| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 444 W 47TH ST., STE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $4K | $13K | 14.52% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | 444 W 47TH STREET SUITE 900 KANSAS CITY, MO 64112 | DELTA DENTAL OF ARIZONA | $8K | $0 | $8K | 10.00% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | 444 W 47TH STREET SUITE 900 KANSAS CITY, MO 64112 | DELTA DENTAL OF ARIZONA | $5K | $0 | $5K | 10.00% |
| LOCKTON COMPANIES, LLC3 | 444 W 47TH ST., STE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $6K | 14.69% |
| LOCKTON COMPANIES, LLC3 | 444 W 47TH ST., STE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $2K | $7K | 19.36% |
| LOCKTON COMPANIES, LLC3 | PO BOX 843844 KANSAS CITY, MO 641843844 | VISION SERVICE PLAN | $1K | $0 | $1K | 4.58% |
| LOCKTON COMPANIES, LLC3 | 444 W 47TH ST, STE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $694 | $3K | 13.35% |
| JENNIFER O'ROURKE3 Filed as: JENNIFER A OROURKE | 9225 E TANQUE VERDE RD APT 9103 TUCSON, AZ 85749 | AFLAC | $833 | $0 | $833 | 4.08% |
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $481 | — | $481 | 2.35% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 444 W 47TH STREET SUITE 900 KANSAS CITY, MO 64112 | AFLAC | $253 | — | $253 | 1.24% |
| TULA BOYLES3 Filed as: TULA G BOYLES | 1236 E LESTER ST TUCSON, AZ 85719 | AFLAC | $164 | $36 | $200 | 0.98% |
| KELLY MCGARRY3 | 4750 N ORACLE RD STE 214 TUCSON, AZ 85705 | AFLAC | $100 | $8 | $108 | 0.53% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $105 | $0 | $105 | 0.51% |
| KEVIN DALE HARLOW3 | 2960 N ACADEMY BLVD COLORADO SPRINGS, CO 80917 | AFLAC | $92 | $0 | $92 | 0.45% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $71 | $0 | $71 | 0.35% |
| PATTY J NATIONS3 | 7850 N SILVERBELL RD #114-310 TUCSON, AZ 85743 | AFLAC | $50 | $0 | $50 | 0.24% |
| DAVID R LATTIMER3 | 3029 N SONORAN HILLS MESA, AZ 85207 | AFLAC | $45 | $0 | $45 | 0.22% |
| NICHOLAS J DONIA3 | 843 W CALLE MURO FUERTE SAHUARITA, AZ 85629 | AFLAC | $34 | $8 | $42 | 0.21% |
| JANELL FRANK3 Filed as: JANELL R FRANK | 2005 WAVE DR STAFFORD, VA 22554 | AFLAC | $39 | $0 | $39 | 0.19% |
| STEPHEN WHITE3 | 12901 N MACARTHUR BLVD APT 13 OKLAHOMA CITY, OK 73142 | AFLAC | $35 | $0 | $35 | 0.17% |
| DAVID R LATTIMER3 | 6605 N 93RD AVE GLENDALE, AZ 85305 | AFLAC | $30 | $0 | $30 | 0.15% |
| MARK K HASLEY3 | 20905 W COURT ST BUCKEYE, AZ 85396 | AFLAC | $29 | $0 | $29 | 0.14% |
| CHAD P SCHNEIDER3 | 4470 WOODMAN AVE UNIT 303 SHERMAN OAKS, CA 91423 | AFLAC | $22 | $0 | $22 | 0.11% |
| JACK GATHINGS3 | 7235 S GOLFSIDE LN PHOENIX, AZ 85042 | AFLAC | $19 | $0 | $19 | 0.09% |
| LESLIE J BAILEY3 | 4234 N PORTAGE AVE MERIDIAN, ID 83646 | AFLAC | $18 | $0 | $18 | 0.09% |
| SCOTT WEBB3 | 26729 N 91ST DR PEORIA, AZ 85383 | AFLAC | $17 | $0 | $17 | 0.08% |
| MARTHA A QUIROZ3 | 2581 W VEREDA VERDE TUCSON, AZ 85746 | AFLAC | $10 | $0 | $10 | 0.05% |
| CECILIA WOLFSON3 | 2516 COVE RD LAS VEGAS, NV 89128 | AFLAC | $9 | $0 | $9 | 0.04% |
| DONALD GREEN3 Filed as: DONALD A GREEN | 1611 W PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $8 | $0 | $8 | 0.04% |
| ERIC PEDERSON3 | 1527 HUCKLEBERRY SPRINGS RD KNOXVILLE, TN 37914 | AFLAC | $7 | $0 | $7 | 0.03% |
| MARK HILL3 | 5188 E PARK VISTA DR TUCSON, AZ 85756 | AFLAC | $5 | $0 | $5 | 0.02% |
| KIMBERLY J RODRIGUEZ3 | 37057 S GAMBEL QUAIL DR MARANA, AZ 85658 | AFLAC | $4 | $0 | $4 | 0.02% |
| JEFFREY S GIBSON3 | 4030 TATES CREEK RD APT 1004 CONSHOHOCKEN, PA 40517 | AFLAC | $4 | $0 | $4 | 0.02% |
| STEPHEN WHITE3 | 615 S TWIN OAKS VALLEY RD APT 46 SAN MARCOS, CA 92078 | AFLAC | $4 | $0 | $4 | 0.02% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $4 | $0 | $4 | 0.02% |
| NATALIE MALHAM3 | 5822 N 13TH ST PHOENIX, AZ 85014 | AFLAC | $2 | $0 | $2 | 0.01% |
| MICHAEL G GLADNICK3 | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $2 | $0 | $2 | 0.01% |
| SHARON MCKELVEY3 Filed as: SHARON I MCKELVEY | 197 N NOTTINGHAM LN LOT 3 PAYSON, AZ 85541 | AFLAC | $1 | $0 | $1 | 0.00% |
| JULIA ANN COAST3 | 1409 E MALIBU DR TEMPE, AZ 85282 | AFLAC | $1 | $0 | $1 | 0.00% |
| JEFFREY A KLEINMAN SR3 | 33202 N 46TH WAY CAVE CREEK, AZ 85331 | AFLAC | $1 | $0 | $1 | 0.00% |
| BARBARA ANN MCNAUGHTON3 | 4910 CORPORATE DR NW STE G HUNSTVILLE, AL 35805 | AFLAC | $1 | $0 | $1 | 0.00% |
| CREST INSURANCE GROUP LLC3 Filed as: CREST INSURANCE GROUP | 5285 E WILLIAMS CIRCLE STE 4500 TUCSON, AZ 85711 | AFLAC | $1 | $0 | $1 | 0.00% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | 444 W 47TH STREET SUITE 900 KANSAS CITY, MO 64112 | JORGENSEN HEALTHCARE ASSOCIATES INC., DBA JORGENSEN BROOKS GROUP | $684 | $18K | $19K | 100.00% |
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 | 383 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 383 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | DELTA DENTAL OF ARIZONA | 253 | $127K |
| Vision | VISION SERVICE PLAN | 164 | $31K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 370 | $77K |
| Short-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 371 | $108K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 66 | $21K |
| Prescription drug | RXBENEFITS, INC | 313 | $0 |
| Other | JORGENSEN HEALTHCARE ASSOCIATES INC., DBA JORGENSEN BROOKS GROUP | 576 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 576 | — |
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.