| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL S SARAZIN | 11017 SUMMER QUAIL AVE LAS VEGAS, NV 89144 | AFLAC | $6K | $320 | $6K | 11.57% |
| DWAYNE R MARTINEZ3 | 3095 E PATRICK LN STE 1 LAS VEGAS, NV 89120 | AFLAC | $883 | $64 | $947 | 1.79% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GEORGE PETRONELLA | 3095 E PATRICK LN STE 1 LAS VEGAS, NV 89120 | AFLAC | $619 | $9 | $628 | 1.19% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE OF NV INC | 975 KELLY JOHNSON DRIVE #100 LAS VEGAS, NV 89119 | AFLAC | $554 | — | $554 | 1.05% |
| SIMON B REYES3 | 4625 POLARIS AVE STE 212 LAS VEGAS, NV 89103 | AFLAC | $466 | $49 | $515 | 0.97% |
| LESTER RAY BLACKSHEAR3 | 892 UNION STATION PKWY APT 8231 LEWISVILLE, TX 75057 | AFLAC | $304 | — | $304 | 0.57% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL A JAIME | 5603 FAIRMEADE WAY LAS VEGAS, NV 89135 | AFLAC | $168 | $64 | $232 | 0.44% |
| LYNN MARIE BARRY3 Filed as: LYNN G BARNSON | 2961 W MAPLE LOOP DR STE 230 LEHI, UT 84043 | AFLAC | $88 | — | $88 | 0.17% |
| SCOTT M EDLIN3 | 5628 MESA MOUNTAIN DR LAS VEGAS, NV 89135 | AFLAC | $85 | — | $85 | 0.16% |
| LESTER RAY BLACKSHEAR3 | 115 HIDEAWAY LANE CENTRAL HIDEAWAY, TX 75771 | AFLAC | $78 | — | $78 | 0.15% |
| LANCE E SULLIVAN3 | 2105 LAVERS CIR APT 211 DELRAY BEACH, FL 33444 | AFLAC | $77 | — | $77 | 0.15% |
| MARGUERITE E LEMMON-RINEHART3 | 10165 WOODBROOK CIR LAKELAND, TN 38002 | AFLAC | $54 | — | $54 | 0.10% |
| TERESA BLAKE3 Filed as: TERESA A BLAKE | 3408 CANTURA BLUFF AVE NORTH LAS VEGAS, NV 89031 | AFLAC | $51 | — | $51 | 0.10% |
| LESLIE H SILTMAN3 | 207 MOORE DR BATESVILLE, MS 38606 | AFLAC | $30 | — | $30 | 0.06% |
| SAUNDRA MORRIS3 Filed as: SAUNDRA E MORRIS | 9030 WEST SAHARA AVE STE 277 LAS VEGAS, NV 89117 | AFLAC | $11 | — | $11 | 0.02% |
| PATRICIA A SMITH3 | 3220 N VIEW CREST DR TUCSON, AZ 85745 | AFLAC | $9 | — | $9 | 0.02% |
| DAVID B MOSKOWITZ3 | 6738 N 79TH PL SCOTTSDALE, AZ 85250 | AFLAC | $7 | — | $7 | 0.01% |
| BECKSTEAD INS AGCY3 Filed as: BECKSTEAD INSURANCE AGENCY | 1394 SOUTH 625 WEST CEDAR CITY, UT 84720 | AFLAC | $4 | — | $4 | 0.01% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL S SARAZIN | 11017 SUMMER QUAIL AVE LAS VEGAS, NV 89144 | AFLAC | $89 | — | $89 | 6.38% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE OF NV INC | 975 KELLY JOHNSON DRIVE #100 LAS VEGAS, NV 89119 | AFLAC | $26 | — | $26 | 1.86% |
| LESTER RAY BLACKSHEAR3 | 892 UNION STATION PKWY APT 8231 LEWISVILLE, TX 75057 | AFLAC | $17 | — | $17 | 1.22% |
| SIMON B REYES3 | 4625 POLARIS AVE STE 212 LAS VEGAS, NV 89103 | AFLAC | $10 | — | $10 | 0.72% |
| SCOTT M EDLIN3 | 5628 MESA MOUNTAIN DR LAS VEGAS, NV 89135 | AFLAC | $9 | — | $9 | 0.65% |
| LYNN MARIE BARRY3 Filed as: LYNN G BARNSON | 2961 W MAPLE LOOP DR STE 230 LEHI, UT 84043 | AFLAC | $7 | — | $7 | 0.50% |
| LESTER RAY BLACKSHEAR3 | 115 HIDEAWAY LANE CENTRAL HIDEAWAY, TX 75771 | AFLAC | $4 | — | $4 | 0.29% |
| LANCE E SULLIVAN3 | 2105 LAVERS CIR APT 211 DELRAY BEACH, FL 33444 | AFLAC | $4 | — | $4 | 0.29% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL A JAIME | 5603 FAIRMEADE WAY LAS VEGAS, NV 89135 | AFLAC | $2 | — | $2 | 0.14% |
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 | 250 | 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) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH PLAN OF NEVADA | 509 | $630K |
| Dental | HEALTH PLAN OF NEVADA | 509 | $630K |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 278 | $40K |
| Prescription drug | HEALTH PLAN OF NEVADA | 509 | $630K |
| Other(3 contracts, 2 carriers) | AFLAC | 278 | $94K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 509 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.