| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL FLORIDA | — | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $6K | $6K | 4.82% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 600 CLEVELAND STREET SUITE 600 CLEARWATER, FL 33755 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 25.78% |
| RACHAEL A SHARPLESS3 Filed as: RACHAEL SHARPLESS | 1431 NORTHEAST 55TH STREET FT LAUDERDALE, FL 33334 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 10.36% |
| 3 ZING INC3 | 2650 WEST STATE ROAD 84 SUITE 101C FT LAUDERDALE, FL 33312 | CONTINENTAL AMERICAN INSURANCE COMPANY | $667 | — | $667 | 3.91% |
| RUMIL CORPORATION3 | 15957 SOUTHWEST 16TH STREET PEMBROKE PINES, FL 33027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $455 | — | $455 | 2.67% |
| SHIRLEY SASTRE SOUTO3 Filed as: SHIRLEY SASTRE-SOUTO | 1401 TUNIS STREET CORAL GABLES, FL 33134 | CONTINENTAL AMERICAN INSURANCE COMPANY | $251 | — | $251 | 1.47% |
| MARCO A ERAZO3 Filed as: MARCO ERAZO | 4160 SOUTHWEST 152ND AVENUE MIRAMAR, FL 33027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $115 | — | $115 | 0.67% |
| MARTA M SASTRE3 | PO BOX 140127 CORAL GABLES, FL 33114 | CONTINENTAL AMERICAN INSURANCE COMPANY | $28 | — | $28 | 0.16% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 777 SOUTHWEST 37TH AVENUE SUITE 500 MIAMI, FL 33135 | SYMETRA LIFE INSURANCE COMPANY | $355 | — | $355 | 7.70% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 362 MINORCA AVENUE CORAL GABLES, FL 33134 | SYMETRA LIFE INSURANCE COMPANY | $112 | — | $112 | 2.43% |
| NATIONAL BENEFITS GROUP OF AMERICA3 | 3102 WEST WATERS AVENUE SUITE 103 TAMPA, FL 33614 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $793 | $96 | $889 | 42.43% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 777 SOUTHWEST 37TH AVENUE SUITE 500 MIAMI, FL 33135 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $340 | — | $340 | 16.23% |
| NATIONAL BENEFITS GROUP OF AMERICA3 | 3102 WEST WATERS AVENUE SUITE 103 TAMPA, FL 33614 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $307 | — | $307 | 70.25% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 777 SOUTHWEST 37TH AVENUE SUITE 500 MIAMI, FL 33135 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $86 | — | $86 | 19.68% |
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 | 104 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 106 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 63 | $709K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 106 | $119K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 106 | $119K |
| Life insurance(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 106 | $119K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 106 | $119K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 106 | $119K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 63 | $704K |
| Other(4 contracts, 4 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 106 | $138K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 106 | — |
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.