| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KELLY MCGARRY3 | 4750 N ORACLE RD SUITE 214 TUCSON, AZ 85705 | AFLAC | $16K | $22 | $16K | 3.31% |
| SETH G KNOWLTON3 Filed as: SETH KNOWLTON | 11396 N SILVER PHEASANT LOOP ORO VALLEY, AZ 85737 | AFLAC | $8K | — | $8K | 1.74% |
| NICHOLAS CAFFREY3 | 6502 N CALLE LOTTIE TUCSON, AZ 85743 | AFLAC | $8K | — | $8K | 1.66% |
| JESSE CAMPBELL3 | 7755 W SUMMER SKY DR TUCSON, AZ 85743 | AFLAC | $3K | — | $3K | 0.69% |
| TULA BOYLES3 | 12495 W GINI LN MARANA, AZ 85653 | AFLAC | $3K | — | $3K | 0.65% |
| KAMIL A BREEDLOVE3 Filed as: KAMIL BREEDLOVE | 4700 N 16TH ST APT 343 PHOENIX, AZ 85016 | AFLAC | $3K | $18 | $3K | 0.53% |
| H LARAINE OLIPHANT3 | 3580 W INA RD SUITE 150 TUCSON, AZ 85741 | AFLAC | $2K | — | $2K | 0.47% |
| NICHOLAS J DONIA3 Filed as: NICHOLAS DONIA | 843 W CALLE MURO FUERTE SAHUARITA, AZ 85629 | AFLAC | $2K | $4 | $2K | 0.45% |
| CARLOS CHAVEZ3 | 4750 N ORACLE ROAD SUITE 214 TUCSON, AZ 85705 | AFLAC | $2K | — | $2K | 0.45% |
| BENNY VALENZUELA3 | 1488 W ARGYLE AVE TUCSON, AZ 85746 | AFLAC | $2K | — | $2K | 0.37% |
| ROBERT LABONTE3 | 1659 W SAN REMO ST GILBERT, AZ 85233 | AFLAC | $2K | — | $2K | 0.34% |
| EMILY DINKEL3 | 11671 N PYRAMID POINT DR ORO VALLEY, AZ 85737 | AFLAC | $1K | $155 | $2K | 0.32% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $1K | — | $1K | 0.31% |
| ZAKERY HARLOW3 | 2030 W BASELINE RD SUITE 182-17062 PHOENIX, AZ 85041 | AFLAC | $1K | — | $1K | 0.29% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AFLAC | $1K | — | $1K | 0.26% |
| SARAH TERRELL3 | 2701 E DARLENE WAY VAIL, AZ 85641 | AFLAC | $1K | $207 | $1K | 0.25% |
| ARIZONA BENEFIT PLANS INC3 | 1 E CAMELBACK RD SUITE 840 PHOENIX, AZ 85012 | AFLAC | $1K | — | $1K | 0.25% |
| JENNIFER BRAR3 | 525 E SEASIDE WAY UNIT 709 LONG BEACH, CA 90802 | AFLAC | $1K | — | $1K | 0.24% |
| LAUREL L HARLOW3 Filed as: LAUREL HARLOW | 2030 W BASELINE ROAD SUITE 182 PHOENIX, AZ 85041 | AFLAC | $981 | — | $981 | 0.20% |
| DAMON ENGLISH3 | 27014 N 52ND GLN PHOENIX, AZ 85083 | AFLAC | $901 | — | $901 | 0.19% |
| DAVID GODDARD3 | 2840 N GRANNEN RD. TUCSON, AZ 85745 | AFLAC | $866 | — | $866 | 0.18% |
| DANIEL RODRIGUEZ3 | 4678 W BLUEBELL WAY TUCSON, AZ 85714 | AFLAC | $807 | — | $807 | 0.17% |
| DONALD GREEN3 | 4719 S HARVEST MOON DR GREEN VALLEY, AZ 85622 | AFLAC | $711 | — | $711 | 0.15% |
| DAMARIS MORENO3 | 3902 S 15TH AVE TUCSON, AZ 85714 | AFLAC | $683 | — | $683 | 0.14% |
| RACHEL DAY3 | 5533 E 24TH ST. TUCSON, AZ 85711 | AFLAC | $630 | — | $630 | 0.13% |
| CAROLYN BRASSARD3 | 5091 N SABI DR. MARANA, AZ 85653 | AFLAC | $623 | — | $623 | 0.13% |
| GREGORY STENZEL3 | 14054 BADLANDS DR FRISCO, TX 75035 | AFLAC | $622 | — | $622 | 0.13% |
| KAYELA FORD3 | 11273 W ROCK ART DR MARANA, AZ 85658 | AFLAC | $613 | — | $613 | 0.13% |
| LEE CASILLAS3 | 5442 S PINTA AVE TUCSON, AZ 85706 | AFLAC | $580 | — | $580 | 0.12% |
| PAUL B BROUCHOUD3 Filed as: PAUL BROUCHOUD | 604 MARK DR. DEL CITY, OK 73115 | AFLAC | $516 | — | $516 | 0.11% |
| MARK HILL3 | 5188 E PARK VISTA DR. TUCSON, AZ 85756 | AFLAC | $486 | — | $486 | 0.10% |
| PATRICIA GEE3 | PO BOX 2334 MESA, AZ 85214 | AFLAC | $430 | — | $430 | 0.09% |
| SCOTT WEBB3 Filed as: SCOTT WEB | 26729 N 91ST DR. PEORIA, AZ 85383 | AFLAC | $419 | — | $419 | 0.09% |
| LINDA GREEN3 | 1081 S DUTCH JOHN SPRINGS CT GREEN VALLEY, AZ 85614 | AFLAC | $392 | — | $392 | 0.08% |
| GLEN GABLE3 | 3521 S CAMELLIA PL CHANDLER, AZ 85248 | AFLAC | $383 | — | $383 | 0.08% |
| KIMBERLY RODRIGUEZ3 | 37057 S GAMBEL QUAIL DR. MARANA, AZ 85658 | AFLAC | $358 | — | $358 | 0.07% |
| DENNIS W CAMDEN3 Filed as: DENNIS CAMDEN | 101 N JEFFERSON ST RM 305 MEXICO, MO 65265 | AFLAC | $354 | — | $354 | 0.07% |
| DAVID R LATTIMER3 Filed as: DAVID LATTIMER | 6605 N 93RD AVENUE GLENDALE, AZ 85305 | AFLAC | $294 | — | $294 | 0.06% |
| BRITTON JOHNSON3 | 3220 N ACADEMY BLVD STE 1 COLORADO SPRINGS, CO 80917 | AFLAC | $292 | — | $292 | 0.06% |
| ELISSIA BALLESTEROS3 | 8829 E LAURIE ANN DR. TUCSON, AZ 85747 | AFLAC | $280 | — | $280 | 0.06% |
| PREFERRED MARKETING CORP3 Filed as: PREFERRED MARKETING CORP. | 744 E. DENIM TRAIL SAN TAN VALLEY, AZ 85143 | AFLAC | $276 | — | $276 | 0.06% |
| SANDA SARFF3 | 3811 E CHICO LANE TUCSON, AZ 85739 | AFLAC | $272 | — | $272 | 0.06% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | PO BOX 632886 CINCINNATI, AZ 45263 | AFLAC | $253 | — | $253 | 0.05% |
| MABY SANORA3 | 10860 S SINGING COYOTE PLACE TUCSON, AZ 85756 | AFLAC | $251 | — | $251 | 0.05% |
| DESERT INSURANCE ADVISORS LLC3 | 3219 E CAMELBACK RD #396 PHOENIX, AZ 85018 | AFLAC | $220 | — | $220 | 0.05% |
| SHARON MALONE3 | 10719 E FLORIAN AVE MESA, AZ 85208 | AFLAC | $187 | — | $187 | 0.04% |
| MICHAEL D SCHULTZ3 Filed as: MICHAEL SCHULTZ | 1126 25TH AVE NW FARIBAULT, MN 55021 | AFLAC | $185 | — | $185 | 0.04% |
| CHAD P SCHNEIDER3 Filed as: CHAD SCHNEIDER | 22213 1/2 ERWIN ST WOODLAND HILL, CA 91367 | AFLAC | $166 | — | $166 | 0.03% |
| PAMELA UTTER3 | 7750 W BOCA RATON RD PEORIA, AZ 85381 | AFLAC | $166 | — | $166 | 0.03% |
| JANELL FRANK3 | 205 WAVE DR STE 201 STAFFORD, VA 22554 | AFLAC | $137 | — | $137 | 0.03% |
| APRIL L FARRELL3 Filed as: APRIL FARRELL | 1910 S STAPLEY DR STE 221 SUITE 310 MESA, AZ 85204 | AFLAC | $115 | — | $115 | 0.02% |
| JOSEPH GARCIA3 | 2101 N SANDARIO RD TUCSON, AZ 85743 | AFLAC | $100 | — | $100 | 0.02% |
| M JEAN HEMP3 | PO BOX 41292 MESA, AZ 85274 | AFLAC | $96 | — | $96 | 0.02% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $94 | — | $94 | 0.02% |
| JUAN FLORES3 | 7404 S VIA PLAZA DEL MAYA TUCSON, AZ 85756 | AFLAC | $94 | — | $94 | 0.02% |
| WILLIAM BUCKNER3 Filed as: WILLIAM MILLER | 6919 FAIRPLAY RD BENTON, AR 72019 | AFLAC | $84 | — | $84 | 0.02% |
| MERLE DALE HALL3 Filed as: MERLE HALL | 5500 W LAKE RIVER LN BOISE, IA 83703 | AFLAC | $83 | — | $83 | 0.02% |
| JOHN PATTON3 | 730 BLACK OAK CIR CORONA, CA 92881 | AFLAC | $80 | — | $80 | 0.02% |
| JULIE KICKER3 | PO BOX 11825 CASA GRANDE, AZ 85704 | AFLAC | $71 | — | $71 | 0.01% |
| DARON WYCKOFF3 | PO BOX 31233 SPOKANE, WA 99223 | AFLAC | $63 | — | $63 | 0.01% |
| PHILLIP BRENFLECK3 | 7887 E UHL ST APT 1008 TUCSON, AZ 85805 | AFLAC | $62 | — | $62 | 0.01% |
| JEFFERY S GIBSON3 Filed as: JEFFERY GIBSON | 4030 TATES CREEK ROAD APT 1004 CONSHOHOCKEN, PA 40517 | AFLAC | $60 | — | $60 | 0.01% |
| JARCEY RODRIGUEZ3 | 202 S 1ST AVE STE 108 YUMA, AZ 85364 | AFLAC | $55 | — | $55 | 0.01% |
| BARBARA ANN MCNAUGHTON3 Filed as: BARBARA MCNAUGHTON | 4910 CORPORATE DR NW STE G HUNTSVILLE, AL 35805 | AFLAC | $50 | — | $50 | 0.01% |
| JENNIFER UHLMANN3 | 1611 N SAHUARA AVE TUCSON, AZ 85712 | AFLAC | $47 | — | $47 | 0.01% |
| MICHAEL FATHERREE3 | 171 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $36 | — | $36 | 0.01% |
| MICHAEL EDWARD LI3 | 5319 N ENTRADA DE SABINO TUCSON, AZ 85750 | AFLAC | $25 | — | $25 | 0.01% |
| RICHARD KELLIHER3 | 10533 E COSMOS CIR SCOTTSDALE, AZ 85255 | AFLAC | $23 | — | $23 | 0.00% |
| SHARON MCKELVEY3 | 197 N NOTTINGHAM LOT 3 PAYSON, AZ 85541 | AFLAC | $23 | — | $23 | 0.00% |
| JEFFREY A KLEINMAN SR3 Filed as: JEFFREY KLEINMAN SR | 33202 N 46TH WAY CAVE CREEK, AZ 85331 | AFLAC | $21 | — | $21 | 0.00% |
| GILBERT VELASCO3 | 2563 W CALLE PUEBLA TUCSON, AZ 85745 | AFLAC | $19 | — | $19 | 0.00% |
| MICHAEL G GLADNICK3 Filed as: MICHAEL GLADNICK | 3850 E BASELINE RD STE 116 MESA, AZ 85206 | AFLAC | $17 | — | $17 | 0.00% |
| NATALIE MALHAM3 | 5822 N 13TH ST PHOENIX, AZ 85014 | AFLAC | $17 | — | $17 | 0.00% |
| DIANE VIDISKY3 | 3365 N VIEW CREST DR. TUCSON, AZ 85745 | AFLAC | $16 | — | $16 | 0.00% |
| WILLIAM J SHARP3 Filed as: WILLIAM SHARP | 17836 N 43RD WAY PHOENIX, AZ 85032 | AFLAC | $16 | — | $16 | 0.00% |
| NED BILECKI3 | PO BOX 27567 TEMPE, AZ 85285 | AFLAC | $14 | — | $14 | 0.00% |
| JAMES HARVEY3 | 1091 W CALLE EXCELSO GREEN VALLEY, AZ 85614 | AFLAC | $14 | — | $14 | 0.00% |
| HAROLD W ELLIOTT LLC3 Filed as: HAROLD ELLIOTT LLC | 15838 S 1ST AVE PHOENIX, AZ 85045 | AFLAC | $12 | — | $12 | 0.00% |
| JASON MILLER3 | 13212 SW 42ND CIRCLE OCALA, FL 34473 | AFLAC | $12 | — | $12 | 0.00% |
| KATHY LEE BRIGHT3 Filed as: KATHY BRIGHT | 4800 N 68TH STREET UNIT 332 SCOTTSDALE, AZ 85251 | AFLAC | $11 | — | $11 | 0.00% |
| RAYANAA STARRE3 | 5 SAINT ANDREWS RD ARDEN, NC 28704 | AFLAC | $10 | — | $10 | 0.00% |
| FILIPE COELHO3 | 4515 S MCCLINTOCK DR SUITE 212 TEMPE, AZ 85282 | AFLAC | $9 | — | $9 | 0.00% |
| HCM BENEFITS SERVICES LLC3 | 540 UNIVERSITY AVE STE 50 PALO ALTO, CA 94301 | AFLAC | $9 | — | $9 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC. | 1600 W SANTA CLARA STREET SUITE 450 SAN JOSE, CA 95113 | AFLAC | $5 | — | $5 | 0.00% |
| HAROLD W ELLIOTT LLC3 Filed as: HAROLD ELLIOTT LLC | 15838 S 1ST AVE PHOENIX, AZ 85045 | AFLAC | $5 | — | $5 | 0.00% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INS SERVICES LLC | 7855 S RIVER PKWY STE 210 TEMPE, AZ 85284 | AFLAC | $4 | — | $4 | 0.00% |
| PHILIP TAVASCI3 | 5450 E HIGH ST STE 300 PHOENIX, AZ 85054 | AFLAC | $2 | — | $2 | 0.00% |
| JOHN BURLEY3 | 5576 W MONTEREY DR TUCSON, AZ 85742 | AFLAC | $2 | — | $2 | 0.00% |
| JOHN TIZEDES3 | 7887 N LA CHOLLA BLVD APT 282 TUCSON, AZ 85741 | AFLAC | $0 | — | $0 | 0.00% |
| TIMOTHY MARTIN3 | 20516 N 80TH LN PEORIA, AZ 85382 | AFLAC | $0 | — | $0 | 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 | $12K | — | $12K | 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 | $11K | — | $11K | 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 | $8K | — | $8K | 5.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | VISION SERVICE PLAN | $6K | — | $6K | 4.90% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICE INC | PO BOX 632886 CINCINNATI, OH 45263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 5.16% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $310K |
| HEALTHSMART BENEFIT SOLUTIONS EIN 36-4099199 CLAIMS PROCESSING | Claims processing Service code 12 | — | $160K |
| BLUE CROSS BLUE SHIELD OF ARIZONA EIN 86-9570101 CLAIMS PROCESSING | Claims processing Service code 12 | — | $108K |
| JORGENSEN HEALTHCARE ASSOCIATES EIN 86-0687859 EAP PROVIDER | Other services Service code 49 | — | $39K |
| CIGNA HEALTH AND LIFE INS COMP EIN 59-1031071 CLAIM PROCESSING | Participant communication; Named fiduciary; Claims processing; Float revenue; Non-monetary compensation; Contract Administrator; Direct payment from the plan; Other services Service code 12 | — | $33K |
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 | 1,105 | 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) | 1,105 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 704 | $126K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,105 | $248K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 515 | $701K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 556 | $167K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 546 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,105 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.