| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURANCE OFFICE OF AMERICA3 Filed as: INSURANCE OFFICE OF AMERICA WPB | 2056 VISTA PKWY SUITE 350 WEST PALM BEACH, FL 334116735 | HUMANA INSURANCE COMPANY | $115K | — | $115K | 4.33% |
| INS OFFICE OF AMERICA INC-TAMPA3 Filed as: INS OFFICE OF AMERICA INC - TAMPA | 1855 WEST STATE ROAD 434 LONGWOOD, FL 327505069 | HUMANA INSURANCE COMPANY | — | $7K | $7K | 0.25% |
| INSURANCE OFFICE OF AMERICA3 Filed as: INSURANCE OFFICE OF AMERICA INC. | 1855 WEST STATE STE ROAD 434 SUITE 200 LONGWOOD, FL 327505069 | AMERICAN UNITED LIFE INSURANCE COMPANY | $13K | $2K | $15K | 10.70% |
| BENECHOICE ENROLLMENT SOLUTIONS & T3 Filed as: BENECHOICE ENROLLMENT SOL | 1574 LITITZ PIKE LANCASTER, PA 17601 | AMERICAN UNITED LIFE INSURANCE COMPANY | — | $874 | $874 | 0.62% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $5K | — | $5K | 5.76% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $3K | — | $3K | 3.84% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $5K | — | $5K | 6.59% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $4K | — | $4K | 5.85% |
| PLETZE VIVIAN3 Filed as: PLETZE SOUTIONS LLC | 11525 BALLANTYNE GREEN DR APT 1401 CHARLOTTE, NC 28277 | ALLSTATE BENEFITS | $523 | — | $523 | 0.72% |
| DEMARCADO JUDITH3 | 5634 NW 16 STREET FORT LAUDERDALE, FL 33314 | ALLSTATE BENEFITS | $373 | — | $373 | 0.51% |
| ROLDAN RACQUEL ANN3 | PO BOX 784312 WINTER GARDEN, FL 34778 | ALLSTATE BENEFITS | $201 | — | $201 | 0.28% |
| SEABASS FINL CORP3 | 17145 N BAY ROAD APT 4512 SUNNY ISLES BEACH, FL 33160 | ALLSTATE BENEFITS | $130 | — | $130 | 0.18% |
| BEJARANO DORIS JUDITH3 | 3601 NE 207 STREET APT 1103 AVENTURA, FL 33180 | ALLSTATE BENEFITS | $118 | — | $118 | 0.16% |
| SCOTT JAMES RUSSELL3 | 855 MADISON CT PALM BEACH GARDENS, FL 33410 | ALLSTATE BENEFITS | $90 | — | $90 | 0.12% |
| MORRIS NADINE3 | 7153 WISTERIA WAY TAMARAC, FL 33321 | ALLSTATE BENEFITS | $85 | — | $85 | 0.12% |
| JADUSINGH OLIVIA3 | 128 LAKESIDE CIR JUPITER, FL 33458 | ALLSTATE BENEFITS | $19 | — | $19 | 0.03% |
| NADDY CHRISTEN DANIELLE3 | 549 NW AZALEA AVE PORT SAINT LUCIE, FL 34983 | ALLSTATE BENEFITS | $5 | — | $5 | 0.01% |
| INSURANCE OFFICE OF AMERICA3 | 1855 WEST STATE ROAD 434 LONGWOOD, FL 327505069 | DELTA DENTAL INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $1K | — | $1K | 6.11% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $1K | — | $1K | 5.94% |
| MORRIS NADINE3 | 7153 WISTERIA WAY TAMARAC, FL 33321 | ALLSTATE BENEFITS | $172 | — | $172 | 0.72% |
| PLETZKE VIVIAN3 Filed as: PLETZKE SOLUTIONS LLC | 11525 BALLANTYNE GREEN DR APT 1401 CHARLOTTE, NC 28277 | ALLSTATE BENEFITS | $132 | — | $132 | 0.55% |
| TURNER FELTON E3 | 8464 VICKERS ROAD HAHIRA, GA 31632 | ALLSTATE BENEFITS | $109 | — | $109 | 0.45% |
| TOWE-WIGGINS LISA ANN3 | 7118 FORTY BANKS ROAD HARMONY, FL 34773 | ALLSTATE BENEFITS | $107 | — | $107 | 0.45% |
| ROLDAN RACQUEL ANN3 | PO BOX 784312 WINTER GARDEN, FL 34778 | ALLSTATE BENEFITS | $67 | — | $67 | 0.28% |
| NADDY CHRISTEN DANIELLE3 | 549 NW AZALEA AVE PORT SAINT LUCIE, FL 34983 | ALLSTATE BENEFITS | $29 | — | $29 | 0.12% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $2K | — | $2K | 7.50% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $1K | — | $1K | 6.50% |
| DEMERCADO JUDITH3 | 5634 NW 16 STREET FORT LAUDERDALE, FL 33314 | ALLSTATE BENEFITS | $177 | — | $177 | 0.78% |
| PLETZKE VIVIAN3 Filed as: PLETZKE SOLUTIONS LLC | 11525 BALLANTYNE GREEN DR APT 1401 CHARLOTTE, NC 28277 | ALLSTATE BENEFITS | $132 | — | $132 | 0.58% |
| SEABASS FINL CORP3 | 17145 N BAY ROAD APT 4512 SUNNY ISLES BEACH, FL 33160 | ALLSTATE BENEFITS | $66 | — | $66 | 0.29% |
| ROLDAN RACQUEL ANN3 | PO BOX 784312 WINTER GARDEN, FL 34778 | ALLSTATE BENEFITS | $59 | — | $59 | 0.26% |
| BEJARANO DORIS JUDITH3 | 3601 NE 207 STREET APT 1103 AVENTURA, FL 33180 | ALLSTATE BENEFITS | $55 | — | $55 | 0.24% |
| SCOTT JAMES RUSSELL3 | 855 MADISON CT PALM BEACH GARDENS, FL 33410 | ALLSTATE BENEFITS | $43 | — | $43 | 0.19% |
| INSURANCE OFFICE OF AMERICA3 Filed as: INSURANCE OFFICE OF AMERICA INC | 2056 VISTA PKWY STE 350 WEST PALM BEACH, FL 33411 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| FMLASOURCE INC5 | 455 N CITYFRONT PLZ DR 13TH FLOOR CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 13.23% |
| INSURANCE OFFICE OF AMERICA3 Filed as: INSURANCE OFFICE OF AMERICA INC | 2056 VISTA PKWY STE 350 WEST PALM BEACH, FL 33411 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $1K | — | $1K | 9.64% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $1K | — | $1K | 8.26% |
| DEMERCADO JUDITH3 | 5634 NW 16 STREET FORT LAUDERDALE, FL 33314 | ALLSTATE BENEFITS | $149 | — | $149 | 1.05% |
| PLETZKE VIVIAN3 Filed as: PLETZKE SOLUTIONS LLC | 11525 BALLANTYNE GREEN DR APT 1401 CHARLOTTE, NC 28277 | ALLSTATE BENEFITS | $97 | — | $97 | 0.69% |
| ROLDAN RACQUEL ANN3 | PO BOX 784312 WINTER GARDEN, FL 34778 | ALLSTATE BENEFITS | $52 | — | $52 | 0.37% |
| SCOTT JAMES RUSSELL3 | 855 MADISON CT PALM BEACH GARDENS, FL 33410 | ALLSTATE BENEFITS | $39 | — | $39 | 0.28% |
| SEABASS FINL CORP3 | 17145 N BAY ROAD APT 4512 SUNNY ISLES BEACH, FL 33160 | ALLSTATE BENEFITS | $35 | — | $35 | 0.25% |
| BEJARANO DORIS JUDITH3 | 3801 NE 207 STREET APT 1103 AVENTURA, FL 33180 | ALLSTATE BENEFITS | $15 | — | $15 | 0.11% |
| NADDY CHRISTEN DANIELLE3 | 549 NW AZALEA AVE PORT SAINT LUCIE, FL 34983 | ALLSTATE BENEFITS | $4 | — | $4 | 0.03% |
| INSURANCE OFFICE OF AMERICA3 Filed as: INSURANCE OFFICE OF AMERICA INC | 2056 VISTA PKWY STE 350 WEST PALM BEACH, FL 33411 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $678 | — | $678 | 6.28% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $621 | — | $621 | 5.75% |
| PLETZKE VIVIAN3 Filed as: PLETZKE SOLUTIONS LLC | 11525 BALLANTYNE GREEN DR APT 1401 CHARLOTTE, NC 28277 | ALLSTATE BENEFITS | $80 | — | $80 | 0.74% |
| MORRIS NADINE3 | 7153 WISTERIA WAY TAMARAC, FL 33321 | ALLSTATE BENEFITS | $75 | — | $75 | 0.70% |
| TURNER FELTON E3 | 8464 VICKERS ROAD HAHIRA, GA 31632 | ALLSTATE BENEFITS | $60 | — | $60 | 0.56% |
| TOWE-WIGGINS LISA ANN3 | 7118 FORTY BANKS ROAD HARMONY, FL 34773 | ALLSTATE BENEFITS | $38 | — | $38 | 0.35% |
| NADDY CHRISTEN DANIELLE3 | 549 NW AZALEA AVE PORT SAINT LUCIE, FL 34983 | ALLSTATE BENEFITS | $8 | — | $8 | 0.07% |
| INSURANCE OFFICE OF AMERICA3 | 1855 WEST STATE ROAD 434 LONGWOOD, FL 327505069 | DELTA DENTAL INSURANCE COMPANY | $801 | — | $801 | 10.00% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $471 | — | $471 | 5.94% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $397 | — | $397 | 5.01% |
| PLETZKE VIVIAN3 Filed as: PLETZKE SOLUTIONS LLC | 11525 BALLANTYNE GREEN DR APT 1401 CHARLOTTE, NC 28277 | ALLSTATE BENEFITS | $106 | — | $106 | 1.34% |
| MORRIS NADINE3 | 7153 WISTERIA WAY TAMARAC, FL 33321 | ALLSTATE BENEFITS | $86 | — | $86 | 1.08% |
| TOWE-WIGGINS LISA ANN3 | 7118 FORT BANKS ROAD HARMONY, FL 34773 | ALLSTATE BENEFITS | $55 | — | $55 | 0.69% |
| TURNER FELTON E3 | 8464 VICKERS ROAD HAHIRA, GA 31632 | ALLSTATE BENEFITS | $42 | — | $42 | 0.53% |
| ROLDAN RACQUEL ANN3 | PO BOX 784312 WINTER GARDEN, FL 34778 | ALLSTATE BENEFITS | $17 | — | $17 | 0.21% |
| NADDY CHRISTEN DANIELLE3 | 549 NW AZALEA AVE PORT SAINT LUCIE, FL 34983 | ALLSTATE BENEFITS | $5 | — | $5 | 0.06% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $598 | — | $598 | 8.94% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $545 | — | $545 | 8.15% |
| HUDOCK EUGENE3 | 36380 CHURCHILL DRIVE SOLON, OH 44139 | ALLSTATE BENEFITS | $191 | — | $191 | 2.86% |
| BOSTON THOMAS W3 | 13661 MARKET AVENUE N HARTVILLE, OH 44632 | ALLSTATE BENEFITS | $19 | — | $19 | 0.28% |
| INSURANCE OFFICE OF AMERICA3 Filed as: INSURANCE OFFICE OF AMERICA INC. | 2056 VISTA PKWY STE 350 WEST PALM BEACH, FL 33411 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $509 | — | $509 | 10.00% |
| INSURANCE OFFICE OF AMERICA3 Filed as: INSURANCE OFFICE OF AMERICA INC. | 1855 WEST STATE STE ROAD 434 LONGWOOD, FL 327505069 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $452 | — | $452 | 10.00% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $609 | — | $609 | 14.39% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $433 | — | $433 | 10.23% |
| DEMERCADO JUDITH3 | 5634 NW 16 STREET FORT LAUDERDALE, FL 33314 | ALLSTATE BENEFITS | $36 | — | $36 | 0.85% |
| INSURANCE OFFICE OF AMERICA3 Filed as: INSURANCE OFFICE OF AMERICA INC. | 2056 VISTA PKWY STE 350 WEST PALM BEACH, FL 33411 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $275 | — | $275 | 9.99% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $351 | — | $351 | 15.10% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $303 | — | $303 | 13.04% |
| HUDOCK EUGENE3 | 36380 CHURCHILL DRIVE SOLON, OH 44139 | ALLSTATE BENEFITS | $96 | — | $96 | 4.13% |
| BOSTON THOMAS W3 | 13661 MARKET AVENUE NORTH HARTVILLE, OH 44632 | ALLSTATE BENEFITS | $5 | — | $5 | 0.22% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $228 | — | $228 | 15.10% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $215 | — | $215 | 14.24% |
| HUDOCK EUGENE3 | 36380 CHURCHILL DRIVE SOLON, OH 44139 | ALLSTATE BENEFITS | $122 | — | $122 | 8.08% |
| BOSTON THOMAS W3 | 13661 MARKET AVENUE N HARTVILLE, OH 44632 | ALLSTATE BENEFITS | $8 | — | $8 | 0.53% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $284 | — | $284 | 21.68% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $196 | — | $196 | 14.96% |
| DEMERCADO JUDITH3 | 5634 NW 16 STREET FORT LAUDERDALE, FL 33314 | ALLSTATE BENEFITS | $11 | — | $11 | 0.84% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | ALLSTATE BENEFITS | $241 | — | $241 | 23.98% |
| INSURANCE OFFICE OF AMERICA3 | PO BOX 162207 ALTAMONTE SPRINGS, FL 32716 | ALLSTATE BENEFITS | $166 | — | $166 | 16.52% |
| DEMERCADO JUDITH3 | 5634 NW 16 STREET FORT LAUDERDALE, FL 33314 | ALLSTATE BENEFITS | $7 | — | $7 | 0.70% |
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 | 489 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 493 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA INSURANCE COMPANY | 1,069 | $2.7M |
| Dental(3 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 1,069 | $2.7M |
| Vision(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 1,069 | $2.7M |
| Life insurance(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 841 | $146K |
| Short-term disability(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 841 | $160K |
| Long-term disability(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 841 | $144K |
| Prescription drug | HUMANA INSURANCE COMPANY | 1,069 | $2.7M |
| Other(17 contracts, 3 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 841 | $428K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,069 | — |
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.