| 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 | $3K | $12K | 13.33% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 444 W 47TH ST 900 KANSAS CITY, MO 64112 | DELTA DENTAL OF ARIZONA | $6K | — | $6K | 8.45% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 444 W 47TH ST 900 KANSAS CITY, MO 64112 | DELTA DENTAL OF ARIZONA | $5K | — | $5K | 10.17% |
| LOCKTON COMPANIES, LLC3 | 444 W 47TH ST STE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $6K | 13.41% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 843844 KANSAS CITY, MO 641843844 | VISION SERVICE PLAN | $2K | — | $2K | 4.47% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 444 W 47TH ST STE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $6K | 18.89% |
| JENNIFER O'ROURKE3 Filed as: JENNIFER A OROURKE | 9225 E TANQUE VERDE RD APT 9103 TUCSON, AZ 85749 | AFLAC | $560 | — | $560 | 3.04% |
| SETH G KNOWLTON3 | 11396 N SILVER PHEASANT LOOP ORO VALLEY, AZ 85737 | AFLAC | $306 | — | $306 | 1.66% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 717 N HARWOOD ST STE 2500 DALLAS, TX 75201 | AFLAC | $135 | — | $135 | 0.73% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS | SERVICES INC PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $99 | — | $99 | 0.54% |
| TULA BOYLES3 Filed as: TULA G BOYLES | 12495 W GINI LN MARANA, AZ 85653 | AFLAC | $95 | — | $95 | 0.52% |
| KEVIN DALE HARLOW3 | 2960 N ACADEMY BLVD COLORADO SPRINGS, CO 80917 | AFLAC | $81 | — | $81 | 0.44% |
| ZAKERY ALLEN HARLOW3 | 2030 W BASELINE RD STE 182 17062 PHOENIX, AZ 85041 | AFLAC | $67 | — | $67 | 0.36% |
| SETH G KNOWLTON3 Filed as: SETH KNOWLTON | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $65 | — | $65 | 0.35% |
| DAVID R LATTIMER3 | 6605 N 93RD AVE GLENDALE, AZ 85305 | AFLAC | $64 | — | $64 | 0.35% |
| PATTY J NATIONS3 | 7850 N SILVERBELL RD #114-310 TUCSON, AZ 85743 | AFLAC | $51 | — | $51 | 0.28% |
| JANELL FRANK3 Filed as: JANELL R FRANK | 2005 WAVE DR STAFFORD, VA 22554 | AFLAC | $42 | — | $42 | 0.23% |
| KELLY MCGARRY3 | 4750 N ORACLE RD STE 214 TUCSON, AZ 85705 | AFLAC | $41 | — | $41 | 0.22% |
| MARK K HASLEY3 | 20905 W COURT ST BUCKEYE, AZ 85396 | AFLAC | $28 | — | $28 | 0.15% |
| NICHOLAS J DONIA3 | 843 W CALLE MURO FUERTE SAHUARITA, AZ 85629 | AFLAC | $26 | — | $26 | 0.14% |
| STEPHEN WHITE3 | 12901 N MACARTHUR BLVD APT 13 OKLAHOMA CITY, OK 73142 | AFLAC | $22 | — | $22 | 0.12% |
| CHAD P SCHNEIDER3 | 4470 WOODMAN AVE UNIT 303 SHERMAN OAKS, CA 91423 | AFLAC | $21 | — | $21 | 0.11% |
| CECILIA WOLFSON3 | 2516 COVE RD LAS VEGAS, NV 89128 | AFLAC | $20 | — | $20 | 0.11% |
| LESLIE J BAILEY3 | 4234 N PORTAGE AVE MERIDIAN, ID 83646 | AFLAC | $20 | — | $20 | 0.11% |
| JACK GATHINGS3 | 7235 S GOLFSIDE LN PHOENIX, AZ 85042 | AFLAC | $20 | — | $20 | 0.11% |
| SCOTT WEBB3 | 26729 N 91ST DR PEORIA, AZ 85383 | AFLAC | $18 | — | $18 | 0.10% |
| MARTHA A QUIROZ3 | 2581 W VEREDA VERDE TUCSON, AZ 85746 | AFLAC | $11 | — | $11 | 0.06% |
| DONALD GREEN3 Filed as: DONALD A GREEN | 1611 W PACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $9 | — | $9 | 0.05% |
| ERIC PEDERSON3 | 1527 HUCKLEBERRY SPRINGS RD KNOXVILLE, TN 37914 | AFLAC | $8 | — | $8 | 0.04% |
| MARK HILL3 | 5188 E PARK VISTA DR TUCSON, AZ 85756 | AFLAC | $5 | — | $5 | 0.03% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $3 | — | $3 | 0.02% |
| JEFFERY S GIBSON3 | 4030 TATES CREEK RD APT 1004 CONSHOHOCKEN, PA 19428 | AFLAC | $3 | — | $3 | 0.02% |
| MICHAEL G GLADNICK3 | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $2 | — | $2 | 0.01% |
| NATALIE MALHAM3 | 5822 N 13TH ST PHOENIX, AZ 85014 | AFLAC | $2 | — | $2 | 0.01% |
| BARBARA ANN MCNAUGHTON3 | 4910 CORPORATE DR NW STE G HUNTSVILLE, AL 35805 | AFLAC | $2 | — | $2 | 0.01% |
| JEFFREY A KLEINMAN SR3 | 33202 N 46TH WAY CAVE CREEK, AZ 85331 | AFLAC | $1 | — | $1 | 0.01% |
| JULIA ANN COAST3 | 1409 E MALIBU DR TEMPE, AZ 85282 | AFLAC | $1 | — | $1 | 0.01% |
| SHARON MCKELVEY3 | 197 N NOTTINGHAM LN LOT 3 PAYSON, AZ 85541 | AFLAC | $1 | — | $1 | 0.01% |
| LOCKTON COMPANIES, LLC3 | 444 W 47TH ST STE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $726 | $3K | 13.99% |
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 | 391 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 393 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | DELTA DENTAL OF ARIZONA | 237 | $113K |
| Vision | VISION SERVICE PLAN | 175 | $34K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 391 | $74K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 390 | $92K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 70 | $18K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 391 | $93K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 391 | — |
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.