| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 444 W 47TH ST, STE 900 KANSAS CITY, MO 64112 | DELTA DENTAL OF ARIZONA | $8K | $0 | $8K | 16.66% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 444 W 47TH ST, STE 900 KANSAS CITY, MO 64112 | DELTA DENTAL OF ARIZONA | $6K | — | $6K | 12.38% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 500 W MONROE ST STE 3400 CHICAGO, IL 60661 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 10.00% |
| LOCKTON COMPANIES, LLC3 | 444 W 47TH ST STE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 3.53% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 500 W MONROE ST STE 3400 CHICAGO, IL 60661 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 10.00% |
| LOCKTON COMPANIES, LLC3 | 444 W 47TH ST STE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $967 | $967 | 2.74% |
| KAYELA FORD3 | 976 YESTERDAY LN MEDINA, OH 44256 | AFLAC | $3K | $164 | $3K | 9.06% |
| CARLOS CHAVEZ3 | 4750 N ORACLE RD STE 214 TUCSON, AZ 85705 | AFLAC | $2K | $53 | $2K | 6.97% |
| NICOLE VAN WINDEN3 | 411 S ESSEX LN TUCSON, AZ 85711 | AFLAC | $2K | $0 | $2K | 4.43% |
| KELLY MCGARRY3 | 4742 N ORACLE RD STE 210 TUCSON, AZ 85705 | AFLAC | $1K | $78 | $1K | 3.07% |
| JARED BERTOLDO3 | 1150 N EL DORADO PL UNIT 6251 TUCSON, AZ 85715 | AFLAC | $307 | $0 | $307 | 0.87% |
| JENNIFER O'ROURKE3 Filed as: JENNIFER OROURKE | 7908 E SABINO SUNRISE CIR TUCSON, AZ 85750 | AFLAC | $302 | $0 | $302 | 0.86% |
| JUAN RICO3 | 4750 N ORACLE RD STE 214 TUCSON, AZ 85705 | AFLAC | $289 | $0 | $289 | 0.82% |
| SETH G KNOWLTON3 Filed as: SETH KNOWLTON | 11396 N SILVER PHEASANT LOOP ORO VALLEY, AZ 85737 | AFLAC | $202 | $0 | $202 | 0.58% |
| TULA BOYLES3 | 12495 W GINI LN MARANA, AZ 85653 | AFLAC | $114 | $0 | $114 | 0.32% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 444 W 47TH ST STE 900 KANSAS CITY, MO 64112 | AFLAC | $103 | $0 | $103 | 0.29% |
| SHANNON N GARCIA3 Filed as: SHANNON GARCIA | 2184 N SADDLEWOOD RANCH DR TUCSON, AZ 85745 | AFLAC | $58 | $30 | $88 | 0.25% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS. SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $69 | $0 | $69 | 0.20% |
| PATTY J NATIONS3 Filed as: PATTY NATIONS | 7850 N SILVERBELL RD # 114-310 TUCSON, AZ 85743 | AFLAC | $47 | $0 | $47 | 0.13% |
| ZAKERY HARLOW3 | 2030 W BASELINE RD STE 182-17062 PHOENIX, AZ 85041 | AFLAC | $42 | $0 | $42 | 0.12% |
| DAVID R LATTIMER3 Filed as: DAVID LATTIMER | 6605 N 93RD AVE GLENDALE, AZ 85305 | AFLAC | $40 | $0 | $40 | 0.11% |
| JANELL FRANK3 | 2005 WAVE DR STAFFORD, VA 22554 | AFLAC | $39 | $0 | $39 | 0.11% |
| KEVIN DALE HARLOW3 Filed as: KEVIN HARLOW | 2960 N ACADEMY BLVD COLORADO SPRINGS, CO 80917 | AFLAC | $39 | $0 | $39 | 0.11% |
| NICHOLAS J DONIA3 Filed as: NICHOLAS DONIA | 843 W CALLE MURO FUERTE SAHUARITA, AZ 85629 | AFLAC | $24 | $0 | $24 | 0.07% |
| STEPHEN WHITE3 | 8619 W PAYETTE CT KENNEWICK, WA 99336 | AFLAC | $21 | $0 | $21 | 0.06% |
| CHAD P SCHNEIDER3 Filed as: CHAD SCHNEIDER | 22213 1/2 ERWIN ST WOODLAND HILLS, CA 91367 | AFLAC | $20 | $0 | $20 | 0.06% |
| JACK GATHINGS3 | 7235 S GOLFSIDE LN PHOENIX, AZ 85042 | AFLAC | $19 | $0 | $19 | 0.05% |
| CHRISTOPHER KENNER3 | PO BOX 855 CASCADE, ID 83611 | AFLAC | $18 | $0 | $18 | 0.05% |
| JOSEPH GARCIA3 | 2101 N SANDARIO RD TUCSON, AZ 85743 | AFLAC | $10 | $5 | $15 | 0.04% |
| KIMBERY WEBB3 | 17165 W MOUNTAINAIR ST SURPRISE, AZ 85388 | AFLAC | $14 | $0 | $14 | 0.04% |
| CECILIA WOLFSON3 | 2516 COVE RD LAS VEGAS, NV 89128 | AFLAC | $13 | $0 | $13 | 0.04% |
| MARTHA A QUIROZ3 Filed as: MARTHA QUIROZ | 2581 W VEREDA VERDE TUCSON, AZ 85746 | AFLAC | $10 | $0 | $10 | 0.03% |
| RAQUEL MARTINEZ3 | 1407 E STIRRUP LN SAN TAN VALLEY, AZ 85143 | AFLAC | $6 | $4 | $10 | 0.03% |
| DONALD GREEN3 | 4719 S HARVEST MOON DR GREEN VALLEY, AZ 85622 | AFLAC | $8 | $0 | $8 | 0.02% |
| MARK K HASLEY3 Filed as: MARK HASLEY | 20905 W COURT ST BUCKEYE, AZ 85396 | AFLAC | $8 | $0 | $8 | 0.02% |
| ERIC PEDERSON3 | 1527 HUCKLEBERRY SPRINGS RD KNOXVILLE, TN 37914 | AFLAC | $7 | $0 | $7 | 0.02% |
| BRIAN SOTO3 | 12159 E ROSE FRANCES DR VAIL, AZ 85641 | AFLAC | $5 | $0 | $5 | 0.01% |
| MARK HILL3 | 5188 E PARK VISTA DR TUCSON, AZ 85756 | AFLAC | $5 | $0 | $5 | 0.01% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $2 | $0 | $2 | 0.01% |
| SHARON MCKELVEY3 | 589 E CONESTOGA CIR GRAND JUNCTION, CO 81504 | AFLAC | $1 | $0 | $1 | 0.00% |
| NATALIE MALHAM3 | 5822 N 13TH ST PHOENIX, AZ 85014 | AFLAC | $1 | $0 | $1 | 0.00% |
| MICHAEL G GLADNICK3 | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $1 | $0 | $1 | 0.00% |
| JEFFERY S GIBSON3 Filed as: JEFFERY GIBSON | 4030 TATES CREEK RD APT 1004 LEXINGTON, KY 40517 | AFLAC | $1 | $0 | $1 | 0.00% |
| JULIA ANN COAST3 Filed as: JULIA COAST | 1409 E MALIBU DR TEMPE, AZ 85282 | AFLAC | $1 | $0 | $1 | 0.00% |
| JEFFREY A KLEINMAN SR3 Filed as: JEFFREY KLEINMAN SR | 515 E CAREFREE HWY PMB 323 PHOENIX, AZ 85085 | AFLAC | $1 | $0 | $1 | 0.00% |
| MICHAEL J MCNAUGHTON3 Filed as: MICHAEL MCNAUGHTON | 115 MIZELL LN WEST MONROE, LA 71291 | AFLAC | $1 | $0 | $1 | 0.00% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 843844 KANSAS CITY, MO 641843844 | VISION SERVICE PLAN | $1K | — | $1K | 4.44% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 500 W MONROE ST STE 3400 CHICAGO, IL 60661 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 15.00% |
| LOCKTON COMPANIES, LLC3 | 444 W 47TH ST STE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 3.29% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 500 W MONROE ST STE 3400 CHICAGO, IL 60661 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| LOCKTON COMPANIES, LLC3 | 444 W 47TH ST STE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $613 | $613 | 3.34% |
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 | 375 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 385 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | DELTA DENTAL OF ARIZONA | 170 | $93K |
| Vision | VISION SERVICE PLAN | 164 | $33K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 375 | $75K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 75 | $35K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 57 | $18K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 375 | $110K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 375 | — |
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.