| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SETH G KNOWLTON3 | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $18K | $238 | $18K | 4.29% |
| H LARAINE OLIPHANT3 | 3580 W INA RD SUITE 150 TUCSON, AZ 85741 | AFLAC | $2K | — | $2K | 0.57% |
| KELLY MCGARRY3 | 4750 N ORACLE RD SUITE 214 TUCSON, AZ 85705 | AFLAC | $2K | $87 | $2K | 0.52% |
| ROBERT LABONTE3 | 1659 W SAN REMO ST GILBERT, AZ 85233 | AFLAC | $2K | — | $2K | 0.42% |
| ZAKERY HARLOW3 | 2960 N ACADEMY BLVD. STUITE 101 COLORADO SPRINGS, CA 80917 | AFLAC | $2K | — | $2K | 0.40% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $2K | — | $2K | 0.39% |
| ROXANNE SMITH3 | 72 E LA PERA GREEN VALLEY, AZ 85614 | AFLAC | $1K | $41 | $2K | 0.37% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AFLAC | $1K | — | $1K | 0.33% |
| ARIZONA BENEFIT PLANS INC3 | 1 E CAMELBACK RD SUITE 840 PHOENIX, AZ 85012 | AFLAC | $1K | — | $1K | 0.31% |
| JENNIFER BRAR3 | 525 E SEASIDE WAY UNIT 709 LONG BEACH, CA 90802 | AFLAC | $1K | — | $1K | 0.30% |
| LAUREL L HARLOW3 Filed as: LAUREL HARLOW | 6200 W ROAN PLACE TUCSON, AZ 85743 | AFLAC | $1K | — | $1K | 0.27% |
| RACHEL DAY3 | 5533 E 24TH ST. TUCSON, AZ 85711 | AFLAC | $1K | — | $1K | 0.25% |
| DAMON ENGLISH3 | 27014 N 52ND GLN PHOENIX, AZ 85083 | AFLAC | $984 | — | $984 | 0.24% |
| DAVID GODDARD3 | 2840 N GRANNEN RD. TUCSON, AZ 85745 | AFLAC | $952 | $22 | $974 | 0.24% |
| DONNA HERNANDEZ3 | 1172 N DAVID DR. NOGALES, AZ 85621 | AFLAC | $799 | — | $799 | 0.19% |
| KAYELA MAJOROS3 | 3201 E FORT LOWELL RD APT 2068 TUCSON, AZ 85716 | AFLAC | $730 | $50 | $780 | 0.19% |
| KIMBERLY RODRIGUEZ3 | 37057 S GAMBEL QUAIL DR. MARANA, AZ 85658 | AFLAC | $768 | $11 | $779 | 0.19% |
| DONALD GREEN3 | 1611 W PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $743 | — | $743 | 0.18% |
| GREGORY STENZEL3 | 1249 KIOWA DR W GAINESVILLE, TX 76240 | AFLAC | $674 | — | $674 | 0.16% |
| MARK HILL3 | 5188 E PARK VISTA DR. TUCSON, AZ 85756 | AFLAC | $639 | — | $639 | 0.15% |
| PAUL B BROUCHOUD3 Filed as: PAUL BROUCHOUD | 604 MARK DR. DEL CITY, OK 73115 | AFLAC | $607 | — | $607 | 0.15% |
| CAROLYN BRASSARD3 | 5091 N SABI DR. MARANA, AZ 85653 | AFLAC | $607 | — | $607 | 0.15% |
| SCOTT WEBB3 Filed as: SCOTT WEB | 26729 N 91ST DR. PEORIA, AZ 85383 | AFLAC | $472 | — | $472 | 0.11% |
| PATRICIA GEE3 | PO BOX 2334 MESA, AZ 85214 | AFLAC | $461 | — | $461 | 0.11% |
| LINDA GREEN3 | 1081 S DUTCH JOHN SPRINGS CT GREEN VALLEY, AZ 85614 | AFLAC | $405 | — | $405 | 0.10% |
| GLEN GABLE3 | 3521 S CAMELLIA PL CHANDLER, AZ 85248 | AFLAC | $397 | — | $397 | 0.10% |
| DENNIS W CAMDEN3 Filed as: DENNIS CAMDEN | 101 N JEFFERSON ST RM 305 MEXICO, MO 65265 | AFLAC | $383 | — | $383 | 0.09% |
| DAVID R LATTIMER3 Filed as: DAVID LATTIMER | 3029 N SONORAN HILLS MESA, AZ 85207 | AFLAC | $352 | — | $352 | 0.08% |
| MABY SANORA3 | 4733 E AMERICAN BEAUTY DR TUCSON, AZ 85756 | AFLAC | $326 | — | $326 | 0.08% |
| SANDA SARFF3 | 7090 N ORACLE RD PMB 152 TUCSON, AZ 85704 | AFLAC | $309 | — | $309 | 0.07% |
| BRITTON JOHNSON3 | 3220 N ACADEMY BLVD STE 1 COLORADO SPRINGS, CO 80917 | AFLAC | $302 | — | $302 | 0.07% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $297 | — | $297 | 0.07% |
| PREFERRED MARKETING CORP3 Filed as: PREFERRED MARKETING CORP. | 744 E. DENIM TRAIL SAN TAN VALLEY, AZ 85143 | AFLAC | $287 | — | $287 | 0.07% |
| JULIE KICKER3 | PO BOX 11825 CASA GRANDE, AZ 85704 | AFLAC | $283 | — | $283 | 0.07% |
| DESERT INSURANCE ADVISORS LLC3 | 3219 E CAMELBACK RD #396 PHOENIX, AZ 85018 | AFLAC | $257 | — | $257 | 0.06% |
| CHAD P SCHNEIDER3 Filed as: CHAD SCHNEIDER | 4470 WOODMAN AVE UNIT 303 STE 201 SHERMAN OAKS, CA 91423 | AFLAC | $210 | — | $210 | 0.05% |
| MICHAEL D SCHULTZ3 Filed as: MICHAEL SCHULTZ | 1126 25TH AVE NW FARIBAULT, MN 55021 | AFLAC | $209 | — | $209 | 0.05% |
| SHARON MALONE3 | 10719 E FLORIAN AVE MESA, AZ 85208 | AFLAC | $205 | — | $205 | 0.05% |
| ELISSIA BALLESTEROS3 | 8829 E LAURIE ANN DR. TUCSON, AZ 85747 | AFLAC | $183 | — | $183 | 0.04% |
| PAMELA UTTER3 | 7750 W BOCA RATON RD PEORIA, AZ 85381 | AFLAC | $172 | — | $172 | 0.04% |
| JANELL FRANK3 | 205 WAVE DR STE 201 STAFFORD, VA 22554 | AFLAC | $160 | — | $160 | 0.04% |
| JARCEY RODRIGUEZ3 | 202 S 1ST AVE SUITE 108 YUMA, AZ 85364 | AFLAC | $150 | — | $150 | 0.04% |
| JOSEPH GARCIA3 | 2101 N SANDARIO RD TUCSON, AZ 85743 | AFLAC | $134 | — | $134 | 0.03% |
| APRIL L FARRELL3 Filed as: APRIL FARRELL | 4515 S MCCLINTOCK DR. STE 212 TEMPE, AZ 85282 | AFLAC | $108 | — | $108 | 0.03% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $105 | — | $105 | 0.03% |
| MERLE DALE HALL3 Filed as: MERLE HALL | 5500 W LAKE RIVER LN BOISE, IA 83703 | AFLAC | $96 | — | $96 | 0.02% |
| M JEAN HEMP3 | PO BOX 41292 MESA, AZ 85274 | AFLAC | $93 | — | $93 | 0.02% |
| JOHN PATTON3 | 13497 EAGLE NEST CT CORONA, CA 92880 | AFLAC | $87 | — | $87 | 0.02% |
| WILLIAM BUCKNER3 Filed as: WILLIAM MILLER | 6919 FAIRPLAY RD BENTON, AR 72019 | AFLAC | $85 | — | $85 | 0.02% |
| DARON WYCKOFF3 | PO BOX 31233 SPOKANE, WA 99223 | AFLAC | $76 | — | $76 | 0.02% |
| JEFFERY S GIBSON3 Filed as: JEFFERY GIBSON | 200 W ELM ST STE 1225 CONSHOHOCKEN, PA 19428 | AFLAC | $69 | — | $69 | 0.02% |
| JENNIFER UHLMANN3 | 1611 N SAHUARA AVE TUCSON, AZ 85712 | AFLAC | $66 | — | $66 | 0.02% |
| PHILLIP BRENFLECK3 | 7887 E UHL ST APT 1008 TUCSON, AZ 85805 | AFLAC | $60 | — | $60 | 0.01% |
| KAMIL A BREEDLOVE3 Filed as: KAMIL BREEDLOVE | 6101 W ARIZONA PAVILIONS DR APT 10205 TUCSON, AZ 85743 | AFLAC | $50 | — | $50 | 0.01% |
| SUNSHINE HOWELLS3 | 8225 S PLACITA GIJON TUCSON, AZ 85747 | AFLAC | $46 | — | $46 | 0.01% |
| MICHAEL FATHERREE3 | 171 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $44 | — | $44 | 0.01% |
| DIANE VIDISKY3 | 3365 N VIEW CREST DR. TUCSON, AZ 85745 | AFLAC | $41 | — | $41 | 0.01% |
| TABITHA SPARKS3 | 18636 E MAINSTREET APT 9-110 PARKER, CO 80134 | AFLAC | $37 | — | $37 | 0.01% |
| MARK FABER3 | 3968 E JUSTIN LN TUCSON, AZ 85712 | AFLAC | $37 | — | $37 | 0.01% |
| BARBARA ANN MCNAUGHTON3 Filed as: BARBARA MCNAUGHTON | 4910 CORPORATE DR NW STE G HUNTSVILLE, AL 35805 | AFLAC | $35 | — | $35 | 0.01% |
| GILBERT VELASCO3 | 2563 W CALLE PUEBLA TUCSON, AZ 85745 | AFLAC | $35 | — | $35 | 0.01% |
| MICHAEL EDWARD LI3 | 5319 N ENTRADA DE SABINO TUCSON, AZ 85750 | AFLAC | $33 | — | $33 | 0.01% |
| DAVID R LATTIMER3 Filed as: DAVID LATTIMER | 6602 N 93RD AVE GLENDALE, AZ 85305 | AFLAC | $29 | — | $29 | 0.01% |
| SHARON MCKELVEY3 | 197 N NOTTINGHAM LOT 3 PAYSON, AZ 85541 | AFLAC | $25 | — | $25 | 0.01% |
| RICHARD KELLIHER3 | 10533 E COSMOS CIR SCOTTSDALE, AZ 85255 | AFLAC | $25 | — | $25 | 0.01% |
| FILIPE COELHO3 | 4515 S MCCLINTOCK DR SUITE 212 TEMPE, AZ 85282 | AFLAC | $24 | — | $24 | 0.01% |
| JEFFREY A KLEINMAN SR3 Filed as: JEFFREY KLEINMAN SR. | 33202 N 46TH WAY CAVE CREEK, AZ 85331 | AFLAC | $22 | — | $22 | 0.01% |
| ALONZO CARROLL3 | 12061 N STAR CLUSTER DR. MARANA, AZ 85653 | AFLAC | $21 | — | $21 | 0.01% |
| MICHAEL G GLADNICK3 Filed as: MICHAEL GLADNICK | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $20 | — | $20 | 0.00% |
| NATALIE MALHAM3 | 5822 N 13TH ST PHOENIX, AZ 85014 | AFLAC | $20 | — | $20 | 0.00% |
| ALICE GODDARD3 | 2840 N GRANNEN RD TUCSON, AZ 85745 | AFLAC | $18 | — | $18 | 0.00% |
| HAROLD W ELLIOTT LLC3 Filed as: HAROLD ELLIOTT LLC | 15838 S 1ST AVE PHOENIX, AZ 85045 | AFLAC | $18 | — | $18 | 0.00% |
| JAMES HARVEY3 | 1091 W CALLE EXCELSO GREEN VALLEY, AZ 85614 | AFLAC | $18 | — | $18 | 0.00% |
| WILLIAM J SHARP3 Filed as: WILLIAM SHARP | 17836 N 43RD WAY PHOENIX, AZ 85032 | AFLAC | $17 | — | $17 | 0.00% |
| NED BILECKI3 | PO BOX 27567 TEMPE, AZ 85285 | AFLAC | $16 | — | $16 | 0.00% |
| KATHY LEE BRIGHT3 Filed as: KATHY BRIGHT | 807 N BROWN AVE CASA GRANDE, AZ 85122 | AFLAC | $12 | — | $12 | 0.00% |
| JASON MILLER3 | 9402 MIDNIGHT BLUE CT APT 204 RIVERVIEW, FL 33578 | AFLAC | $12 | — | $12 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | PO BOX 632886 CINCINNATI, AZ 45263 | AFLAC | $9 | — | $9 | 0.00% |
| RAYANAA STARRE3 | 5 SAINT ANDREWS RD ARDEN, NC 28704 | 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 | $7 | — | $7 | 0.00% |
| ALAN HOFFMAN3 | 7420 E WANDERING RD TUCSON, AZ 85750 | AFLAC | $6 | — | $6 | 0.00% |
| PHILIP TAVASCI3 | 5450 E HIGH ST STE 300 PHOENIX, AZ 85054 | AFLAC | $2 | — | $2 | 0.00% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INS SERVICES LLC | 7855 S RIVER PKWY STE 210 TEMPE, AZ 85284 | AFLAC | $2 | — | $2 | 0.00% |
| MARREEL SLATER INSURANCE LLC3 Filed as: MARREEL SLATER INSURANCE | 7855 S RIVER PARKWAY STE 210 TEMPE, AZ 85284 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN BURLEY3 | 3989 W ORANGEWOOD DR. TUCSON, AZ 85054 | AFLAC | $1 | — | $1 | 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 | $7K | — | $7K | 5.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | PO BOX 632886 CINCINNATI, OH 45263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 5.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | VISION SERVICE PLAN | $5K | — | $5K | 4.60% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 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 | $576 | — | $576 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $385K |
| JORGENSEN HEALTHCARE ASSOCIATES EIN 86-0687859 EAP PROVIDER | Other services Service code 49 | — | $43K |
| CIGNA HEALTH AND LIFE INS COMP EIN 59-1031071 CLAIM PROCESSING | Claims processing; Contract Administrator; Direct payment from the plan; Participant communication; Float revenue; Other services; Non-monetary compensation; Named fiduciary Service code 12 | — | $26K |
| CBIZ BENEFITS & INS SERVICES INC EIN 31-1582098 BROKER | 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 | 1,076 | 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) | 1,076 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 705 | $113K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,027 | $133K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 997 | $537K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,076 | $94K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,043 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,027 | — |
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.