| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, LLC | 7416 MONIKA MANOR DR. TAMPA, FL 336252630 | BLUE CROSS BLUE SHIELD OF FLORIDA | $41K | — | $41K | 3.00% |
| UNITED BENEFIT ADVISORS OF FLORIDA3 | 6885 BELFORT OAKS PL STE 210 JACKSONVILLE, FL 32216 | SUN LIFE ASSURANCE COMPANY OF CANADA | $11K | — | $11K | 5.67% |
| ENROLLEASE3 Filed as: DIGITAL INSURANCE INC DBA ONEDIGITA | 200 GALLERIA PARKWAY SE STE 1950 ATLANTA, GA 30339 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 4.10% |
| SANTA CRUZ CHARLOTTE R3 Filed as: SANTA CRUZ, CHARLOTTE R | 718 DUNBAR AVE SUITE 3A BAY ST. LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 3.84% |
| MURPHY FAMILY INS CO3 Filed as: MURPHY FAMILY INS. CO. | 37048 US HWY 27 HAINES CITY, FL 33844 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $920 | — | $920 | 2.56% |
| SANTA CRUZ CHARLOTTE R3 | 718 DUNBAR AVENUE SUITE 3A BAY ST. LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | — | $4K | 11.30% |
| MURPHY FAMILY INS CO3 | 37048 US HWY 27 HAINES CITY, FL 33844 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 5.07% |
| MURPHY FAMILY INS CO3 Filed as: MURPHY FAMILY INC CO | 5512 JEFFERSON DAVIS HWY BEECH ISLAND, SC 29842 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $28 | — | $28 | 0.09% |
| SANTA CRUZ CHARLOTTE R3 | 718 DUNBAR AVENUE SUITE 3A BAY ST. LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | — | $4K | 17.59% |
| MURPHY FAMILY INS CO3 | 5512 JEFFERSON DAVIS HWY BEECH ISLAND, SC 29842 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 6.14% |
| MURPHY FAMILY INS CO3 | 37048 US HWY 27 HAINES CITY, FL 33844 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $358 | — | $358 | 1.55% |
| LINDA R CONE3 | 3409 WEST MCKAY AVE. TAMPA, FL 33609 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4 | — | $4 | 0.02% |
| SANTA CRUZ CHARLOTTE R3 | 718 DUNBAR AVENUE SUITE 3A BAY ST. LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 17.47% |
| MURPHY FAMILY INS CO3 | 5512 JEFFERSON DAVIS HWY BEECH ISLAND, SC 29842 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 5.57% |
| MURPHY FAMILY INS CO3 Filed as: MURPHY FAMILY INS. CO. | 37048 US HWY 21 HAINES CITY, FL 33844 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $334 | — | $334 | 1.85% |
| LINDA R CONE3 | 3409 WEST MCKAY TAMPA, FL 33609 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6 | — | $6 | 0.03% |
| SANTA CRUZ CHARLOTTE R3 | 718 DUNBAR AVENUE SUITE 3A BAY ST. LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 10.64% |
| MURPHY FAMILY INS CO3 | 5512 JEFFERSON DAVIS HWY BEECH ISLAND, SC 29842 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $430 | — | $430 | 3.08% |
| MURPHY FAMILY INS CO3 Filed as: MURPHY FAMILY INS. CO. | 37048 US HWY 27 HAINES CITY, FL 33844 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $216 | — | $216 | 1.55% |
| SANTA CRUZ CHARLOTTE R3 | 718 DUNBAR AVENUE SUITE 3A BAY ST. LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 30.74% |
| MURPHY FAMILY INS CO3 | 5512 JEFFERSON DAVIS HWY BEECH ISLAND, SC 29842 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $690 | — | $690 | 12.67% |
| MURPHY FAMILY INS CO3 Filed as: MURPHY FAMILY INS. CO. | 37048 US HWY 27 HAINES CITY, FL 33844 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $36 | — | $36 | 0.66% |
| LORI BARNES3 | 224 N PENNSYLVANIA STREET GREENFIELD, IN 46140 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.02% |
| SANTA CRUZ CHARLOTTE R3 Filed as: SANTA CRUZ | 718 DUNBAR AVENUE SUITE 3A BAY ST. LOUIS, MO 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $13 | — | $13 | 18.57% |
| MURPHY FAMILY INS CO3 | 37048 UH HWY 27 HAINES CITY, FL 33844 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6 | — | $6 | 8.57% |
| MURPHY FAMILY INS CO3 Filed as: MURPHY FAMILY INS CO. | 5512 JEFFRESON DAVIS HWY BEECH ISLAND, SC 29842 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 1.43% |
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 | 201 | 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) | 201 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 166 | $1.4M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 201 | $200K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 201 | $200K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 299 | $236K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 201 | $200K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 201 | $200K |
| Other(8 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 299 | $330K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 299 | — |
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.