| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SVCS. | PO BOX 632886 CINCINNATI, OH 45263 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $2K | $14K | 9.67% |
| LOVITT AND TOUCHE, INC.3 | PO BOX 741259 LOS ANGELES, CA 90074 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $38 | $38 | 0.03% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SVCS. | 3101 NORTH CENTRAL AVENUE PHOENIX, AZ 85004 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 9.71% |
| NOAH OROPEZA3 | 5305 NORTH GINNING DRIVE LITCHFIELD PARK, AZ 85340 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $565 | $322 | $887 | 5.99% |
| DENA KOLLOWAY OROPEZA3 | 5305 NORTH GINNING DRIVE LITCHFIELD PARK, AZ 85340 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $325 | $0 | $325 | 2.19% |
| MJ INSURANCE3 Filed as: EDUARDO BARAJAS AND VARIOUS AGENTS | 3532 WEST GLASS LANE PHOENIX, AZ 85041 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $291 | $12 | $303 | 2.05% |
| LISA ANN GUERTIN3 | 4438 EAST TROTTER ROAD TUCSON, AZ 85739 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $181 | $1 | $182 | 1.23% |
| JAMES D THRESHER3 Filed as: JAMES D. THRESHER | PO BOX 19569 HAPPY JACK, AZ 86024 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $136 | $0 | $136 | 0.92% |
| CHRISTIAN BARAJAS3 | 3842 WEST CHOLLA STREET PHOENIX, AZ 85029 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $114 | $0 | $114 | 0.77% |
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 | 103 | 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) | 103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 84 | $314K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 242 | $140K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 242 | $140K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 242 | $140K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 242 | $140K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 242 | $140K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 84 | $314K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 242 | $155K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 242 | — |
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."
No prospect flags tripped on this filing.