34% |
| BENJAMIN J HAGARDT3 Filed as: BENJAMIN J HADARDT | 9076 N IRONWOOD MEADOWS DR TUCSON, AZ 85742 | AFLAC | $320 | — | $320 | 0.31% |
| PERFERRED MARKETING CORP3 | 1194 E LAKEVIEW DR SAN TAN VALLEY, AZ 85143 | AFLAC | $305 | — | $305 | 0.29% |
| NANCY L SIGL3 | 21 YARROW LN NOVATO, CA 94947 | AFLAC | $277 | — | $277 | 0.26% |
| JEANNETTE E FATHERREE3 | 11876 MOOREHEN CIR FORT WORTH, TX 76244 | AFLAC | $244 | $25 | $269 | 0.26% |
| SCOTT WEBB3 | 2155 W PINNACLE PEAK RD STE 205 PHOENIX, AZ 85027 | AFLAC | $184 | $32 | $216 | 0.21% |
| SARA BRIERY3 Filed as: SARA E BRIERY | 4 MARBURG LN SAVANNAH, GA 31411 | AFLAC | $155 | — | $155 | 0.15% |
| CHEYANNA SARFF3 | 10553 E AVALON PARK ST TUCSON, AZ 85747 | AFLAC | $121 | — | $121 | 0.12% |
| MERLE DALE HALL3 | 950 W BANNOCK ST STE 1100 BOISE, ID 83702 | AFLAC | $121 | — | $121 | 0.12% |
| MARK HILL3 | 7673 N SUMMIT PASS PRESCOTT VALLEY, AZ 86315 | AFLAC | $73 | — | $73 | 0.07% |
| DEBORAH A BRIGHTSTAR3 | 8019 S QUEEN CREEK DR TUCSON, AZ 85747 | AFLAC | $66 | — | $66 | 0.06% |
| NORTH EAST EMPIRE INC3 Filed as: NORTH EAST EMPIRE, INC. | 8 W BOARD ST STE 720 HAZLETON, PA 18201 | AFLAC | $55 | — | $55 | 0.05% |
| JACK GATHINGS3 | 7235 S GOLFSIDE LANE PHOENIX, AZ 85042 | AFLAC | $53 | — | $53 | 0.05% |
| DUANE CHARLES FLETCHER3 | PO BOX 21822 MESA, AZ 85277 | AFLAC | $49 | — | $49 | 0.05% |
| LAUREL L HARLOW3 | 3755 NORTH BUSINESS CENTRE DR. STE 4 TUCSON, AZ 85705 | AFLAC | $45 | — | $45 | 0.04% |
| MARK HILL3 | PO BOX 85715 TUCSON, AZ 85754 | AFLAC | $36 | — | $36 | 0.03% |
| JOHN PATTON3 | 13497 EAGLE NEST CT CORNOA, CA 92880 | AFLAC | $30 | — | $30 | 0.03% |
| KRISTI KIM GOODELL3 | 10017 E MOUNTAIN VIEW RD UNIT 1074 SCOTTSDALE, AZ 85258 | AFLAC | $17 | — | $17 | 0.02% |
| DUANE CHARLES FLETCHER3 | PO BOX 21822 MESA, AZ 85277 | AFLAC | $16 | — | $16 | 0.02% |
| NORTH EAST EMPIRE INC3 Filed as: NORTH EAST EMPIRE, INC. | 93 WOODSIDE RD DANVILLE, PA 17821 | AFLAC | $16 | — | $16 | 0.02% |
| LAUREL L HARLOW3 | 4566 N 1ST AVE STE 140 TUCSON, AZ 85718 | AFLAC | $15 | — | $15 | 0.01% |
| RUTH C KENTIGIAN INC3 | 22809 N 48TH PL PHOENIX, AZ 85054 | AFLAC | $11 | — | $11 | 0.01% |
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 | 238 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 238 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 238 | $326K |
| Vision | BLUE CROSS BLUE SHIELD OF ARIZONA | 238 | $326K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 238 | $326K |
| Other | AFLAC | 102 | $105K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 238 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.