| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DANIEL D NELSON3 Filed as: DANIEL NELSON FINANCIAL GROUP | 8753 E BELL RD STE 110 SCOTTSDALE, AZ 85260 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $76K | — | $76K | 18.14% |
| KAREN MARIE JONES3 Filed as: KAREN JONES | 16211 N SCOTTSDALE RD A6A NO 614 SCOTTSDALE, AZ 85254 | AFLAC | $4K | $262 | $4K | 6.28% |
| DANIEL NELSON3 | 8753 E BELL RD STE 110 SCOTTSDALE, AZ 85260 | AFLAC | $3K | $0 | $3K | 3.83% |
| MICHELLE CARRASCO3 | 11911 NEWTON TRI SAN ANTONIO, TX 78253 | AFLAC | $1K | $145 | $2K | 2.37% |
| RANDY DOPITA3 | 16211 N SCOTTSDALE RD A6A #614 SCOTTSDALE, AZ 85254 | AFLAC | $1K | $59 | $1K | 1.82% |
| H OLIPHANT3 | 3580 W INA RD STE 150 TUCSON, AZ 85741 | AFLAC | $854 | $70 | $924 | 1.39% |
| CLINTON CHARLES ZELEZ3 Filed as: CLINTON ZELEZ | 6988 W QUAIL AVE GLENDALE, AZ 85308 | AFLAC | $828 | $69 | $897 | 1.35% |
| JEFFREY A KLEINMAN SR3 Filed as: JEFFREY KLEINMAN SR | 3420 E SHEA BLVD STE 168 PHOENIX, AZ 85028 | AFLAC | $679 | $59 | $738 | 1.11% |
| MICHAEL P SHEPARD3 Filed as: MICHAEL SHEPARD | P O BOX 96 LAVON, TX 75166 | AFLAC | $400 | $60 | $460 | 0.69% |
| SHAWN HOLMES3 | 117-10 DUXBURY DR FRISCO, TX 75035 | AFLAC | $340 | — | $340 | 0.51% |
| ROMAN CARRASCO3 | 40 NE LOOP 480 STE SAN ANTONIO, TX 78216 | AFLAC | $286 | $25 | $311 | 0.47% |
| BRENT FORD3 | 40 NE LOOP 408 STE SAN ANTONIO, TX 78216 | AFLAC | $257 | $28 | $285 | 0.43% |
| NANCY ELLEN CARLSON3 Filed as: NANCY CARLSON | 17434 N PARADISE PARK DR PHOENIX, AZ 85032 | AFLAC | $227 | $23 | $250 | 0.38% |
| SANDRA L SARFF3 Filed as: SANDRA SARFF | 7090 N ORACLE RD 178 PMS 152 TUCSON, AZ 85704 | AFLAC | $236 | $0 | $236 | 0.35% |
| SHAWN HOLTORF3 | 6234 W DEHREND DR APT 1135 GLENDALE, AZ 85308 | AFLAC | $235 | — | $235 | 0.35% |
| CATHERINE DAVIS3 | 9160 E LOMA LINDA PL TUCSON, AZ 85749 | AFLAC | $196 | — | $196 | 0.29% |
| RAND G SIMKINS3 Filed as: RAND SIMKINS | 1237 SHAWNEE TRL CARROLLTON, TX 75007 | AFLAC | $192 | — | $192 | 0.29% |
| JAMES H GIBBS3 Filed as: JAMES GIBBS | 6713 GAMAY CIR FRISCO, TX 75035 | AFLAC | $175 | $12 | $187 | 0.28% |
| KEVIN DALE HARLOW3 Filed as: KEVIN HARLOW | 6261 N ORACLE RD UNIT 35072 TUCSON, AZ 85740 | AFLAC | $107 | $13 | $120 | 0.18% |
| SCOTT WEBB3 | 2365 W PINNACLE PEAK RD PHOENIX, AZ 85027 | AFLAC | $103 | $14 | $117 | 0.18% |
| CRAIG S DAVIES3 Filed as: CRAIG DAVIES | 109 TIMBER CREEK CT ARGYLE, TX 76226 | AFLAC | $97 | $12 | $109 | 0.16% |
| DIANA N MARTINEZ3 Filed as: DIANA MARTINEZ | 14016 N LAKE BRANCH LN HOUSTON, TX 77044 | AFLAC | $82 | $13 | $95 | 0.14% |
| PHILLIP BRENFLECK3 | 7867 E UHL ST APT 1008 TUCSON, AZ 85710 | AFLAC | $75 | $0 | $75 | 0.11% |
| ZAKERY HARLOW3 | 3755 N BUSINESS CENTER DR TUCSON, AZ 85705 | AFLAC | $62 | $13 | $75 | 0.11% |
| LISA S LEE3 Filed as: LISA LEE | 9437 N 51ST DR GLENDALE, AZ 85302 | AFLAC | $52 | $0 | $52 | 0.08% |
| WILLIAM COVINGTON3 | 2340 E TRINITY MILLS RD STE 300 CARROLLTON, TX 75006 | AFLAC | $48 | — | $48 | 0.07% |
| GREGORY F STENZEL3 Filed as: GREGORY STENZEL | 2302 KNOX WAY MELISSA, TX 75454 | AFLAC | $44 | — | $44 | 0.07% |
| KEVIN BARRY TURK3 Filed as: KEVIN TURK | 5711 LAVENDER ST #9 HOUSTON, TX 77026 | AFLAC | $41 | — | $41 | 0.06% |
| CHAD P SCHNEIDER3 Filed as: CHAD SCHNEIDER | 14430 BENEFIT ST APT 308 SHERMAN OAKS, CA 91423 | AFLAC | $38 | — | $38 | 0.06% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $38 | — | $38 | 0.06% |
| DONALD GREEN3 | 1811 W PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $37 | — | $37 | 0.06% |
| DEBRA K TORNBERG3 Filed as: DEBRA TORNBERG | 10000 N 31ST AVE STE C 107 PHOENIX, AZ 85051 | AFLAC | $36 | — | $36 | 0.05% |
| MICHAEL A CUTAIA3 Filed as: MICHAEL CUTAIA | 1225 N LOOP W STE 214 HOUSTON, TX 77008 | AFLAC | $27 | $3 | $30 | 0.05% |
| MARCO JOE KLIMEK3 Filed as: MARCO KLIMEK | 3301 AIPORT HWY STE 324 BEDFORD, TX 78021 | AFLAC | $22 | $7 | $29 | 0.04% |
| COURTNEY DAVIS3 | 1027 ACATE ST APT 3 SAN DIEGO, CA 92109 | AFLAC | $27 | — | $27 | 0.04% |
| GREGORY J WEEKS3 Filed as: GREGORY WEEKS | 1259 LOOP 337 2ND FLOOR NEW BRAUNFELS, TX 78130 | AFLAC | $16 | $6 | $22 | 0.03% |
| SUNWEST INSURANCE, LTD.3 Filed as: SUNWEST INSURANCE LTD | 3707 N 7TH ST STE 300 PHOENIX, AZ 85014 | AFLAC | $21 | — | $21 | 0.03% |
| JAMIE JONES3 | 7512 E INDEPENDENCE BLVD STE 103 CHARLOTTE, NC 28227 | AFLAC | $21 | — | $21 | 0.03% |
| RICHARD JONES3 | 7512 E INDEPENDENCE BLVD STE 103 CHARLOTTE, NC 28227 | AFLAC | $20 | — | $20 | 0.03% |
| SARA BRIERY3 | 192 LAKEVIEW DR VILLA #40 PALM HARBOR, FL 34683 | AFLAC | $17 | — | $17 | 0.03% |
| ERIC PEDERSON3 | 2615 N 4TH ST STE 1 FLAGSTAFF, AZ 86004 | AFLAC | $17 | — | $17 | 0.03% |
| MARY E HUCKABEE3 Filed as: MARY HUCKABEE | 1510 RIVERBEND CROSSING SUGAR LAND, TX 77478 | AFLAC | $14 | $3 | $17 | 0.03% |
| JOHN BARRINGER3 | 4155 SARANAC DR DALLAS, TX 75220 | AFLAC | $16 | — | $16 | 0.02% |
| MARK HILL3 | PO BOX 85715 TUCSON, AZ 85754 | AFLAC | $15 | $0 | $15 | 0.02% |
| MICHAEL B DUECY1 Filed as: MICHAEL DUECY | 1011 LAUREL CV BUDA, TX 78610 | AFLAC | $12 | — | $12 | 0.02% |
| ROBERT PERRY EVANS JR1 Filed as: ROBERT EVANS JR | 1031 SADDLEBROOK DR LUCAS, TX 75002 | AFLAC | $12 | — | $12 | 0.02% |
| SELINA FLORES ADAMS3 | 10096 W OLD LOCKHART RD FLATONIA, TX 78941 | AFLAC | $10 | — | $10 | 0.02% |
| JASON ELIJAH ANGEL3 Filed as: JASON ANGEL | 1600 N ARIZONA AVE APT 1121 CHANDLER, AZ 85225 | AFLAC | $10 | — | $10 | 0.02% |
| RYAN KADAVY3 | 8542 W FOOTHILL DR PEORIA, AZ 85383 | AFLAC | $10 | — | $10 | 0.02% |
| ELIZABETH HARKEY3 | 501 N CHURCH ST STE 300 CHARLOTTE, NC 28202 | AFLAC | $10 | — | $10 | 0.02% |
| MICHAEL GRASS3 | 21707 KINGSLAND BLVD STE 105 KATY, TX 77450 | AFLAC | $6 | $2 | $8 | 0.01% |
| JEROME JEFFREY PESEK3 Filed as: JEROME PESEK | 330 TORRINGTON DR AUSTIN, TX 78737 | AFLAC | $6 | — | $6 | 0.01% |
| JACK GATHINGS3 | 7235 S GOLFSIDE LN PHOENIX, AZ 85042 | AFLAC | $4 | — | $4 | 0.01% |
| GARY C KLEIN3 Filed as: GARY KLEIN | 10527 RAVENSCROTT DR DALLAS, TX 75230 | AFLAC | $4 | — | $4 | 0.01% |
| DANNY NELSON3 | 8753 E BELL RD STE 110 SCOTTSDALE, AZ 852601339 | VISION SERVICE PLAN | $1K | — | $1K | 5.69% |
| DANIEL D NELSON3 Filed as: DANIEL NELSON FINANCIAL GROUP | 8753 E BELL RD STE 110 SCOTTSDALE, AZ 85260 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 10.00% |
| DANIEL D NELSON3 Filed as: DANIEL NELSON FINANCIAL GROUP | 8753 E BELL RD STE 110 SCOTTSDALE, AZ 85260 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 10.00% |
| DANIEL D NELSON3 Filed as: DANIEL NELSON FINANCIAL GROUP | 8753 E BELL RD STE 110 SCOTTSDALE, AZ 85260 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $810 | — | $810 | 10.00% |
| DANIEL D NELSON3 Filed as: DANIEL NELSON FINANCIAL GROUP | 8753 E BELL RD STE 110 SCOTTSDALE, AZ 85260 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $110 | — | $110 | 10.02% |
No Schedule C service providers reported on this filing.
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 | 147 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 147 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 212 | $417K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 212 | $417K |
| Vision | VISION SERVICE PLAN | 184 | $18K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 219 | $18K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 219 | $83K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 42 | $8K |
| Other(2 contracts, 2 carriers) | AFLAC | 219 | $68K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 219 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.