| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CARING COMMUNITIES SHARED SERVICES | — | BERKLEY LIFE AND HEALTH INSURANCE COMPANY | $9K | — | $9K | 3.00% |
| LOCKTON COMPANIES, LLC Filed as: LOCKTON COMPANIES | — | BERKLEY LIFE AND HEALTH INSURANCE COMPANY | $3K | — | $3K | 1.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE SVCS INC | PO BOX 632886 CINCINNATI, OH 45263 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $6K | 8.09% |
| CBIZ BENEFITS & INSURANCE SERVICES Filed as: CBIZ BENEFITS INSURANCE SVS IN | PO BOX 632886 CINCINNATI, OH 45263 | DELTA DENTAL OF ARIZONA | — | $6K | $6K | 9.19% |
| CBIZ BENEFITS & INSURANCE SERVICES Filed as: CBIZ BENEFITS INSURANCE SVS IN | PO BOX 632886 CINCINNATI, OH 45263 | DELTA DENTAL OF ARIZONA | — | $4K | $4K | 9.19% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE SVCS INC | PO BOX 632886 CINCINNATI, OH 45263 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $6K | 14.52% |
| JENNIFER O'ROURKE | 8924 N PALM BROOKE DR TUCOSN, AZ 85743 | AFLAC | $2K | $145 | $3K | 7.01% |
| IVETTE BIRNEY | 6246 E THUNDER RIVER DR TUCSON, AZ 85756 | AFLAC | $1K | $17 | $1K | 3.15% |
| KEVIN DALE HARLOW | 6281 N ORACLE RD #35072 TUCSON, AZ 85756 | AFLAC | $993 | $56 | $1K | 2.86% |
| ZAKERY ALLEN HARLOW | 3755 N BUSINESS CENTER DR TUCSON, AZ 85705 | AFLAC | $621 | $56 | $677 | 1.85% |
| CBIZ BENEFITS & INSURANCE SERVICES Filed as: CBIZ BENEFIRS AND INS SERVICES | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $570 | — | $570 | 1.56% |
| IVETTE BIRNEY | 10028 E MOONSTRUCK WAY TUCSON, AZ 85747 | AFLAC | $139 | $113 | $252 | 0.69% |
| MARK K HASLEY Filed as: MARK HASLEY | 21925 N 70TH AVE GLENDALE, AZ 85310 | AFLAC | $156 | — | $156 | 0.43% |
| PATTY J NATIONS | PO BOX 89639 TUCSON, AZ 85752 | AFLAC | $116 | — | $116 | 0.32% |
| SCOTT WEBB | 2355 W PINNACLE PEAK RD #380 PHOENIX, AZ 85037 | AFLAC | $80 | — | $80 | 0.22% |
| MARTHA A QUIROZ Filed as: MARTHA QUIROZ | 2581 W VEREDA VERDE TUCSON, AZ 85746 | AFLAC | $56 | — | $56 | 0.15% |
| JACK GATHINGS | 7235 S GOLFSIDE LANE PHOENIX, AZ 85042 | AFLAC | $52 | — | $52 | 0.14% |
| DONALD GREEN | 1611 W PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $51 | — | $51 | 0.14% |
| CHAD P SCHNEIDER | 14430 BENEFIT ST #308 SHERMAN OAKS, CA 91423 | AFLAC | $49 | — | $49 | 0.13% |
| ERIC PEDERSON | 1600 W UNIVERSITY AVE #104 FLAGSTAFF, AZ 86001 | AFLAC | $38 | — | $38 | 0.10% |
| LESLIE J BAILEY | 4234 N PORTAGE AVE MERIDIAN, ID 83646 | AFLAC | $38 | — | $38 | 0.10% |
| JANELL FRANK Filed as: JANELL R FRANK | 7571 N RAE AVE TUCSON, AZ 85741 | AFLAC | $29 | — | $29 | 0.08% |
| CECILIA WOLFSON | 4500 N VIA ENTRADA #122 TUCSON, AZ 85718 | AFLAC | $23 | — | $23 | 0.06% |
| MARK HILL | 7673 N SUMMIT PASS PRESCOTT VALLEY, AZ 85718 | AFLAC | $22 | — | $22 | 0.06% |
| MARK HILL | PO BOX 85716 TUCSON, AZ 85754 | AFLAC | $21 | — | $21 | 0.06% |
| SETH G KNOWLTON Filed as: SETH KNOWLTON | PO BOX 58766 TUCSON, AZ 85737 | AFLAC | $17 | — | $17 | 0.05% |
| SANDRA L SARFF | 7090 N ORACLE RD #178 152 TUCSON, AZ 85704 | AFLAC | $16 | — | $16 | 0.04% |
| JERRY DUNCAN Filed as: JERRY F HOKE | 517 E 3270 N LEHL, UT 84043 | AFLAC | $16 | — | $16 | 0.04% |
| STELLA MAQUERA | 4002 E ELMWOOD ST TUCSON, AZ 85711 | AFLAC | $12 | — | $12 | 0.03% |
| CHEYANNA SARFF | 10553 E AVALON PARK ST TUCSON, AZ 85747 | AFLAC | $7 | — | $7 | 0.02% |
| HELEN HAGARDT | 9076 N IRONWOOD MEADOES DR TUCSON, AZ 85742 | AFLAC | $7 | — | $7 | 0.02% |
| SANDBROOK BENEFITS GROUP LLC Filed as: SANDBROOK HEALTH BENEFITS GROUP | 7320 N LACHOLLA BLVD #154-219 TUCSON, AZ 85741 | AFLAC | $7 | — | $7 | 0.02% |
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: BLACK AND GOULD | 3800 N CENTRAL AVE 9TH FL PHOENIX, AZ 85012 | AFLAC | $7 | — | $7 | 0.02% |
| SHARON MCKELVEY | 197 N NOTTINGHAM #3 PAYSON, AZ 85541 | AFLAC | $2 | $2 | $4 | 0.01% |
| ARIZOAN BENEFITS PLANS INC | ONE EAST CAMELBACK RD #840 PHOENIX, AZ 85012 | AFLAC | $4 | — | $4 | 0.01% |
| JEFFERY S GIBSON Filed as: JEFFERY GIBSON | 14301 N 87TH ST #313 SCOTTSDALE, AZ 85260 | AFLAC | $4 | — | $4 | 0.01% |
| SHAWN HOLTORF | 6234 W DEHREND RD #1135 GLENDALE, AZ 85206 | AFLAC | $3 | — | $3 | 0.01% |
| NATALIE MALHAM | 3850 E BASELINE RD #116 MESA, AZ 85206 | AFLAC | $3 | — | $3 | 0.01% |
| MICHAEL G GLADNICK | 3850 E BASELINE RD #116 MESA, AZ 85206 | AFLAC | $3 | — | $3 | 0.01% |
| ROBERT E LABONTE | 1659 W SAN REMO ST GILBERT, AZ 85266 | AFLAC | $1 | — | $1 | 0.00% |
| JEFFREY A KLEINMAN SR | 3420 E SHEA BLVD #168 PHOENIX, AZ 85028 | AFLAC | $1 | — | $1 | 0.00% |
| BARBARA ANN MCNAUGHTON | 10000 N 31ST AVE #C107 PHOENIX, AZ 85051 | AFLAC | $1 | — | $1 | 0.00% |
| PREFERRED MARKETING CORP Filed as: PREFERRED MARKETING GROUP | 1194 E LAKEVIEW DR SAN TAN VALLEY, AZ 85143 | AFLAC | $1 | — | $1 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE SVCS INC | PO BOX 632886 CINCINNATI, OH 45263 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $6K | 18.16% |
| CBIZ BENEFITS & INSURANCE SERVICES Filed as: CBIZ BENEFITS INSURANCE SVS IN | PO BOX 632886 CINCINNATI, OH 45263 | VISION SERVICE PLAN | — | $1K | $1K | 5.24% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE SVCS INC | PO BOX 632886 CINCINNATI, OH 45263 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $6K | 38.86% |
| AMERIBEN3 Filed as: AMERIBEN / IEC GROUP | — | AMERIBEN / IEC GROUP | — | $68K | $68K | — |
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 | 390 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 390 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMERIBEN / IEC GROUP | 395 | $0 |
| Dental(2 contracts) | DELTA DENTAL OF ARIZONA | 136 | $113K |
| Vision | VISION SERVICE PLAN | 157 | $23K |
| Short-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 394 | $116K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 66 | $17K |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE AND HEALTH INSURANCE COMPANY | 262 | $303K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 394 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 395 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.