| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PAGE E DEWITT3 | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $27K | — | $27K | 6.43% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP INC. | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $11K | $11K | 2.57% |
| DEWITT, PAGE E3 | 2211 EAST QUINCE MESA, AZ 85213 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 13.04% |
| DEWITT, PAGE E3 | 2211 EAST QUINCE MESA, AZ 85213 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $841 | $841 | 1.65% |
| ASSUREDPARTNERS3 Filed as: EMERSON RODGERS LLC | 1787 SENTRY PARKWAY WEST VEVA 16 SUITE 320 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $412 | $412 | 0.81% |
| DEWITT, PAGE E3 Filed as: DEWITT, PAGE | 1616 EAST LEHI ROAD MESA, AZ 85203 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $5K | — | $5K | 9.91% |
| ROGERS BENEFIT GROUP INC3 | 5110 NORTH 40TH STREET SUITE 234 PHOENIX, AZ 85018 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | — | $2K | $2K | 3.97% |
| DEWITT, PAGE E3 | 2211 EAST QUINCE MESA, AZ 85213 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 14.58% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS EMERSON LLC | 1787 SENTRY PARKWAY WEST VEVA 16 SUITE 320 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 4.86% |
| DEWITT, PAGE E3 | 2211 EAST QUINCE MESA, AZ 85213 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $168 | $168 | 0.73% |
| DEWITT, PAGE E3 Filed as: DEWITT, PAGE | 2211 EAST QUINCE MESA, AZ 85213 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 11.68% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS EMERSON, LLC | 1787 SENTRY PARKWAY WEST VEVA 16 SUITE 320 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 5.84% |
| DEWITT, PAGE E3 | 2211 EAST QUINCE MESA, AZ 85213 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $195 | $195 | 0.87% |
| DEWITT, PAGE E3 | 2211 EAST QUINCE MESA, AZ 85213 | UNUM INSURANCE COMPANY | $2K | — | $2K | 14.29% |
| DEWITT, PAGE E3 | 2211 EAST QUINCE MESA, AZ 85213 | UNUM INSURANCE COMPANY | — | $166 | $166 | 1.39% |
| DEWITT, PAGE E3 | 2211 E QUINCE MESA, AZ 85213 | UNUM INSURANCE COMPANY | $1K | $139 | $2K | 15.94% |
| DEWITT, PAGE E3 | 2211 EAST QUINCE MESA, AZ 85213 | STARTMOUNT LIFE INSURANCE COMPANY | $1K | $69 | $1K | 12.83% |
| ASSUREDPARTNERS3 Filed as: EMERSON RODGERS LLC | 1787 SENTRY PARKWAY WEST VEVA 16 SUITE 320 BLUE BELL, PA 19422 | STARTMOUNT LIFE INSURANCE COMPANY | — | $461 | $461 | 5.04% |
| DEWITT, PAGE E3 Filed as: DEWITT, PAGE | 1616 EAST LEHI ROAD MESA, AZ 85203 | CIGNA DENTAL HEALTH PLAN OF ARIZONA INC | $777 | — | $777 | 10.01% |
| ROGERS BENEFIT GROUP INC3 | 5110 NORTH 40TH STREET SUITE 234 PHOENIX, AZ 85018 | CIGNA DENTAL HEALTH PLAN OF ARIZONA INC | — | $311 | $311 | 4.00% |
| DEWITT, PAGE E3 | 2211 EAST QUINCE MESA, AZ 85213 | UNUM INSURANCE COMPANY | $907 | — | $907 | 14.70% |
| DEWITT, PAGE E3 | 2211 EAST QUINCE MESA, AZ 85213 | UNUM INSURANCE COMPANY | — | $45 | $45 | 0.73% |
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 | 116 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 82 | $421K |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 73 | $53K |
| Vision | STARTMOUNT LIFE INSURANCE COMPANY | 73 | $9K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 130 | $74K |
| Short-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 130 | $73K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 34 | $22K |
| Other(5 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 130 | $102K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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.