| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH & WILLINGHAM | 300 FIRST AVE S 5TH FL ST PETERSBURG, FL 33701 | BLUE CROSS BLUE SHIELD OF FLORIDA | $29K | — | $29K | 7.50% |
| EAGER1 MARKETING INC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | BLUE CROSS BLUE SHIELD OF FLORIDA | $21K | — | $21K | 7.50% |
| WALLACE WELCH & WILLINGHAM INC3 | 300 FIRST AVE S 5TH FL ST PETERSBURG, FL 33701 | GUARDIAN | $12K | — | $12K | 6.92% |
| KING INSURANCE AGENCY OF GAINE3 | 2935 SE 58TH AVE OCALA, FL 34480 | GUARDIAN | $3K | — | $3K | 1.87% |
| ROGERS BENEFIT GROUP INC3 | 9905 MIRA MESA BLVD STE 160 SAN DIEGO, CA 92131 | GUARDIAN | $3K | — | $3K | 1.39% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY # DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $2K | — | $2K | 9.10% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH & WILLINGHAM | 300 FIRST AVE S 5TH FL ST PETERSBURG, FL 33701 | USABLE LIFE | $439 | — | $439 | 1.87% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH & WILLINGHAM | 300 FIRST AVE S 5TH FL ST PETERSBURG, FL 33701 | HEALTH OPTIONS, INC | $761 | — | $761 | 7.50% |
| EAGER1 MARKETING INC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | HEALTH OPTIONS, INC. | $336 | — | $336 | 7.51% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE EIN 59-1031071 CLAIMS PROCESSING | Claims processing; Insurance services Service code 12 | — | $30K |
| CIGNA | Participant communication; Direct payment from the plan; Non-monetary compensation; Claims processing; Contract Administrator; Other services; Float revenue; Named fiduciary Service code 12 | — | $0 |
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 | 271 | 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) | 271 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 161 | $291K |
| Dental | GUARDIAN | 287 | $180K |
| Vision | GUARDIAN | 287 | $180K |
| Life insurance | GUARDIAN | 287 | $180K |
| Short-term disability | GUARDIAN | 287 | $180K |
| Long-term disability | GUARDIAN | 287 | $180K |
| Prescription drug(2 contracts) | HEALTH OPTIONS, INC | 2 | $15K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 181 | $215K |
| Other(4 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 287 | $864K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 287 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.