| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 452632886 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $5K | $70K | $75K | 3.08% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $14K | — | $14K | 3.03% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA INC | PO BOX 101162 PASADENA, CA 911890001 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 0.31% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE, STE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $125 | $125 | 0.03% |
| SCOTT WOOD3 Filed as: SCOTT KOSTEL | 9566 E. WINDROSE DR. SCOTTSDALE, AZ 85260 | AFLAC | $10K | $700 | $11K | 8.62% |
| BRYAN G CORBIN LLC3 Filed as: BRYAN G. CORBIN LLC | 8612 W. MARY ANN DRIVE PEORIA, AZ 85382 | AFLAC | $9K | $527 | $9K | 7.50% |
| MARIA MULLIGAN3 | 24654 N LAKE PLEASANT PARKWAY 103-417 PEORIA, AZ 85383 | AFLAC | $3K | $246 | $3K | 2.76% |
| MULLIGAN BENEFITS LLC3 | 24654 N LAKE PLEASANT PARKWAY 103-417 PEORIA, AZ 85383 | AFLAC | $2K | $246 | $3K | 2.09% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ARIZONA, INC. | 16220 N. SCOTTSDALE RD., STE 600 SCOTTSDALE, AZ 85254 | AFLAC | $1K | — | $1K | 0.90% |
| SETH G KNOWLTON3 Filed as: SETH KNOWLTON | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $354 | $64 | $418 | 0.33% |
| SCOTT W BLACKSHEAR3 Filed as: SCOTT GUTHRIE | 14227 N 14TH ST PHOENIX, AZ 85022 | AFLAC | $338 | — | $338 | 0.27% |
| RAFAEL CHAVARIN3 | 5631 W COLTER ST APT 1112 GLENDALE, AZ 85301 | AFLAC | $281 | — | $281 | 0.22% |
| RUSSELL M FERREE3 Filed as: RUSSELL FERREE | 14697 W. EDGEMONT AVE. GOODYEAR, AZ 85395 | AFLAC | $244 | — | $244 | 0.19% |
| GREGORY STENZEL3 | 2302 KNOX WAY MELISSA, TX 75454 | AFLAC | $232 | — | $232 | 0.19% |
| ORIN LEE WILLIAMS3 Filed as: ORIN WILLIAMS | 313 N. CORRINE DR. GILBERT, AZ 85234 | AFLAC | $226 | — | $226 | 0.18% |
| DONNA NORTHRUP3 | 3501 NORTH FREEWAY SPACE 65 TUCSON, AZ 85705 | AFLAC | $154 | — | $154 | 0.12% |
| SCOTT WEBB3 | 12366 W. MILTON DR. PEORIA, AZ 85383 | AFLAC | $93 | — | $93 | 0.07% |
| JEFFREY A KLEINMAN SR3 Filed as: JEFFREY KLEINMAN SR. | 3420 E. SHEA BLVD. SUITE 168 PHOENIX, AZ 85028 | AFLAC | $91 | — | $91 | 0.07% |
| ZAKERY HARLOW3 | 3204 N ACADEMY BLVD SUITE 130 COLORADA SPRINGS, CO 80917 | AFLAC | $69 | $13 | $82 | 0.07% |
| NED BILECKI3 | PO BOX 27567 TEMPE, AZ 85285 | AFLAC | $76 | — | $76 | 0.06% |
| MARK HILL3 | PO BOX 85715 TUCSON, AZ 85754 | AFLAC | $67 | — | $67 | 0.05% |
| YVONNE STARKEY3 | 10444 N. 69TH ST. PARADISE VALLEY, AZ 85253 | AFLAC | $67 | — | $67 | 0.05% |
| HEALTHCARE NETWORKS OF AMERICA3 | 6127 S RAINBOW BLVD SUITE 100 LAS VEGAS, NV 89118 | AFLAC | $66 | — | $66 | 0.05% |
| BRYAN TUCKER3 | 24654 NORTH LAKE PLEASANT PARKWAY 103-465 PEORIA, AZ 85383 | AFLAC | $64 | — | $64 | 0.05% |
| LAUREL L HARLOW3 Filed as: LAUREL HARLOW | 6200 W ROAN PL TUCSON, AZ 85743 | AFLAC | $49 | $13 | $62 | 0.05% |
| ALICIA CLIFTON3 | 3915 HUNTING RIDGE DR. SW LILBURN, GA 30047 | AFLAC | $59 | — | $59 | 0.05% |
| SEAN WHITLEY3 | 1400 E. BETHANY HOME RD UNIT 27 PHOENIX, AZ 85014 | AFLAC | $55 | — | $55 | 0.04% |
| JENNIFER MATHER3 | 2329 S 101ST DR. TOLLESON, AZ 85353 | AFLAC | $50 | — | $50 | 0.04% |
| WILLIAM J SHARP3 Filed as: WILLIAM SHARP | 17836 N. 43RD WAY PHOENIX, AZ 85032 | AFLAC | $49 | — | $49 | 0.04% |
| SANDRA L SARFF3 Filed as: SANDRA SARFF | 7090 N ORACLE RD 178 PMB 152 TUCSON, AZ 85704 | AFLAC | $43 | — | $43 | 0.03% |
| ALFREDO VARGAS3 | 6230 N FLORENCE AVE LITCHFIELD PARK, AZ 85340 | AFLAC | $43 | — | $43 | 0.03% |
| ANNE STRONG3 | 1482 E TASCAL LOOP TUCSON, AZ 85737 | AFLAC | $41 | — | $41 | 0.03% |
| CHAD P SCHNEIDER3 Filed as: CHAD SCHNEIDER | 360 W HUBBARD ST APT 1105 CHICAGO, IL 60654 | AFLAC | $36 | — | $36 | 0.03% |
| JAMES HUNT3 | 15010 N 61ST PLACE SCOTTSDALE, AZ 85254 | AFLAC | $34 | — | $34 | 0.03% |
| DONNA BOYER3 | 4376 E 1050TH AVE OBLONG, IL 62449 | AFLAC | $28 | — | $28 | 0.02% |
| CRUSADER INSURANCE INC3 | 20516 N 80TH LANE PEORIA, AZ 85382 | AFLAC | $26 | — | $26 | 0.02% |
| M & O AGENCIES INC3 | 1835 S EXTENSION RD MESA, AZ 85210 | AFLAC | $23 | — | $23 | 0.02% |
| J M ELLWOOD3 Filed as: J ELLWOOD | 8220 E SAN MIGUEL AVE SCOTTDALE, AZ 85250 | AFLAC | $19 | — | $19 | 0.02% |
| SUSAN MULLIGAN3 | 818 S MANN AVE TUCSON, AZ 85710 | AFLAC | $19 | — | $19 | 0.02% |
| ERIC PEDERSON3 | 2615 N 4TH ST SUITE 1 FLAGSTAFF, AZ 86004 | AFLAC | $17 | — | $17 | 0.01% |
| DONALD GREEN3 | 611 W PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $16 | — | $16 | 0.01% |
| DIANA JACKSON3 | 325 LINDEN LANE MATTOON, IL 61938 | AFLAC | $16 | — | $16 | 0.01% |
| KEVIN DALE HARLOW3 Filed as: KEVIN HARLOW | 3204 N ACADEMY BLVD SUITE 130 COLORADO SPRINGS, CO 80917 | AFLAC | $15 | — | $15 | 0.01% |
| JEFFREY TAYLOR3 | 820 WHITE OAK DRIVE NEWNAN, GA 30265 | AFLAC | $14 | — | $14 | 0.01% |
| FRANK NORTHRUP3 | 3501 N FREEWAY RD 65 TUCSON, AZ 85705 | AFLAC | $13 | — | $13 | 0.01% |
| VIRGINIA RUTH HUNT3 Filed as: VIRGINIA HUNT | 15010 N 61ST PL SCOTTSDALE, AZ 85254 | AFLAC | $13 | — | $13 | 0.01% |
| PEFERRED MARKETING CORP3 | 1194 E LAKEVIEW DR. SAN TAN VALLEY, AZ 85143 | AFLAC | $12 | — | $12 | 0.01% |
| JEFFERY S GIBSON3 Filed as: JEFFERY GIBSON | 4805 LAKE BROOK DR SUITE 220 GLEN ALLEN, VA 23060 | AFLAC | $12 | — | $12 | 0.01% |
| KIMBERLY RODRIGUEZ3 | 37057 S GAMBEL QUIAL DR. MARANA, AZ 85658 | AFLAC | $12 | — | $12 | 0.01% |
| ADAM LABBE3 | 22974 S 210TH ST. QUEEN CREEK, AZ 85142 | AFLAC | $11 | — | $11 | 0.01% |
| SHANE FAIRCHILD3 | 13454 W PORT ROYALE LANE SURPRISE, AZ 85379 | AFLAC | $10 | — | $10 | 0.01% |
| MICHAEL G GLADNICK3 Filed as: MICHAEL GLADNICK | 3850 E BASELINE RD SUITE 116 MESA, AZ 85206 | AFLAC | $10 | — | $10 | 0.01% |
| NATALIE MALHAM3 | 3850 E BASELINE RD SUITE 116 MESA, AZ 85206 | AFLAC | $10 | — | $10 | 0.01% |
| BOBBY JONES3 | 1831 E DONNER DR PHOENIX, AZ 85042 | AFLAC | $10 | — | $10 | 0.01% |
| ARIZONA BENEFITS GROUP INC3 | 7878 N 16TH ST SUITE 250 PHOENIX, AZ 85020 | AFLAC | $9 | — | $9 | 0.01% |
| GARY W JOHNSON3 Filed as: GARY JOHNSON | 123 CENTER PARK DR. SUITE 102 KNOXVILLE, TN 37922 | AFLAC | $9 | — | $9 | 0.01% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $9 | — | $9 | 0.01% |
| JULIE KICKER3 | 719 E COTTONWOOD LANE CASA GRANDE, AZ 85122 | AFLAC | $7 | — | $7 | 0.01% |
| ZACHARY HARTMAN3 | 13820 SOUTH 44TH ST. APT1190 PHOENIX, AZ 85044 | AFLAC | $6 | — | $6 | 0.00% |
| BARBARA ANN MCNAUGHTON3 Filed as: BARBARA MCNAUGHTON | 1308 NATURE WALK BLVD SW HUNTSVILLE, AL 35824 | AFLAC | $5 | — | $5 | 0.00% |
| MERLE DALE HALL3 Filed as: MERLE HALL | 950 W BANNOCK ST SUITE 1100 BOISE, ID 83702 | AFLAC | $3 | — | $3 | 0.00% |
| ANA MARIE GARCIA SMITH3 Filed as: ANA MARIE SMITH | 110 BANDERVIEW RD SEYMOUR, TN 37754 | AFLAC | $1 | — | $1 | 0.00% |
| SUSAN REDDOCH BUFFINGTON3 Filed as: SUSAN BUFFINGTON | 400 TAX RD SHILOH, GA 31826 | AFLAC | $1 | — | $1 | 0.00% |
| JULIA ANN COAST3 Filed as: JULIA COAST | 1409 E MALIBU TEMPE, AZ 85282 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN BURLEY3 | 3060 W CALLE LUCINDA TUCSON, AZ 85741 | AFLAC | $1 | — | $1 | 0.00% |
| SUSAN RAY3 | 3473 NORTHLAKE WAY ATLANTA, GA 30340 | AFLAC | $1 | — | $1 | 0.00% |
| JODIE GRAY3 | 127 HOLMES CREEK LANE LAYTON, UT 84041 | AFLAC | $1 | — | $1 | 0.00% |
| JACK GATHINGS3 | 7235 S GOLFSIDE LANE PHOENIX, AZ 85042 | AFLAC | $1 | — | $1 | 0.00% |
| MICHAEL G RYAN3 Filed as: MICHAEL RYAN | 836 HOOSIER PASS PRESCOTT, AZ 86301 | AFLAC | $1 | — | $1 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | PO BOX 632886 CINCINNATI, OH 45263 | VISION SERVICE PLAN | $2K | — | $2K | 3.90% |
| BKA BENEFITS4 | 6717 W. WAHALLA LN GLENDALE, AZ 85308 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $2K | — | $2K | 26.26% |
| THOMPSON SUCCESS PARTNERS, INC.4 | 2776 GEARY STREET MATLACHA, FL 33993 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $296 | — | $296 | 3.14% |
| BARRY OLFERN AND ASSOC. INC4 Filed as: BARRY OLFERN & ASSOC. INC. | 954 TYLER ST. HOLLYWOOD, FL 33019 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $147 | — | $147 | 1.56% |
| ALISTAIR EDWARDS4 | 723 OAK MOUNTAIN RD. NW KENNESAW, GA 30152 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $141 | — | $141 | 1.50% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | PO BOX 101162 PASADENA, CA 91189 | HARTFORD LIFE AND ACCIDENT | — | $356 | $356 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INS CO EIN 59-1031071 CLAIMS ADMINISTRATOR | Non-monetary compensation; Float revenue; Participant communication; Direct payment from the plan; Named fiduciary; Claims processing; Contract Administrator; Other services Service code 12 | — | $13K |
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 | 379 | 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) | 379 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 249 | $2.4M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 249 | $2.4M |
| Vision | VISION SERVICE PLAN | 218 | $40K |
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 379 | $453K |
| Short-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 379 | $579K |
| Long-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 379 | $453K |
| Other(3 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 379 | $463K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 379 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.