| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JULIE ANN FREIDUS3 | 220 S. RIDGEWOOD AVENUE DAYTONA BEACH, FL 32114 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $66K | — | $66K | 3.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF CENTRAL MI | 1605 CONCENTRIC BLVD SAGINAW, MI 48604 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $2K | $2K | 0.09% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA | 300 N. BEACH ST. DAYTONA BEACH, FL 32114 | THE GUARDIAN LIFE INSURANCE COMPANY | $34K | $6K | $40K | 18.82% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA, INC. | 220 SOUTH RIDGEWOOD AVENUE DAYTONA BEACH, FL 32114 | DELTA DENTAL OF MICHIGAN | $13K | — | $13K | 7.35% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INC OF DAYTONA BEACH | PO BOX 2412 DAYTONA BEACH, FL 32115 | EYEMED | $1K | — | $1K | 4.97% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA, INC. | PO BOX 745961 ATLANTA, GA 30374 | EYEMED | $1K | — | $1K | 4.41% |
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 | 184 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 463 | $2.2M |
| Dental | DELTA DENTAL OF MICHIGAN | 452 | $178K |
| Vision | EYEMED | 352 | $25K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY | 183 | $214K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY | 183 | $214K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY | 183 | $214K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 463 | $2.2M |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY | 183 | $214K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 463 | — |
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."
No prospect flags tripped on this filing.