| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | 9850 NW 41ST STREET SUITE 100 MAMI, FL 33178 | AETNA HEALTH, INC. | $27K | $1K | $28K | 5.06% |
| MARSH & MCLENNAN AGENCY LLC3 | 9850 NW 41ST STREET SUITE 100 MIAMI, FL 33178 | AETNA LIFE INSURANCE COMPANY | $296 | $371 | $667 | 3.09% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS. INC. AND | VARIOUS OTHER AGENTS 101 STARCREST DRIVE CLEARWATER, FL 33765 | ALLSTATE | $172 | — | $172 | 2.33% |
| BENEFITS TECHNOLOGIES LLC3 Filed as: BENEFITS TECHNOLOGIES | 2300 NW CORPORATE BLVD #215 BOCA RATON, FL 33431 | ALLSTATE | $72 | — | $72 | 0.97% |
| MARSH & MCLENNAN AGENCY LLC3 | 9850 NW 41ST STREET SUITE 100 MIAMI, FL 33178 | ALLSTATE | $23 | — | $23 | 0.31% |
| WESTCHESTER BENEFIT GROUP3 Filed as: WESTCHESTER BENEFIT GROUP, INC. AND | VARIOUS OTHER AGENTS 500 SUMMIT LAKE DRIVE VALHALLA, NY 10595 | ALLSTATE | $148 | — | $148 | 2.97% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS. INC. | PO BOX 6090 CLEARWATER, FL 33758 | ALLSTATE | $124 | — | $124 | 2.49% |
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 | 95 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 95 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | AETNA HEALTH, INC. | 79 | $568K |
| Dental | AETNA LIFE INSURANCE COMPANY | 95 | $22K |
| Vision | AETNA LIFE INSURANCE COMPANY | 95 | $22K |
| Life insurance(3 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 95 | $34K |
| Other | AETNA LIFE INSURANCE COMPANY | 95 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 95 | — |
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.