| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHNSON INSURANCE SERVICES LLC3 | 555 MAIN STREET RACINE, WI 53403 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $64K | $116K | $180K | 27.91% |
| JOHNSON INSURANCE SERVICES LLC3 | 555 MAIN STREET SUITE 291 RACINE, WI 53403 | PRINCIPAL LIFE INSURANCE COMPANY | $14K | $832 | $15K | 7.73% |
| GLORIA A OLSON3 | 999 EAST FRY BOULEVARD SUITE 306 SIERRA VISTA, AZ 85635 | AFLAC | $2K | $67 | $2K | 6.47% |
| CAROLE E MONTGOMERY3 | 2404 E DRACHMAN STREET TUCSON, AZ 85719 | AFLAC | $298 | — | $298 | 1.20% |
| LESLIE J BAILEY3 | 4234 NORTH PORTAGE AVENUE MERIDIAN, ID 83646 | AFLAC | $201 | — | $201 | 0.81% |
| KEVIN DALE HARLOW3 | 6281 NORTH ORACLE ROAD UNIT 35072 TUCSON, AZ 85740 | AFLAC | $184 | $13 | $197 | 0.80% |
| PATTY J NATIONS3 | PO BOX 89639 TUCSON, AZ 85752 | AFLAC | $176 | — | $176 | 0.71% |
| ZAKERY ALLEN HARLOW3 | 3755 NORTH BUSINESS CENTER DRIVE TUCSON, AZ 85705 | AFLAC | $113 | $13 | $126 | 0.51% |
| DONALD GREEN3 Filed as: DONALD A GREEN | 1611 WEST PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $115 | — | $115 | 0.46% |
| SANDRA L SARFF3 | 7090 NORTH ORACLE ROAD 178 PMB 152 TUCSON, AZ 85704 | AFLAC | $77 | — | $77 | 0.31% |
| GUADALUPE PARRA3 | PO BOX 91403 TUCSON, AZ 85752 | AFLAC | $64 | — | $64 | 0.26% |
| MARK K HASLEY3 | 21925 NORTH 70TH AVENUE GLENDALE, AZ 85310 | AFLAC | $43 | — | $43 | 0.17% |
| MICHAEL LOUIS D'ANGELO3 | 8251 NORTH SUWANNEE DRIVE TUCSON, AZ 85741 | AFLAC | $42 | — | $42 | 0.17% |
| TAD H DRYDEN3 | PO BOX 1476 THATCHER, AZ 85552 | AFLAC | $38 | — | $38 | 0.15% |
| JACOB C ECHOLS3 | 3850 E BASELINE ROAD SUITE 116 MESA, AZ 85208 | AFLAC | $38 | — | $38 | 0.15% |
| V LAMAR ECHOLS3 | 3723 EAST WASHINGTON COURT GILBERT, AR 85234 | AFLAC | $30 | — | $30 | 0.12% |
| VINCENT TAYLOR ECHOLS3 Filed as: VINCENT T ECHOLS | PO BOX 594 THATCHER, AZ 85552 | AFLAC | $28 | — | $28 | 0.11% |
| SCOTT WEBB3 | 2355 WEST PINNACLE PEAK ROAD SUITE 380 PHOENIX, AZ 85027 | AFLAC | $27 | — | $27 | 0.11% |
| TAMMY A PEDERSON3 | 1600 WEST UNIVERSITY AVENUE SUITE 104 FLAGSTAFF, AZ 86001 | AFLAC | $25 | — | $25 | 0.10% |
| EGGERT & EDWARDS INS INC3 Filed as: EGGERT & EDWARDS INSURANCE INC | 6430 NORTH CAMINO ARTURO TUCSON, AZ 85218 | AFLAC | $24 | — | $24 | 0.10% |
| ERIC PEDERSON3 | 1600 WEST UNIVERSITY AVENUE SUITE 104 FLAGSTAFF, AZ 86001 | AFLAC | $21 | — | $21 | 0.08% |
| JENNIFER GOOCH3 Filed as: JENNIFER L GOOCH | 4897 WEST HURSTON DRIVE TUCSON, AZ 85742 | AFLAC | $19 | — | $19 | 0.08% |
| CHAD P SCHNEIDER3 | 14430 BENEFIT STREET APARTMENT 308 SHERMAN OAKS, CA 91423 | AFLAC | $19 | — | $19 | 0.08% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SERVICE | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $18 | — | $18 | 0.07% |
| PREFERRED MARKETING CORP3 Filed as: PREFERRED MARKETING CORPORATION | 1194 EAST LAKEVIEW DRIVE SAN TAN VALLEY, AZ 85143 | AFLAC | $14 | — | $14 | 0.06% |
| MARK HILL3 | PO BOX 85715 TUCSON, AZ 85754 | AFLAC | $13 | — | $13 | 0.05% |
| DONNA NORTHRUP3 Filed as: DONNA D NORTHRUP | 3501 NORTH FREEWAY SPACE 65 TUCSON, AZ 85705 | AFLAC | $11 | — | $11 | 0.04% |
| ERIC PEDERSON3 | 4990 CAMINO DE LOS VIENTOS FLAGSTAFF, AZ 86004 | AFLAC | $9 | — | $9 | 0.04% |
| MARK HILL3 | 7673 NORTH SUMMIT PASS PRESCOTT VALLEY, AZ 86315 | AFLAC | $9 | — | $9 | 0.04% |
| JACK GATHINGS3 | 7235 SOUTH GOLFSIDE LANE PHOENIX, AZ 85042 | AFLAC | $9 | — | $9 | 0.04% |
| SHELLEY A MATSON3 | 11529 NORTH KRISCOTT COURT TUCSON, AZ 85737 | AFLAC | $4 | — | $4 | 0.02% |
| TAMMY A PEDERSON3 | 2532 NORTH 4TH STREET PMB 556 FLAGSTAFF, AZ 86004 | AFLAC | $3 | — | $3 | 0.01% |
| JULIA ANN COAST3 | 1409 EAST MALIBU DRIVE TEMPE, AZ 85282 | AFLAC | $1 | — | $1 | 0.00% |
| CSA GENERAL INSURANCE AGENCY3 | 2480 WEST LAS PALMARITAS PHOENIX, AZ 85021 | EYEMED VISION CARE | $2K | — | $2K | 9.50% |
| CSA GENERAL INSURANCE AGENCY3 | 2480 WEST LAS PALMARITAS PHOENIX, AZ 85021 | EYEMED VISION CARE | $884 | — | $884 | 4.34% |
| JOHNSON INSURANCE SERVICES LLC3 Filed as: JOHNSON INSURANCE SERVICES | 3430 EAST SUNRISE DRIVE SUITE 160 TUCSON, AZ 857183239 | EMPLOYERS DENTAL SERVICES A MEMBER OF PRINCIPAL FINANCIAL GROUP | $2K | — | $2K | 8.00% |
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 | 241 | 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) | 241 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 241 | $644K |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 260 | $208K |
| Vision | EYEMED VISION CARE | 309 | $20K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 260 | $188K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 260 | $188K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 260 | $188K |
| Other(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 260 | $213K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 309 | — |
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.