| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARQUEZ BENEFIT GROUP LLC3 | 8611 NORTH BLACK CANYON HIGHWAY PHOENIX, AZ 85021 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $9K | $4K | $13K | 11.43% |
| MJ INSURANCE3 Filed as: R AND T FIGUEROA AND VARIOUS AGENTS | 7569 SOUTH CARLISLE AVENUE TUCSON, AZ 85746 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $452 | $6K | 5.40% |
| STEVEN ROBERT KURZ3 | 14640 NORTH 90TH DRIVE PEORIA, AZ 85381 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $826 | $4K | 3.59% |
| KELLIE GREENE VALDEZ3 | 8611 NORTH BLACK CANYON HIGHWAY PHOENIX, AZ 85021 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $632 | $2K | 1.90% |
| ANNALISA MARIE KURZ3 | 14640 NORTH 90TH DRIVE PEORIA, AZ 85381 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $636 | $799 | $1K | 1.28% |
| RENE ADRIAN RODRIGUEZ3 | 1814 EAST BELL ROAD, SUITE 2009 PHOENIX, AZ 85022 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $645 | $62 | $707 | 0.63% |
| EDUARDO BARAJAS3 | 1703 WEST NATAL AVENUE MESA, AZ 85202 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $651 | $0 | $651 | 0.58% |
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 | 132 | 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) | 132 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 132 | $112K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 132 | $112K |
| Other | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 132 | $112K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 132 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.