| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HALVORSON INSURANCE INC3 Filed as: HALVORSON INSURANCE, INC. | 6131 E GRANT RD TUCSON, AZ 85712 | BLUE CROSS BLUE SHIELD OF ARIZONA | $33K | — | $33K | 9.13% |
| HELEN HAGARDT3 | 9076 N IRONWOOD MEADOWS TUCSON, AZ 85742 | AFLAC | $4K | $15 | $4K | 4.86% |
| HELEN HAGARDT3 | 9076 N IRONWOOD MEADOWS TUSCON, AZ 85742 | AFLAC | $2K | — | $2K | 2.50% |
| SANDRA L SARFF3 Filed as: SANDRA SARFF | 7090 N ORACLE RD 178 PMB 152 TUCSON, AZ 85704 | AFLAC | $2K | — | $2K | 1.84% |
| DONALD GREEN3 Filed as: DONALD A GREEN | 1611 W PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $2K | — | $2K | 1.84% |
| JOHN PATTON3 | 13497 EAGELS NEST CT CORONA, CA 92880 | AFLAC | $387 | $3 | $390 | 0.43% |
| ZAKERY ALLEN HARLOW3 | 3204 N ACADEMY BLVD STE 130 COLORADO SPRINGS, CO 80917 | AFLAC | $376 | $3 | $379 | 0.42% |
| ROBERT BRUCE SOROCK3 | 6260 N CERRADA MORENO TUCSON, AZ 85718 | AFLAC | $362 | — | $362 | 0.40% |
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $329 | — | $329 | 0.36% |
| PREFERRED MARKETING CORP3 | 1194 E LAKEVIEW DR. SAN TAN VALLEY, AZ 85143 | AFLAC | $256 | — | $256 | 0.28% |
| NANCY L SIGL3 | 21 YARROW LN NOVATO, CA 94947 | AFLAC | $234 | — | $234 | 0.26% |
| BENJAMIN J HAGARDT3 | 9076 N IRONWOOD MEADOWS DR. TUCSON, AZ 85742 | AFLAC | $228 | — | $228 | 0.25% |
| MARK HILL3 | PO BOX 85742 TUCSON, AZ 85754 | AFLAC | $207 | — | $207 | 0.23% |
| ZAKERY ALLEN HARLOW3 | 3755 N BUSINESS CENTER DR TUCSON, AZ 85705 | AFLAC | $202 | — | $202 | 0.22% |
| MICHAEL FATHERREE3 | 171 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $142 | — | $142 | 0.16% |
| SARA BRIERY3 Filed as: SARA E BRIERY | 4 MARBURG LN SAVANNAH, GA 31411 | AFLAC | $135 | — | $135 | 0.15% |
| SCOTT WEBB3 | 2155 W PINNACLE PEAK RD STE 205 PHOENIX, AZ 85027 | AFLAC | $130 | — | $130 | 0.14% |
| MERLE DALE HALL3 | 950 W BANNOCK STE 1100 BOISE, ID 83702 | AFLAC | $103 | — | $103 | 0.11% |
| CHEYANNA SARFF3 | 3737 W CROMWELL DR TUCSON, AZ 85741 | AFLAC | $72 | — | $72 | 0.08% |
| NORTH EAST EMPIRE INC3 Filed as: NORTH EAST EMPIRE, INC. | 8 W BROAD ST STE 720 HAZLETON, PA 18201 | AFLAC | $65 | — | $65 | 0.07% |
| DUANE CHARLES FLETCHER3 | PO BOX 21822 MESA, AZ 85277 | AFLAC | $60 | — | $60 | 0.07% |
| DEBORAH A BRIGHTSTAR3 | 8019 S QUEEN CREEK DR TUCSON, AZ 85747 | AFLAC | $57 | — | $57 | 0.06% |
| JACK GATHINGS3 | 7235 S GOLFSIDE LANE PHOENIX, AZ 85042 | AFLAC | $41 | — | $41 | 0.05% |
| JEANNETTE E FATHERREE3 | 171 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $38 | — | $38 | 0.04% |
| LAUREL L HARLOW3 | 3755 NORTH BUSINESS CENTRE DR STE 4 TUCSON, AZ 85705 | AFLAC | $35 | — | $35 | 0.04% |
| MICHAEL FATHERREE3 | 11876 MOORHEN CIR FORT WORTH, TX 76244 | AFLAC | $34 | — | $34 | 0.04% |
| CHEYANNA SARFF3 | 10553 E AVALON PARK ST TUCSON, AZ 85747 | AFLAC | $22 | — | $22 | 0.02% |
| CHAD P SCHNEIDER3 | 360 W HUBBARD ST APT 1105 CHICAGO, IL 60654 | AFLAC | $22 | — | $22 | 0.02% |
| LAUREL L HARLOW3 | 6200 W ROAN PL TUCSON, AZ 85743 | AFLAC | $20 | — | $20 | 0.02% |
| SHARON MCKELVEY3 Filed as: SHARON I MCKELVEY | 197 N NOTTINGHAM LN LOT 3 PAYSON, AZ 85541 | AFLAC | $18 | — | $18 | 0.02% |
| JEANNETTE E FATHERREE3 | 11876 MOORHEN CIR FORT WORTH, TX 76244 | AFLAC | $17 | — | $17 | 0.02% |
| JOHN BURLEY3 Filed as: JOHN DOUGLAS BURLEY | 3060 W CALLE LUCINDA TUCSON, AZ 85741 | AFLAC | $17 | — | $17 | 0.02% |
| KRISTI KIM GOODELL3 | 10017 E MOUTAIN VIEW RD UNIT 1074 SCOTTSDALE, AZ 85258 | AFLAC | $15 | — | $15 | 0.02% |
| JEFRFREY S GIBSON3 | 4805 LAKE BROOK DR STE 220 GLEN ALLEN, VA 23060 | AFLAC | $14 | — | $14 | 0.02% |
| JEFFREY A KLEINMAN SR3 | 3420 E SHEA BLVD STE 168 PHOENIX, AZ 85028 | AFLAC | $13 | — | $13 | 0.01% |
| MICHAEL G GLADNICK3 | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $12 | — | $12 | 0.01% |
| NATALIE MALHAM3 | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $12 | — | $12 | 0.01% |
| RUTH C KENTIGIAN INC3 | 22809 N 48TH PL PHOENIX, AZ 85054 | AFLAC | $10 | — | $10 | 0.01% |
| JULIA ANN COAST3 | 1409 E MALIBU DR TEMPE, AZ 85282 | AFLAC | $6 | — | $6 | 0.01% |
| BARBARA ANN MCNAUGHTON3 | 10000 N 31ST AVE STE C107 PHOENIX, AZ 85051 | AFLAC | $4 | — | $4 | 0.00% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $3 | — | $3 | 0.00% |
| MICHAEL G RYAN3 | 836 HOOSIER PASS PRESCOTT, AZ 86301 | AFLAC | $1 | — | $1 | 0.00% |
| LINDA J DOSS3 | 6556 S VAN BUREN AVE TUCSON, AZ 85756 | AFLAC | $1 | — | $1 | 0.00% |
| CSA GENERAL INSURANCE AGENCY3 | 2480 W LAS PALMARITAS PHOENIX, AZ 85021 | EYEMED | $1K | — | $1K | 10.73% |
| CSA GENERAL INSURANCE AGENCY3 | C/O BCBS ATTN CASH CONTROL PHOENIX, AZ 85069 | EYEMED | $488 | — | $488 | 5.01% |
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 | 230 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 230 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 230 | $361K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ARIZONA | 230 | $370K |
| Life insurance | BLUE CROSS BLUE SHIELD OF ARIZONA | 230 | $361K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 230 | $361K |
| Other | AFLAC | 105 | $91K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 230 | — |
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.