| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| POPPELL INSURANCE, INC.3 | 503W MARTIN LUTHER KING BOULEVARD PLANT CITY, FL 33563 | BLUE CROSS BLUE SHIELD OF FLORIDA | $31K | $0 | $31K | 5.87% |
| POPPELL INSURANCE, INC.3 | 503W MARTIN LUTHER KING BOULEVARD PLANT CITY, FL 33563 | HEALTH OPTIONS | $10K | $0 | $10K | 5.03% |
| POPPELL INSURANCE, INC.3 | 503W MARTIN LUTHER KING BOULEVARD PLANT CITY, FL 33564 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | $0 | $4K | 5.56% |
| POPPELL INSURANCE, INC.3 | 503W MARTIN LUTHER KING BOULEVARD PLANT CITY, FL 33563 | AMERICAN UNITED LIFE INSURANCE COMPANY | $4K | $320 | $4K | 15.24% |
| POPPELL INSURANCE, INC.3 | 503W MARTIN LUTHER KING BOULEVARD PLANT CITY, FL 33563 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $276 | $4K | 21.27% |
| MICHAEL L. DRUMMOND3 | 11857 WILDEFLOWER PLACE TEMPLE TERRACE, FL 33617 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $1K | $3K | 15.21% |
| ROBERT RYAN HAWKEN3 | 23731 LAKE HILLS DRIVE LUTZ, FL 33559 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 7.56% |
| FRANCISCO JAVIER RUIZ3 | 10011 COURTNEY PALMS BOULEVARD TAMPA, FL 33619 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $7 | $1K | 6.81% |
| WORKSITE AMERICA LIE3 Filed as: WORKSITE AMERICA AND OTHER AGENTS | 14141 46TH STREET NORTH CLEARWATER, FL 33762 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $809 | $464 | $1K | 6.26% |
| SIERRA ALVARADO3 | 700 EAGLE AVENUE LONGWOOD, FL 32750 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $880 | $73 | $953 | 4.69% |
| CARLOS A. MCCAIN3 | 10552 PLANTATION BAY DRIVE TAMPA, FL 33647 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $443 | $259 | $702 | 3.45% |
| POPPELL INSURANCE, INC.3 | 503W MARTIN LUTHER KING BOULEVARD PLANT CITY, FL 33563 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $162 | $3K | 22.13% |
| MICHAEL L. DRUMMOND3 | 11857 WILDEFLOWER PLACE TEMPLE TERRACE, FL 33617 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $676 | $2K | 15.11% |
| WORKSITE AMERICA LIE3 Filed as: WORKSITE AMERICA AND OTHER AGENTS | 14141 46TH STREET NORTH CLEARWATER, FL 33762 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $844 | $279 | $1K | 9.80% |
| ANGEL GABRIEL VELAZQUEZ-DIAZ3 | 2022 ESTANCIA CIRCLE, SUITE 6 KISSIMMEE, FL 34741 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $626 | $155 | $781 | 6.81% |
| FRANCISCO JAVIER RUIZ3 | 10011 COURTNEY PALMS BOULEVARD TAMPA, FL 33619 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $703 | $3 | $706 | 6.16% |
| SIERRA ALVARADO3 | 700 EAGLE AVENUE LONGWOOD, FL 32750 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $481 | $40 | $521 | 4.55% |
| CARLOS A. MCCAIN3 | 10552 PLANTATION BAY DRIVE TAMPA, FL 33647 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $261 | $152 | $413 | 3.60% |
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 | 211 | 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) | 211 | 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 | 94 | $725K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 128 | $69K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 128 | $69K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 211 | $27K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 211 | $27K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 211 | $27K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 94 | $725K |
| Other(5 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 211 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 211 | — |
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.