| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HARRIS INS SERVICES INC.3 Filed as: HARRIS INSURANCE SERVICES, INC. | 5850 POLARIS STREET LAS VEGAS, NV 89118 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $78K | $0 | $78K | 8.23% |
| KYM ELIZABETH DUNHAM3 | 828 SAFFLOWER CT HENDERSON, NV 89015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37K | $15K | $53K | 5.55% |
| ELIZABETH KENT3 | 6553 CHIMES TOWER AVE LAS VEGAS, NV 89139 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37K | $11K | $47K | 4.96% |
| OMEGA FINANCIAL AND INS. SOLUTIONS3 Filed as: OMEGA FINANCIAL AND INS SOLUTIONS | 4663 CREEPING FIG CT LAS VEGAS, NV 89129 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $23K | $23K | $46K | 4.83% |
| ISABEL RAMONA BILLINGS3 | 5405 EVERGREEN AVE LAS VEGAS, NE 89107 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8K | $0 | $8K | 0.89% |
| CATHY BUFFONE3 | 1412 PENINSULA PT AVE LAS VEGAS, NV 89123 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $984 | $7K | 0.73% |
| NICOLE BLANCHARD3 | 228 WEST STAGECOACH FLATS AVE N. LAS VEGAS, NE 89031 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $794 | $7K | 0.72% |
| ELTHON ISRAEL CRUZ3 | 3800 WEST DEVONSHIRE AVENUE HEMET, CA 92545 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $596 | $6K | 0.60% |
| LAMBERT MONTALBO3 | 26107 MIRADA STREET HIGHLAND, CA 92346 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $755 | $5K | 0.51% |
| LUIS RAFAEL VALLE3 | 2354 CHATKA LANE SAN BERNARDINO, CA 92410 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $89 | $4K | 0.43% |
| ANTHONY THOMAS THIELGES3 | 8377 HIDDEN HILLS DR. LAS VEGAS, NV 89123 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $697 | $4K | 0.43% |
| JAROLD L WELKER3 | 1922 N 45TH STREET PHOENIX, AZ 85008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $102 | $3K | 0.37% |
| BENEFITTING YOU INC3 Filed as: BENEFITTING YOU INC. | 2497 CITRUS GARDEN CIRCLE HENDERSON, NV 89052 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $1K | $2K | 0.23% |
| CONNIE SIGNE FENT3 | 9900 WILBUR MAY PKWY RENO, NV 89521 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $269 | $2K | 0.21% |
| ELSA BROOKS3 | 5856 SILVER HEIGHTS ST LAS VEGAS, NV 89130 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 0.18% |
| MARIA LOURDES MENDOZA3 | 26443 SAND PALM CT MORENO VALLEY, CA 92555 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $197 | $2K | 0.17% |
| CONSUMER DRIVEN BENEFITS LLC3 | 3737 BIRCH STREET NEWPORT BEACH, CA 92660 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $474 | $884 | $1K | 0.14% |
| CALIFORNIA INSURANCE ADVOCATES INC3 Filed as: CALIFORNIA INSURANCE ADVOCATES INC. | 41960 AVENIDA DE ANITA TEMECULA, CA 92592 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $834 | $278 | $1K | 0.12% |
| JOAN RANCE3 | 434 CRESTWAY ROAD HENDERSON, NV 89015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $926 | $116 | $1K | 0.11% |
| REBECCA J MERRITT3 | 927 EAST KEIM DR PHOENIX, AZ 85014 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $12 | $1K | 0.11% |
| DONNA ROSS SMITH3 Filed as: DONNA MARIE WARREN | 4142 N 25TH STREET APT 23 PHOENIX, AZ 85016 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $11 | $1K | 0.11% |
| GROUP SUPPLEMENTAL BENEFITS INC3 Filed as: GROUP SUPPLEMENTAL BENEFITS INC. | 31805 TEMECULA PARKWAY TEMECULA, CA 92592 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $580 | $441 | $1K | 0.11% |
| WARREN LEE RUND3 | 7395 OFFENHAUSER DR RENO, NV 89511 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $806 | $181 | $987 | 0.10% |
| CAROL JEAN HALL3 | PO BOX 15158 TUCSON, AZ 85708 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $935 | $47 | $982 | 0.10% |
| LISA BETH RENTERIA3 | 4663 CREEPING FIG CT LAS VEGAS, NV 89129 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $962 | $0 | $962 | 0.10% |
| JENNIFER WELLER3 | 10519 ARDSLEY LN LAS VEGAS, NV 89135 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $718 | $141 | $859 | 0.09% |
| SUSAN HENDRICKS3 | 6718 N PALM CANYON DR PHOENIX, AZ 85018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $618 | $40 | $658 | 0.07% |
| R AND T FIGUEROA LLC3 Filed as: R&T FIGUEROA | 7569 S CARLISLE AVE TUCSON, AZ 85746 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $497 | $61 | $558 | 0.06% |
| VINCENT TAYLOR ECHOLS3 | PO BOX 594 THATCHER, AZ 85552 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $426 | $102 | $528 | 0.06% |
| MARINA C LOVE3 | 3711 W SPINNAKER LN TUCSON, AZ 85742 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $431 | $56 | $487 | 0.05% |
| HOLLERN & ASSOCIATES INCORPORATED3 | 11412 ROBBIA DR LAS VEGAS, NV 89138 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $476 | $0 | $476 | 0.05% |
| NELLYN COX3 | 2539 KENTUCKY AVE SALT LAKE CITY, UT 84117 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $447 | $7 | $454 | 0.05% |
| DEBORAH ANN BERRY3 | 1042 E 9TH PLACE MESA, AZ 85203 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $440 | $3 | $443 | 0.05% |
| CHANDA PRICE3 | 4636 N 94TH LANE PHOENIX, AZ 85037 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $432 | $0 | $432 | 0.05% |
| SUSAN GOLD STOKES3 Filed as: SUSAN G STOKES | 3113 W 187TH PL TORRANCE, CA 90504 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $344 | $79 | $423 | 0.04% |
| MARIA MCGLOTHEN3 | 1112 WARM CANYON WAY LAS VEGAS, NV 89123 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $398 | $18 | $416 | 0.04% |
| LORENZA TORRES3 | 9636 E PASEO SAN BERNARDO DR TUCSON, AZ 85747 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $397 | $18 | $415 | 0.04% |
| TAMARA ANNE HINES3 Filed as: TAMARA ANNE WATSON | 8200 OFFENHAUSER DR RENO, NV 89511 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $363 | $47 | $410 | 0.04% |
| ERIC NOVOA3 | 17871 SHADY VIEW DR. CHINO HILLS, CA 91709 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $329 | $17 | $346 | 0.04% |
| PAUL A BYNUM3 | PO BOX 12306 TUCSON, AZ 85732 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $310 | $11 | $321 | 0.03% |
| MARK MARQUEZ3 | 11225 NORTH 28TH DR PHOENIX, AZ 85029 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $111 | $195 | $306 | 0.03% |
| R & B ENROLLMENT SERVICES INC3 Filed as: R&B ENROLLMENT SERVICES INC. | PO BOX 3216 CRESTLINE, CA 92325 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $267 | $0 | $267 | 0.03% |
| PHYLLIS JANELL QUINT3 | 715 W. NORTHVIEW AVENUE PHOENIX, AZ 85021 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $198 | $0 | $198 | 0.02% |
| PROSESSION INC3 Filed as: PROSESSION INC. | 950 UNIVERSITY PARK LOOP N RENO, NV 89512 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $71 | $124 | $195 | 0.02% |
| MARIA C GONZALEZ3 | 11677 SANDPIPER CT MORENO VALLEY, CA 82557 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $190 | $0 | $190 | 0.02% |
| MARK ANTHONY MONTOYA3 | 8494 W AUDREY LN PEORIA, AZ 85382 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $171 | $0 | $171 | 0.02% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WILLIAM BROWN | 32997 CASALA CT TEMECULA, CA 92592 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $97 | $55 | $152 | 0.02% |
| JB & H LLC3 | 8707 E SAGUARDO VIEW PLACE VAIL, AZ 85641 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $127 | $5 | $132 | 0.01% |
| MCCAREY INC3 Filed as: MCCAREY INC. | 965 MESA DRIVE CAMARILLO, CA 93010 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $56 | $71 | $127 | 0.01% |
| JAMES D THRESHER3 | 1316 E NIGHTINGALE LANE GILBERT, AZ 85298 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $38 | $86 | $124 | 0.01% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT MICHAEL ANASAGASTI | 5208 SOUTH GOLDLEAF PL CHANDLER, AZ 85249 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $94 | $0 | $94 | 0.01% |
| NIKKI PECORINO3 | 1650 HANOVER DRIVE RENO, NE 89523 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $86 | $0 | $86 | 0.01% |
| LAURA LETICIA RENOVA3 | 2048 AUDREY HEPBURN STREET LAS VEGAS, NE 89142 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $83 | $0 | $83 | 0.01% |
| ISAACSON INSURANCE AGENCY LLC3 | 1250 11TH STREET WEST LINN, OR 97068 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $56 | $21 | $77 | 0.01% |
| JILL HUGHES3 | 6510 TAMARA DRIVE SALT LAKE CITY, UT 84129 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $71 | $6 | $77 | 0.01% |
| PATRICIA MARTINEZ3 | 9572 WORLD CUP DR. LAS VEGAS, NV 89117 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $66 | $6 | $72 | 0.01% |
| TIM VINCENT INS AGY INC3 Filed as: TIM VINCENT INS AGENCY INC | 3489 WEST 10305 SOUTH SOUTH JORDAN, UT 84095 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $49 | $8 | $57 | 0.01% |
| JACK ALLEN NORRIS3 Filed as: JACK WU | 821 BURLINGTON STREET FILLMORE, CA 93015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $39 | $17 | $56 | 0.01% |
| JAIME VALENTINE AYALA3 Filed as: JAIME BARRAGAN AYALA | 711 SADLER AVE LOS ANGELES, CA 90022 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $39 | $13 | $52 | 0.01% |
| SHAWN JEFFERY WARREN3 | 1723 N 74TH WAY SCOTTSDALE, AZ 85257 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $39 | $11 | $50 | 0.01% |
| PATTI A VINCENT3 | 3489 WEST 10305 SOUTH SOUTH JORDAN, UT 84095 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $49 | $0 | $49 | 0.01% |
| JOHN CHARLES BOWERS3 | 4111 CHEVY CHASE DR LA CANADA, CA 91011 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $39 | $0 | $39 | 0.00% |
| SAMUEL TADLOCK3 | 7880 WITHERS WAY CORONA, CA 92880 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $35 | $0 | $35 | 0.00% |
| KENT BISWANGER3 | 8134 W ACOMA DRIVE PEORIA, AZ 85381 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $22 | $35 | 0.00% |
| EUGENE L BOWEN JR3 | 1438 WESSEX CIR RENO, NV 89503 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $18 | $31 | 0.00% |
| MONIKA RENCHER3 | 701 W 31ST STREET INDIANAPOLIS, IN 46208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | $5 | $21 | 0.00% |
| VIP INSURANCE INC3 Filed as: VIP INSURANCE INC. | 400 SOUTH RAMPART BLVD SUITE 250 LAS VEGAS, NV 89145 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | $7 | $19 | 0.00% |
| JEFFREY THOMAS3 | PO BOX 11312 TEMPE, AZ 85284 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | $0 | $19 | 0.00% |
| ALAN SUCKERMAN3 | 7304 EAST PLEASANT RUN SCOTTSDALE, AZ 85258 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $0 | $17 | 0.00% |
| HUGO GUZMAN3 | 4085 NOBEL DRIVE SAN DIEGO, CA 92122 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | $0 | $14 | 0.00% |
| COLLEEN M LEDA3 | PO BOX 31613 LAS VEGAS, NE 89173 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $0 | $13 | 0.00% |
| MARTHA R BAEZ3 | 2179 OLD BRIDGE RD RIVERSIDE, CA 92506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | $0 | $12 | 0.00% |
| BENEFITS DR INC3 Filed as: BENEFITS DR INC. | 6785 W 7750 N AMERICAN FORK, UT 84003 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | $0 | $12 | 0.00% |
| TIMOTHY J REED3 | 21 AZALEA DRIVE LUMBERTON, NJ 08048 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | $0 | $10 | 0.00% |
| EDGHILL ENTERPRISES LLC3 | 3403 E SEEBLING MILE RD GRAND ISLAND, NE 68801 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | $0 | $10 | 0.00% |
| PAM ANDERSON & ASSOCIATES INC3 Filed as: PAM ANDERSON & ASSOCIATES INC. | 5818 S 900 E MURRAY, UT 84121 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | $2 | $10 | 0.00% |
| SHERRIE M HOPKINS INS AGCY LUTCF,PC3 Filed as: SHERRIE M HOPKINS INS AGENCY | 5782 SOUTH 900 EAST MURRAY, UT 84121 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | $2 | $10 | 0.00% |
| JAZZLENA BROOKE PERALTA3 | 5509 W. PARK STREET LAVEEN, AZ 85339 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $3 | $9 | 0.00% |
| ANNELLA MARTIN3 | 730 LAKEVIEW DR. COLEMAN, TX 76834 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | $0 | $8 | 0.00% |
| KARLA M DECRESCENZO3 | PO BOX 977 VERDI, NV 89439 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | $0 | $7 | 0.00% |
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 | 1,035 | 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) | 1,035 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,097 | $950K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,097 | $950K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,097 | — |
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.
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.