| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $18K | $1K | $20K | 4.10% |
| ROXANNE SMITH3 | 72 E LA PERA GREEN VALLEY, AZ 85614 | AFLAC | $8K | $267 | $8K | 1.72% |
| DAVID GODDARD3 | 2840 N GRANNEN RD. TUCSON, AZ 85745 | AFLAC | $3K | $219 | $4K | 0.75% |
| H LARAINE OLIPHANT3 | 3580 WEST INA ROAD SUITE 150 TUCSON, AZ 85741 | AFLAC | $3K | — | $3K | 0.59% |
| ZAKERY HARLOW3 | 2960 N. ACADEMY BLVD. SUITE 101 COLORADO SPRINGS, CO 80917 | AFLAC | $2K | — | $2K | 0.51% |
| DAVID R LATTIMER3 Filed as: DAVID LATTIMER | 3029 N SONORAN HILLS MESA, AZ 85207 | AFLAC | $2K | $48 | $2K | 0.50% |
| RACHEL DAY3 | 5533 E 24TH ST. TUCSON, AZ 85711 | AFLAC | $2K | — | $2K | 0.47% |
| ROBERT E LABONTE3 | 1659 WEST SAN REMO STREET GILBERT, AZ 85233 | AFLAC | $2K | — | $2K | 0.45% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $2K | — | $2K | 0.44% |
| LAUREL L HARLOW3 Filed as: LAUREL HARLOW | 6200 W ROAN PL TUCSON, AZ 85743 | AFLAC | $2K | — | $2K | 0.37% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPERE CIRCLE CHICAGO, IL 60674 | AFLAC | $2K | — | $2K | 0.35% |
| ARIZONA BENEFIT PLANS INC3 | ONE EAST CAMELBACK RD. SUITE 840 PHOENIX, AZ 85012 | AFLAC | $2K | — | $2K | 0.34% |
| JENNIER BRAR3 | 525 E SEASIDE WAY UNIT 709 LONG BEACH, CA 90802 | AFLAC | $1K | — | $1K | 0.30% |
| DAMON ENGLISH3 | 27014 N 52ND GLN PHOENIX, AZ 85083 | AFLAC | $1K | — | $1K | 0.25% |
| SONYA MUNOZ3 | 843 W RICHLAND WAY COCHISE, AZ 85606 | AFLAC | $1K | $22 | $1K | 0.22% |
| LAWRENCE FRANKS3 | 6145 N PASCOLA CIRCLE TUCSON, AZ 85718 | AFLAC | $1K | — | $1K | 0.22% |
| ELISSA BALLESTEROS3 | 8829 E LAURIE ANN DR. TUCSON, AZ 85747 | AFLAC | $810 | $154 | $964 | 0.20% |
| DONALD GREEN3 | 1611 W PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $879 | — | $879 | 0.18% |
| GREGORY STENZEL3 | 1249 KIOWA DR. W GAINESVILLE, TX 76240 | AFLAC | $826 | — | $826 | 0.17% |
| PAUL B BROUCHOUD3 Filed as: PAUL BROUCHOUD | 604 MARK DR. DEL CITY, OK 73115 | AFLAC | $719 | — | $719 | 0.15% |
| ALICE GODDARD3 | 2840 N GRANNEN RD. TUCSON, AZ 85745 | AFLAC | $580 | $103 | $683 | 0.14% |
| CAROLYN BRASSARD3 | 5091 N SABI RD MARANA, AZ 85653 | AFLAC | $680 | — | $680 | 0.14% |
| SCOTT WEBB3 | 26729 N 91ST DR. PEORIA, AZ 85383 | AFLAC | $643 | — | $643 | 0.13% |
| JARCEY RAUL RODRIGUEZ3 | 202 S. 1ST AVE STE 108 YUMA, AZ 85364 | AFLAC | $562 | — | $562 | 0.12% |
| MARK HILL3 | 5188 E. PARK VISTA DR. TUCSON, AZ 85756 | AFLAC | $533 | — | $533 | 0.11% |
| PATRICIA GEE3 | PO BOX 2334 MESA, AZ 85214 | AFLAC | $532 | — | $532 | 0.11% |
| GLEN GABLE3 | 3521 S CAMELLIA PLACE CHANDLER, AZ 85248 | AFLAC | $530 | — | $530 | 0.11% |
| KIMBERLY RODRIGUEZ3 | 37057 S GAMBEL QUAIL DR. MARANA, AZ 85658 | AFLAC | $509 | — | $509 | 0.11% |
| MARK HILL3 | PO BOX 85715 TUCSON, AZ 85754 | AFLAC | $497 | — | $497 | 0.10% |
| LINDA GREEN3 | 1081 S DUTCH JOHN SPRINGS CT GREEN VALLEY, AZ 85614 | AFLAC | $482 | — | $482 | 0.10% |
| DENNIS W CAMDEN3 Filed as: DENNIS CAMDEN | 715 N KENTUCKY ST. MEXICO, MO 65265 | AFLAC | $471 | — | $471 | 0.10% |
| MABY JANNETT SANORA3 | 3481 W AVENIDA SOMBRA TUCSON, AZ 85746 | AFLAC | $431 | — | $431 | 0.09% |
| SANDRA L SARFF3 Filed as: SANDRA SARFF | 7090 N ORACLE RD PMB 152 TUCSON, AZ 85704 | AFLAC | $427 | — | $427 | 0.09% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $352 | — | $352 | 0.07% |
| BRITTON JOHNSON3 | 1701 CENTERVIEW DR. SUITE 300 LITTLE ROCK, AR 72211 | AFLAC | $348 | — | $348 | 0.07% |
| PREFERRED MARKETING CORP3 Filed as: PREFERRED MARKETING CORP. | 744 E. DENIM TRAIL SAN TAN VALLEY, AZ 85143 | AFLAC | $343 | — | $343 | 0.07% |
| SHARON MALONE3 | 10719 E. FLORIAN AVE MESA, AZ 85208 | AFLAC | $319 | — | $319 | 0.07% |
| DESERT INSURANCE ADVISORS LLC3 | 3219 E. CAMELBACK RD. #396 PHOENIX, AZ 85018 | AFLAC | $306 | — | $306 | 0.06% |
| MICHAEL D SCHULTZ3 Filed as: MICHAEL SCHULTZ | 1126 25TH AVE NW FARIBAULT, MN 55021 | AFLAC | $282 | — | $282 | 0.06% |
| JANELL FRANK3 | 603 JEFFERSON DAVIS HWY STE 201 FREDERICKSBURG, VA 22401 | AFLAC | $240 | — | $240 | 0.05% |
| CHAD P SCHNEIDER3 Filed as: CHAD SCHNEIDER | 1 W SUPERIOR ST APT 1301 CHICAGO, IL 60654 | AFLAC | $232 | — | $232 | 0.05% |
| JENNIFER UHLMANN3 | 1611 N SAHUARA AVE TUCSON, AZ 85712 | AFLAC | $224 | — | $224 | 0.05% |
| PAMELA UTTER3 | 7750 W BOCA RATON RD PEORIA, AZ 85381 | AFLAC | $202 | — | $202 | 0.04% |
| DONNA HERNANDEZ3 | 1172 N DAVID DR. NOGALES, AZ 85621 | AFLAC | $175 | — | $175 | 0.04% |
| TAMMY SHILLINGBURG3 | 2921 E FORT LOWELL RD. TUCSON, AZ 85716 | AFLAC | $175 | — | $175 | 0.04% |
| JOSEPH GARCIA3 | 2101 N SANDARIO RD TUCSON, AZ 85743 | AFLAC | $161 | — | $161 | 0.03% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $146 | — | $146 | 0.03% |
| APRIL L FARRELL3 Filed as: APRIL FARRELL | 4515 S MCCLINTOCK DR. SUITE 212 TEMPE, AZ 85282 | AFLAC | $120 | — | $120 | 0.03% |
| MERLE DALE HALL3 Filed as: MERLE HALL | 5500 W LAKE RIVER LN BOISE, ID 83703 | AFLAC | $113 | — | $113 | 0.02% |
| MICHEAL LI3 | 5751 N KOLB RD. UNIT 39202 TUCSON, AZ 85750 | AFLAC | $113 | — | $113 | 0.02% |
| M JEAN HEMP3 | PO BOX 41292 MESA, AZ 85274 | AFLAC | $109 | — | $109 | 0.02% |
| KELLY MCGARRY3 | 4750 N ORACLE RD SUITE 214 TUCSON, AZ 85705 | AFLAC | $107 | — | $107 | 0.02% |
| WILLIAM BUCKNER3 Filed as: WILLIAM MILLER | 7708 S RITA LANE TEMPE, AZ 85284 | AFLAC | $101 | — | $101 | 0.02% |
| DARAN L WYCKOFF3 Filed as: DARAN WYCKOFF | 2907 E 64TH CT SPOKANE, WA 99223 | AFLAC | $92 | — | $92 | 0.02% |
| ALONZO CARROLL3 | 12061 N STAR CLUSTER DR. MARANA, AZ 85653 | AFLAC | $86 | — | $86 | 0.02% |
| BARBARA ANN MCNAUGHTON3 Filed as: BARBARA MCNAUGHTON | 4910 CORPORATE DR. NW SUITE G HUNTSVILLE, AL 35805 | AFLAC | $77 | — | $77 | 0.02% |
| FILEPE COELHO3 | 4515 S MCCLINTOCK DR STE 212 TEMPE, AZ 85282 | AFLAC | $68 | — | $68 | 0.01% |
| JEFFERY S GIBSON3 Filed as: JEFFERY GIBSON | 3009 HUNTON COTTAGE LANE GLEN ALLEN, VA 23059 | AFLAC | $65 | — | $65 | 0.01% |
| MICHAEL FATHERREE3 | 171 COUNTRY ROAD 1559 ALBA, TX 75410 | AFLAC | $59 | — | $59 | 0.01% |
| BRITTON JOHNSON3 | 3220 N ACADEMY BLVD. STE 1 COLORADO SPRINGS, CO 80917 | AFLAC | $57 | — | $57 | 0.01% |
| JOHN PATTON3 | 13497 EAGLE NEST CT CORONA, CA 92880 | AFLAC | $57 | — | $57 | 0.01% |
| DIANE VIDISKY3 | 3365 N VIEW CREST DR. TUCSON, AZ 85745 | AFLAC | $55 | — | $55 | 0.01% |
| PHILLIP BRENFLECK3 | 7887 UHL ST APT 1008 TUCSON, AZ 85710 | AFLAC | $52 | — | $52 | 0.01% |
| NED BILECKI3 | PO BOX 27567 TEMPE, AZ 85285 | AFLAC | $43 | — | $43 | 0.01% |
| RICHARD KELLIHER3 | 10533 E COSMOS CIRCLE SCOTTSDALE, AZ 85255 | AFLAC | $41 | — | $41 | 0.01% |
| GILBERT VELASCO3 | 2563 W CALLE PUEBLA TUCSON, AZ 85745 | AFLAC | $41 | — | $41 | 0.01% |
| JEFFREY S GIBSON3 Filed as: JEFFREY GIBSON | 4805 LAKE BROOK DR. STE 220 GLEN ALLEN, VA 23060 | AFLAC | $30 | — | $30 | 0.01% |
| JEFFREY A KLEINMAN SR3 Filed as: JEFFREY KLEINMAN SR. | 3420 E SHEA BLVD STE 168 PHOENIX, AZ 85028 | AFLAC | $29 | — | $29 | 0.01% |
| SHARON MCKELVEY3 | 197 N NOTTINGHAM LANE LOT 3 PAYSON, AZ 85541 | AFLAC | $29 | — | $29 | 0.01% |
| KATHY LEE BRIGHT3 Filed as: KATHY BRIGHT | 788 E PEPPER DR. CASA GRANDE, AZ 85122 | AFLAC | $26 | — | $26 | 0.01% |
| MICHAEL G GLADNICK3 Filed as: MICHAEL GLADNICK | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $26 | — | $26 | 0.01% |
| NATALIE MALHAM3 | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $26 | — | $26 | 0.01% |
| HAROLD W ELLIOTT LLC3 Filed as: HAROLD ELLIOTT LLC | 15838 S 1ST AVE PHOENIX, AZ 85045 | AFLAC | $21 | — | $21 | 0.00% |
| WILLIAM J SHARP3 Filed as: WILLIAM SHARP | 17836 N 43RD WAY PHOENIX, AZ 85032 | AFLAC | $21 | — | $21 | 0.00% |
| ALAN HOFFMAN3 | 7615 E CALLE LOS ARBOLES TUCSON, AZ 85750 | AFLAC | $20 | — | $20 | 0.00% |
| JAMES HARVEY3 | 1091 W CALLE EXCELSO GREEN VALLEY, AZ 85614 | AFLAC | $19 | — | $19 | 0.00% |
| JASON MILLER3 | 9402 MIDNIGHT BLUE CT APT 204 RIVERVIEW, FL 33578 | AFLAC | $13 | — | $13 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | 160 W SANTA CLARA ST STE 450 SAN JOSE, CA 95113 | AFLAC | $12 | — | $12 | 0.00% |
| EXEL IVAN CARABALLO JR3 | 2329 E BOWKER ST. PHOENIX, AZ 85040 | AFLAC | $11 | — | $11 | 0.00% |
| DEBORAH A BRIGHTSTAR3 Filed as: DEBORAH BRIGHTSTAR | 8019 S QUEEN CREEK DR. TUCSON, AZ 85747 | AFLAC | $11 | — | $11 | 0.00% |
| MARIA MULLIGAN3 | 24654 N PLEASANT PARKWAY 103-417 PEORIA, AZ 85383 | AFLAC | $9 | — | $9 | 0.00% |
| JACK GATHINGS3 | 7235 S GOLFSIDE LANE PHOENIX, AZ 85042 | AFLAC | $7 | — | $7 | 0.00% |
| MARREEL SLATER INSURANCE LLC3 | 7855 S RIVER PKWY STE 210 TEMPE, AZ 85284 | AFLAC | $4 | — | $4 | 0.00% |
| MULLIGAN BENEFITS LLC3 | 24654 N LAKE PLEASANT PARKWAY 103-417 PEORIA, AZ 85383 | AFLAC | $4 | — | $4 | 0.00% |
| PHILIP TAVASCI3 | 5450 E HIGH ST STE 300 PHOENIX, AZ 85054 | AFLAC | $2 | — | $2 | 0.00% |
| RAYMOND MULLIGAN3 | 8765 W KELTON LN BLDG B1 PEORIA, AZ 55382 | AFLAC | $2 | — | $2 | 0.00% |
| JOHN BURLEY3 | 3989 W ORANGEWOOD DR TUCSON, AZ 85741 | AFLAC | $2 | — | $2 | 0.00% |
| TIMOTHY MARTIN3 | 20516 N 80TH LN PEORIA, AZ 85382 | AFLAC | $1 | — | $1 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | — | $8K | 4.57% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | PO BOX 632886 CINCINNATI, OH 45263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | — | $7K | 4.76% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 4.76% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | VISION SERVICE PLAN | $6K | — | $6K | 5.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICE INC | PO BOX 632886 CINCINNATI, OH 45263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $710 | — | $710 | 4.54% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $361K |
| JORGENSEN HEALTHCARE ASSOCIATES EIN 86-0687859 EAP PROVIDER | Other services Service code 49 | — | $40K |
| CIGNA HEALTH AND LIFE INS COMP EIN 59-1031071 CLAIM PROCESSING | Non-monetary compensation; Float revenue; Participant communication; Direct payment from the plan; Named fiduciary; Claims processing; Contract Administrator; Other services Service code 12 | — | $36K |
| CBIZ BENEFITS & INS SERVICES INC EIN 31-1582098 CLAIMS PROCESSING | Other commissions Service code 55 | — | $13K |
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 | 1,003 | 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) | 1,003 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 763 | $117K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,003 | $165K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 1,003 | $631K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,003 | $117K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,003 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,003 | — |
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.