| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $18K | $769 | $19K | 4.90% |
| DAVID GODDARD3 Filed as: DAVID L GODDARD | 2840 N GRANNEN ROAD TUCSON, AZ 85746 | AFLAC | $4K | $160 | $4K | 1.02% |
| ZAKERY ALLEN HARLOW3 | 3204 N. ACADEMY BLVD. STE 130 COLORADO SPRINGS, CO 80917 | AFLAC | $2K | $272 | $2K | 0.65% |
| H LARAINE OLIPHANT3 | 3580 WEST INA ROAD SUITE 150 TUCSON, AZ 85741 | AFLAC | $2K | — | $2K | 0.60% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $2K | — | $2K | 0.56% |
| ELISSIA BALLESTEROS3 Filed as: ELISSIA B. BALLESTEROS | 10229 E. CALLE CADIZ TUCSON, AZ 85747 | AFLAC | $2K | $192 | $2K | 0.54% |
| ROBERT E LABONTE3 | 1659 WEST SAN REMO STREET GILBERT, AZ 85233 | AFLAC | $2K | — | $2K | 0.49% |
| LAUREL L HARLOW3 | 6200 W ROAN PL TUCSON, AZ 85743 | AFLAC | $2K | $49 | $2K | 0.44% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AFLAC | $1K | — | $1K | 0.38% |
| ARIZONA BENEFIT PLANS INC3 Filed as: ARIZONA BENEFIT PLANS INC. | ONE EAST CAMELBACK RD STE 840 PHOENIX, AZ 85012 | AFLAC | $1K | — | $1K | 0.37% |
| JENNIFER BRAR3 | 525 E SEASIDE WAY UNIT 709 LONG BEACH, CA 90802 | AFLAC | $1K | — | $1K | 0.31% |
| MARK HILL3 | PO BOX 85715 TUCSON, AZ 85754 | AFLAC | $955 | $165 | $1K | 0.29% |
| DAMON ENGLISH3 Filed as: DAMON W ENGLISH | 27014 N 52ND GLEN PHOENIX, AZ 85083 | AFLAC | $1K | — | $1K | 0.27% |
| RACHEL DAY3 Filed as: RACHEL S DAY | 5533 E 24TH STREET TUCSON, AZ 85711 | AFLAC | $609 | $148 | $757 | 0.20% |
| DONALD GREEN3 | 1611 W. PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $708 | — | $708 | 0.19% |
| GREGORY STENZEL3 | 1249 KIOWA DR. W GAINESVILLE, TX 76240 | AFLAC | $698 | — | $698 | 0.18% |
| ALICE GODDARD3 | 2840 N GRANNEN RD TUCSON, AZ 85711 | AFLAC | $696 | $0 | $696 | 0.18% |
| PAUL B BROUCHOUD3 Filed as: PAUL BROUCHOUD | 604 MARK DR. DEL CITY, OK 73115 | AFLAC | $594 | — | $594 | 0.16% |
| KIMBERLY RODRIGUEZ3 | 37057 S GAMBLE QUAIL DR. MARANA, AZ 85658 | AFLAC | $489 | $97 | $586 | 0.15% |
| SCOTT WEBB3 | 12366 W. MILTON DR. PEORIA, AZ 85383 | AFLAC | $566 | — | $566 | 0.15% |
| CAROLYN BRASSARD3 | 4400 E. HAVEN LN TUCSON, AZ 85712 | AFLAC | $549 | — | $549 | 0.14% |
| GLEN GABLE3 | 3521 S. CAMELLIA PL CHANDLER, AZ 85248 | AFLAC | $496 | — | $496 | 0.13% |
| SANDRA L SARFF3 Filed as: SANDRA SARFF | 7090 N ORACLE RD. PMB 152 TUCSON, AZ 85704 | AFLAC | $380 | $113 | $493 | 0.13% |
| ROXANNE SMITH3 | 72 E LA PERA GREEN VALLEY, AZ 85614 | AFLAC | $476 | — | $476 | 0.12% |
| PATRICIA GEE3 | PO BOX 2334 MESA, AZ 85214 | AFLAC | $430 | — | $430 | 0.11% |
| DENNIS W CAMDEN3 Filed as: DENNIS CAMDEN | 715 N KENTUCKY ST. MEXICO, MO 65265 | AFLAC | $393 | — | $393 | 0.10% |
| LINDA GREEN3 | 1081 S DUTCH JOHN SPRING CT. GREEN VALLEY, AZ 85614 | AFLAC | $391 | — | $391 | 0.10% |
| BRITTON JOHNSON3 | 1701 CENTERVIEW DR. STE 300 LITTLE ROCK, AR 72211 | AFLAC | $388 | — | $388 | 0.10% |
| MABY SANORA3 | 3481 W AVENIDA SOMBRA TUCSON, AZ 85746 | AFLAC | $368 | — | $368 | 0.10% |
| SHARON MALONE3 | 10719 E FLORIAN AVENUE MESA, AZ 85208 | AFLAC | $352 | — | $352 | 0.09% |
| ALONZO CARROLL3 | 12061 N STAR CLUSTER DR. MARANA, AZ 85653 | AFLAC | $297 | $51 | $348 | 0.09% |
| PREFERRED MARKETING CORP3 | 1194 E. LAKEVIEW DR. SAN TAN VALLEY, AZ 85143 | AFLAC | $275 | — | $275 | 0.07% |
| DESERT INSURANCE ADVISORS LLC3 | 3219 E CAMELBACK ROAD #396 PHOENIX, AZ 85018 | AFLAC | $249 | — | $249 | 0.07% |
| DAVID R LATTIMER3 Filed as: DAVID LATTIMER | 3029 N SONORAN HILLS MESA, AZ 85207 | AFLAC | $221 | — | $221 | 0.06% |
| MICHAEL D SCHULTZ3 Filed as: MICHAEL SCHULTZ | 1126 25TH AVE NW FARIBAULT, MN 55021 | AFLAC | $221 | — | $221 | 0.06% |
| JANELL R FRANK3 | 9110 RAILROAD DR. STE 230 MANASSAS PARK, VA 20111 | AFLAC | $204 | — | $204 | 0.05% |
| CHAD P SCHNEIDER3 Filed as: CHAD SCHNEIDER | 360 W HUBBARD ST. APT 1105 CHICAGO, IL 60654 | AFLAC | $194 | — | $194 | 0.05% |
| APRIL L FARRELL3 Filed as: APRIL FARRELL | 4809 W TULSA ST. CHANDLER, AZ 85226 | AFLAC | $180 | — | $180 | 0.05% |
| JOHN PATTON3 | 13497 EAGLES NEST CT CORONA, CA 92880 | AFLAC | $144 | $36 | $180 | 0.05% |
| PAMELA UTTER3 | 7750 W BOCA RATON RD. PEORIA, AZ 85381 | AFLAC | $157 | — | $157 | 0.04% |
| DONNA HERNANDEZ3 | 1172 N DAVID DR. NOGALES, AZ 85621 | AFLAC | $143 | — | $143 | 0.04% |
| JOSEPH GARCIA3 | 2101 N SANDARIO RD TUCSON, AZ 85743 | AFLAC | $129 | — | $129 | 0.03% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR. GLENDALE, AZ 85310 | AFLAC | $121 | — | $121 | 0.03% |
| WILLIAM BUCKNER3 Filed as: WILLIAM MILLER | 7708 S RITA LANE TEMPE, AZ 85284 | AFLAC | $92 | — | $92 | 0.02% |
| MERLE DALE HALL3 Filed as: MERLE HALL | 950 W BANNOCK ST STE 1100 BOISE, ID 83702 | AFLAC | $92 | — | $92 | 0.02% |
| M HEMP3 | PO BOX 41292 MESA, AZ 85274 | AFLAC | $89 | — | $89 | 0.02% |
| DARAN L WYCKOFF3 Filed as: DARAN WYCKOFF | PO BOX 952 SPOKANE VALLEY, WA 99037 | AFLAC | $84 | — | $84 | 0.02% |
| JEFFERY S GIBSON3 | 4805 LAKE BROOK DR STE 220 GLEN ALLEN, VA 23060 | AFLAC | $80 | — | $80 | 0.02% |
| BARBARA ANN MCNAUGHTON3 Filed as: BARBARA MCNAUGHTON | 337 JOEFFIE RD GRANT, AL 35747 | AFLAC | $64 | — | $64 | 0.02% |
| PHILLIP BRENFLECK3 | 7887 E UHL ST APT 1008 TUCSON, AZ 85710 | AFLAC | $53 | — | $53 | 0.01% |
| MICHAEL FATHERREE3 | 171 COUNTRY ROAD 1559 ALBA, TX 75410 | AFLAC | $52 | — | $52 | 0.01% |
| TAMMY SHILLINGBURG3 | 2921 E FORT LOWELL RD TUCSON, AZ 85716 | AFLAC | $50 | — | $50 | 0.01% |
| GILBERT VELASCO3 | 2563 W CALLE PUEBLA TUCSON, AZ 85745 | AFLAC | $49 | — | $49 | 0.01% |
| DIANA VIDISKY3 | 3365 N VIEW CREST DR TUCSON, AZ 85745 | AFLAC | $47 | — | $47 | 0.01% |
| NED BILECKI3 Filed as: NED A BILECKI | PO BOX 27567 TEMPE, AZ 85285 | AFLAC | $43 | — | $43 | 0.01% |
| RICHARD KELLIHER3 | 10533 E. COSMOS CIRCLE SCOTTSDALE, AZ 85255 | AFLAC | $40 | — | $40 | 0.01% |
| KATHY LEE BRIGHT3 Filed as: KATHY BRIGHT | 788 E PEPPER DR. CASA GRANDE, AZ 85122 | AFLAC | $32 | — | $32 | 0.01% |
| JEFFREY A KLEINMAN SR3 Filed as: JEFFREY KLEINMAN SR | 3420 E SHEA BLVD. STE 168 PHOENIX, AZ 85028 | AFLAC | $27 | — | $27 | 0.01% |
| NATALIE MALHAM3 | 3850 E BASELINE RD. STE 116 MESA, AZ 85206 | AFLAC | $24 | — | $24 | 0.01% |
| MICHAEL G GLADNICK3 Filed as: MICHAEL GLADNICK | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $24 | — | $24 | 0.01% |
| SHARON MCKELVEY3 Filed as: SHARON I MCKELVEY | 197 N NOTTINGHAM LANE LOT 3 PAYSON, AZ 85541 | AFLAC | $23 | — | $23 | 0.01% |
| WILLAIM SHARP3 | 17836 N 43RD WAY PHOENIX, AZ 85032 | AFLAC | $17 | — | $17 | 0.00% |
| HAROLD W ELLIOTT LLC3 Filed as: HAROLD ELLIOTT LLC | 15838 S 1ST AVE PHOENIX, AZ 85045 | AFLAC | $16 | — | $16 | 0.00% |
| ALAN HOFFMAN3 | 7615 E CALLE LOS ARBOLES TUCSON, AZ 85750 | AFLAC | $15 | — | $15 | 0.00% |
| JAMES HARVEY3 | 1091 W CALLE EXCELSO GREEN VALLEY, AZ 85614 | AFLAC | $15 | — | $15 | 0.00% |
| MARIA MULLIGAN3 | 24654 N LAKE PLEASANT PFWY 103-417 PEORIA, AZ 85383 | AFLAC | $14 | — | $14 | 0.00% |
| XPONENT EMPLOYER SOLUTIONS INC3 Filed as: XPONENT EMPLOYER SOLUTIONS INC. | 14500 N NORTHSIGHT BLVD. STE 108 SCOTTSDALE, AZ 85260 | AFLAC | $14 | — | $14 | 0.00% |
| SONYA MUNOZ3 | 843 W RICHLAND WAY COCHISE, AZ 85606 | AFLAC | $13 | — | $13 | 0.00% |
| JASON MILLER3 | 9402 MIDNIGHT BLUE CT APT 204 RIVERVIEW, FL 33578 | AFLAC | $10 | — | $10 | 0.00% |
| EXEL IVAN CARABALLO JR3 Filed as: EXEL CARABALLO JR | 2329 E BOWKER ST PHOENIX, AZ 85040 | AFLAC | $10 | — | $10 | 0.00% |
| MULLIGAN BENEFITS LLC3 | 24654 N LAKE PLEASANT PKWY 103-417 PEORIA, AZ 85383 | AFLAC | $10 | — | $10 | 0.00% |
| DEBORAH A BRIGHTSTAR3 Filed as: DEBORAH BRIGHTSTAR | 8019 S QUEEN CREEK DR. TUCSON, AZ 85747 | AFLAC | $8 | — | $8 | 0.00% |
| DEANNA M LUJAN3 | 921 W SAN MARCOS DRIVE CHANDLER, AZ 85225 | AFLAC | $6 | — | $6 | 0.00% |
| JACK GATHINGS3 | 7235 S GOLFSIDE LN PHOENIX, AZ 85042 | AFLAC | $6 | — | $6 | 0.00% |
| MARREEL SLATER INSURANCE LLC3 Filed as: MARREEL SLATER INSURANCE | 7855 S RIVER PKWY SUITE 210 TEMPE, AZ 85284 | AFLAC | $3 | — | $3 | 0.00% |
| PHILLIP TAVASCI3 | 5450 E HIGH ST STE 300 PHOENIX, AZ 85054 | AFLAC | $2 | — | $2 | 0.00% |
| TIMOTHY MARTIN3 | 20516 N 80TH LN PEORIA, AZ 85382 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN BURLEY3 | 3060 W CALLE LUCINDA TUCSON, AZ 85741 | 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 | $4K | — | $4K | 2.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | CIGNA GROUP INSURANCE | $4K | — | $4K | 2.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | CIGNA GROUP INSURANCE | $3K | — | $3K | 2.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICE INC | PO BOX 632886 CINCINNATI, OH 45263 | CIGNA GROUP INSURANCE | $339 | — | $339 | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $275K |
| CIGNA HEALTH AND LIFE INS COMP EIN 59-1031071 CLAIM PROCESSING | Named fiduciary; Participant communication; Float revenue; Claims processing; Other services; Direct payment from the plan; Contract Administrator; Non-monetary compensation Service code 12 | — | $65K |
| JORGENSEN HEALTHCARE ASSOCIATES EIN 86-0687859 CLAIMS PROCESSING | Claims processing Service code 12 | — | $41K |
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 | 793 | 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) | 793 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 789 | $88K |
| Life insurance | CIGNA GROUP INSURANCE | 793 | $188K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 793 | $572K |
| Long-term disability | CIGNA GROUP INSURANCE | 793 | $147K |
| Other | CIGNA GROUP INSURANCE | 793 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 793 | — |
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.