| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $21K | $554 | $21K | 4.20% |
| ZAKERY ALLEN HARLOW3 | 3204 N. ACADEMY BLVD. STE 130 COLORADO SPRINGS, CO 80917 | AFLAC | $4K | $93 | $4K | 0.76% |
| H LARAINE OLIPHANT3 | 3580 WEST INA ROAD SUITE 150 TUCSON, AZ 85741 | AFLAC | $3K | — | $3K | 0.61% |
| MARK HILL3 | PO BOX 85715 TUCSON, AZ 85754 | AFLAC | $3K | $32 | $3K | 0.61% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $3K | — | $3K | 0.56% |
| ROBERT E LABONTE3 | 1659 WEST SAN REMO STREET GILBERT, AZ 85233 | AFLAC | $3K | — | $3K | 0.53% |
| LAUREL L HARLOW3 | 3755 N BUSINESS CENTRE DR STE 4 TUCSON, AZ 85705 | AFLAC | $2K | $39 | $3K | 0.50% |
| RACHEL DAY3 Filed as: RACHEL S DAY | 5533 E 24TH STREET TUCSON, AZ 85711 | AFLAC | $2K | — | $2K | 0.47% |
| DAVID GODDARD3 Filed as: DAVID L GODDARD | 2840 N GRANNEN ROAD TUCSON, AZ 85746 | AFLAC | $2K | $27 | $2K | 0.46% |
| ELISSIA BALLESTEROS3 Filed as: ELISSIA B. BALLESTEROS | 10229 E. CALLE CADIZ TUCSON, AZ 85747 | AFLAC | $2K | — | $2K | 0.46% |
| ZAKERY ALLEN HARLOW3 | 3755 N BUSINESS CENTER DR. TUCSON, AZ 85705 | AFLAC | $2K | $22 | $2K | 0.45% |
| KIMBERLY J RODRIGUEZ3 | 37057 S GAMBEL QUAIL DRIVE MARANA, AZ 85658 | AFLAC | $2K | — | $2K | 0.45% |
| ARIZONA BENEFIT PLANS INC3 | ONE EAST CAMELBACK ROAD SUITE 840 PHOENIX, AZ 85012 | AFLAC | $2K | — | $2K | 0.39% |
| SANDRA L SARFF3 | 7090 N ORACLE ROAD PMB 152 TUCSON, AZ 85704 | AFLAC | $2K | — | $2K | 0.36% |
| JENNIFER ELLEN3 | 372 WISTERIA AVENUE LAS VEGAS, NV 89107 | AFLAC | $2K | — | $2K | 0.33% |
| DAMON ENGLISH3 Filed as: DAMON W ENGLISH | 27014 N 52ND GLEN PHOENIX, AZ 85083 | AFLAC | $1K | — | $1K | 0.28% |
| LAUREL L HARLOW3 | 6200 W ROAN PLACE TUCSON, AZ 85743 | AFLAC | $1K | $44 | $1K | 0.28% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60875 | AFLAC | $1K | — | $1K | 0.26% |
| MABY JANNETT SANORA3 | 3481 W AVENIDA SOMBRA TUCSON, AZ 85746 | AFLAC | $1K | $18 | $1K | 0.23% |
| GREGORY STENZEL3 Filed as: GREGORY P STENZEL | 2302 KNOX WAY MELISSA, TX 75454 | AFLAC | $989 | — | $989 | 0.20% |
| DONALD GREEN3 Filed as: DONALD A GREEN | 1611 W PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $964 | — | $964 | 0.19% |
| SCOTT WEBB3 | 2155 W PINNACLE PEAK ROAD SUITE 205 PHOENIX, AZ 85027 | AFLAC | $847 | — | $847 | 0.17% |
| PAUL B BROUCHOUD3 | 604 MARK DRIVE DEL CITY, OK 73115 | AFLAC | $817 | — | $817 | 0.16% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60675 | AFLAC | $755 | — | $755 | 0.15% |
| GLEN DOUGLAS GABLE3 | 3850 E BASELINE ROAD SUITE 116 MESA, AZ 85206 | AFLAC | $752 | — | $752 | 0.15% |
| CAROLYN SUE BRASSARD3 | 4400 E HAVEN LANE TUCSON, AZ 85712 | AFLAC | $739 | — | $739 | 0.15% |
| PATRICIA J GEE3 | PO BOX 2334 MESA, AZ 85214 | AFLAC | $614 | — | $614 | 0.12% |
| DENNIS W CAMDEN3 | 225 LAKE ESTATES TRL LONGVIEW, TX 75605 | AFLAC | $543 | — | $543 | 0.11% |
| LINDA GREEN3 Filed as: LINDA R GREEN | 1081 S DUTCH JOHN SPRING COURT GREEN VALLEY, AZ 85614 | AFLAC | $540 | — | $540 | 0.11% |
| SHARON MALONE3 | 10719 E FLORIAN AVENUE MESA, AZ 85206 | AFLAC | $527 | — | $527 | 0.10% |
| JOHN PATTON3 | 13497 EAGLE NEST CT CORONA, CA 92880 | AFLAC | $496 | — | $496 | 0.10% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $432 | — | $432 | 0.09% |
| PREFERRED MARKETING CORP3 | 1194 E LAKEVIEW DR SAN TAN VALLEY, AZ 85143 | AFLAC | $373 | — | $373 | 0.07% |
| DESERT INSURANCE ADVISORS LLC3 | 3219 E CAMELBACK ROAD #396 PHOENIX, AZ 85018 | AFLAC | $367 | — | $367 | 0.07% |
| BRITTON JOHNSON3 Filed as: BRITTON L JOHNSON | 1069 W BROAD STREET SUITE 153 FALLS CHURCH, VA 22046 | AFLAC | $364 | — | $364 | 0.07% |
| JANELL R FRANK3 | 7571 N RAE AVENUE TUCSON, AZ 85741 | AFLAC | $361 | — | $361 | 0.07% |
| APRIL L FARRELL3 | 4809 W. TULSA ST CHANDLER, AZ 85226 | AFLAC | $279 | — | $279 | 0.06% |
| CHAD P SCHNEIDER3 | 14430 BENEFIT ST APT 308 SHERMAN OAKS, CA 91423 | AFLAC | $270 | — | $270 | 0.05% |
| ALONZO CARROLL3 | 12061 N STAR CLUSTER DR. MARANA, AZ 85653 | AFLAC | $251 | — | $251 | 0.05% |
| BRITTON JOHNSON3 Filed as: BRITTON L JOHNSON | 8 SHACKLEFORD PLZ STE 300 LITTLE ROCK, AR 72211 | AFLAC | $220 | — | $220 | 0.04% |
| PAMELA UTTER3 Filed as: PAMELA S UTTER | 7750 W BOCA RATON RD PEORIA, AZ 85381 | AFLAC | $201 | — | $201 | 0.04% |
| DONNA HERNANDEZ3 Filed as: DONNA L HERNANDEZ | 1172 N DAVID DRIVE NOGALES, AZ 85621 | AFLAC | $190 | — | $190 | 0.04% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $181 | — | $181 | 0.04% |
| JOSEPH GARCIA3 Filed as: JOSEPH RICHARDO GARCIA | 2101 N SANDARIO ROAD TUCSON, AZ 85743 | AFLAC | $179 | — | $179 | 0.04% |
| MICHAEL D SCHULTZ3 | 1815 14TH STREET NW ROCHESTER, MN 55901 | AFLAC | $164 | — | $164 | 0.03% |
| M JEAN HEMP3 | PO BOX 41292 MESA, AZ 85274 | AFLAC | $143 | — | $143 | 0.03% |
| MERLE DALE HALL3 | 950 W BANNOCK ST SUITE 1100 BOISE, ID 83702 | AFLAC | $135 | — | $135 | 0.03% |
| MICHAEL D SCHULTZ3 | 1126 25TH AVE NW FARIBAULT, MN 55021 | AFLAC | $133 | — | $133 | 0.03% |
| JEFFERY S GIBSON3 | 4805 LAKE BROOK DR STE 220 GLEN ALLEN, VA 23060 | AFLAC | $119 | — | $119 | 0.02% |
| HARRIETTE FOX3 | 25842 S DARTFORD DRIVE SUN LAKES, AZ 85248 | AFLAC | $108 | — | $108 | 0.02% |
| MICHAEL FATHERREE3 | 171 COUNTRY ROAD 1559 ALBA, TX 75410 | AFLAC | $91 | — | $91 | 0.02% |
| WILLIAM BRENT MILLER3 | 2604 S PLAYA MESA, AZ 85202 | AFLAC | $86 | — | $86 | 0.02% |
| BARBARA ANN MCNAUGHTON3 | 10000 N 31ST AVE STE C107 PHOENIX, AZ 85051 | AFLAC | $82 | — | $82 | 0.02% |
| NED BILECKI3 Filed as: NED A BILECKI | PO BOX 27567 TEMPE, AZ 85285 | AFLAC | $70 | — | $70 | 0.01% |
| GILBERT VELASCO3 Filed as: GILBERT E VELASCO | 2563 W CALLE PUEBLA TUCSON, AZ 85745 | AFLAC | $69 | — | $69 | 0.01% |
| DARAN L WYCKOFF3 | 505 N ARGONNE ROAD BLDG C SPOKANE VALLEY, WA 99212 | AFLAC | $67 | — | $67 | 0.01% |
| RICHARD KELLIHER3 | 10533 E COSMOS CIRCLE SCOTTSDALE, AZ 85255 | AFLAC | $62 | — | $62 | 0.01% |
| DIANA VIDISKY3 Filed as: DIANA N VIDISKY | 3365 NORTH VIEW CREST DRIVE TUCSON, AZ 85745 | AFLAC | $61 | — | $61 | 0.01% |
| DARAN L WYCKOFF3 | PO BOX 952 SPOKANE VALLEY, WA 99037 | AFLAC | $55 | — | $55 | 0.01% |
| WILLIAM BRENT MILLER3 | 7708 S RITA LN TEMPE, AZ 85284 | AFLAC | $52 | — | $52 | 0.01% |
| SHARON MCKELVEY3 Filed as: SHARON I MCKELVEY | 197 N NOTTINGHAM LANE LOT 3 PAYSON, AZ 85541 | AFLAC | $51 | — | $51 | 0.01% |
| PHILLIP BRENFLECK3 Filed as: PHILLIP MALCOLM BRENFLECK | 7887 E UHL ST APT 1008 TUCSON, AZ 85710 | AFLAC | $47 | — | $47 | 0.01% |
| KATHY LEE BRIGHT3 | 788 E PEPPER DRIVE CASA GRANDE, AZ 85122 | AFLAC | $46 | — | $46 | 0.01% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | 160 W SANTA CLARA STREET SUITE 450 SAN JOSE, CA 95113 | AFLAC | $45 | — | $45 | 0.01% |
| MICHAEL FATHERREE3 | 11876 MOORHEN CIRCLE FORT WORTH, TX 76244 | AFLAC | $42 | — | $42 | 0.01% |
| JEFFREY A KLEINMAN SR3 | 3420 E SHEA BLVD STE 188 PHOENIX, AZ 85028 | AFLAC | $41 | — | $41 | 0.01% |
| MICHAEL G GLADNICK3 | 3850 E. BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $37 | — | $37 | 0.01% |
| NATALIE MALHAM3 | 3850 E. BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $37 | — | $37 | 0.01% |
| HAROLD W ELLIOTT LLC3 | 15838 S 1ST AVE PHOENIX, AZ 85045 | AFLAC | $36 | — | $36 | 0.01% |
| XPONENT EMPLOYER SOLUTIONS INC3 | 14500 N NORTHSIGHT BLVD SUITE 108 SCOTTSDALE, AZ 85260 | AFLAC | $27 | — | $27 | 0.01% |
| TABITHA R SPARKS3 | 2715 N 25TH STREET PHOENIX, AZ 85008 | AFLAC | $26 | — | $26 | 0.01% |
| DEANNA M LUJAN3 | 921 W SAN MARCOS DRIVE CHANDLER, AZ 85225 | AFLAC | $25 | — | $25 | 0.00% |
| MWILLIAM J. SHARP3 | 17836 N. 43RD WAY PHOENIX, AZ 85032 | AFLAC | $25 | — | $25 | 0.00% |
| PHILLIP BRENFLECK3 Filed as: PHILLIP MALCOLM BRENFLECK | 7887 E UHL ST APT 1008 TUCSON, AZ 85710 | AFLAC | $23 | — | $23 | 0.00% |
| ALAN HOFFMAN3 Filed as: ALAN K HOFFMAN | 7615 E CALLE LOS ARBOLES TUCSON, AZ 85750 | AFLAC | $20 | — | $20 | 0.00% |
| JAMES HARVEY3 Filed as: JAMES VELMORE HARVEY | 1091 W CALLE EXCELSO GREEN VALLEY, AZ 85614 | AFLAC | $19 | — | $19 | 0.00% |
| MULLIGAN BENEFITS LLC3 | 24654 N LAKE PLEASANT PKWY 103-417 PEORIA, AZ 85383 | AFLAC | $15 | — | $15 | 0.00% |
| BARBARA ANN MCNAUGHTON3 | 29622 N 21ST DR PHOENIX, AZ 85085 | AFLAC | $14 | — | $14 | 0.00% |
| MARIA MULLIGAN3 | 19420 N 59TH AVE STE C251 GLENDALE, AZ 85308 | AFLAC | $13 | — | $13 | 0.00% |
| JASON D MILLER3 | 1233 IRIS LAKE DR. APT 204 TAMPA, FL 33619 | AFLAC | $13 | — | $13 | 0.00% |
| DEBORAH A BRIGHTSTAR3 | 8019 S QUEEN CREEK DR TUCSON, AZ 85747 | AFLAC | $11 | — | $11 | 0.00% |
| MARIA MULLIGAN3 | 24654 N LAKE PLEASANT PKWY 103-417 PEORIA, AZ 85383 | AFLAC | $9 | — | $9 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $9 | — | $9 | 0.00% |
| EXEL IVAN CARABALLO JR3 | 2329 E. BOWKER ST PHOENIX, AZ 85040 | AFLAC | $8 | — | $8 | 0.00% |
| JACK GATHINGS3 | 7235 S GOLFSIDE LANE PHOENIX, AZ 85042 | AFLAC | $8 | — | $8 | 0.00% |
| BRYAN TUCKER3 Filed as: BRYAN D TUCKER | 24654 NORTH LAKE PLEASANT PARKWAY 103-465 PEORIA, AZ 85383 | AFLAC | $7 | — | $7 | 0.00% |
| EXEL IVAN CARABALLO JR3 | 2929 N 37TH ST APT 6 PHOENIX, AZ 85018 | AFLAC | $5 | — | $5 | 0.00% |
| MARREEL SLATER INSURANCE LLC3 | 7855 S RIVER PKWY STE 210 TEMPE, AZ 85284 | AFLAC | $4 | — | $4 | 0.00% |
| PHILIP TAVASCI3 Filed as: PHILIP DANTE TAVASCI | 5450 E HIGH STREET 300 PHOENIX, AZ 85054 | AFLAC | $2 | — | $2 | 0.00% |
| TIMOTHY MARTIN3 Filed as: TIMOTHY I MARTIN | 20516 N 80TH LN PEORIA, AZ 85382 | AFLAC | $2 | — | $2 | 0.00% |
| JOHN BURLEY3 Filed as: JOHN DOUGLAS BURLEY | 3060 W. CALLE LUCINDA TUCSON, AZ 85741 | AFLAC | $2 | — | $2 | 0.00% |
| MICAHEL G. RYAN3 | 836 HOOSIER PASS PRESCOTT, AZ 85301 | AFLAC | $1 | — | $1 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | PO BOX 632886 CINCINNATI, OH 45263 | CIGNA GROUP INSURANCE | $886 | $6K | $7K | 4.45% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | CIGNA GROUP INSURANCE | $1K | $6K | $7K | 4.82% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | CIGNA GROUP INSURANCE | $2K | $4K | $6K | 5.42% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICE INC | PO BOX 632886 CINCINNATI, OH 45263 | CIGNA GROUP INSURANCE | $172 | $931 | $1K | 7.89% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $185K |
| CIGNA HEALTH AND LIFE INS COMP EIN 59-1031071 CLAIM PROCESSING | Claims processing; Float revenue; Other services; Participant communication; Direct payment from the plan; Non-monetary compensation; Contract Administrator; Named fiduciary Service code 12 | — | $63K |
| JORGENSEN HEALTHCARE ASSOCIATES EIN 86-0687859 CLAIMS PROCESSING | Claims processing Service code 12 | — | $44K |
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 | 870 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 870 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 838 | $93K |
| Life insurance | CIGNA GROUP INSURANCE | 870 | $145K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 870 | $651K |
| Long-term disability | CIGNA GROUP INSURANCE | 870 | $115K |
| Other | CIGNA GROUP INSURANCE | 870 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 870 | — |
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.