| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MFB FINANCIAL INC3 | COREY OLSEN 1200 PLANTATION ISLAND DR STE 210 SAINT AUGUSTINE, FL 320803115 | HEALTH OPTIONS, INC. | $42K | — | $42K | 5.00% |
| MFB FINANCIAL INC3 | COREY OLSEN 1200 PLANTATION ISLAND DR STE 210 SAINT LOUIS, FL 320803115 | BLUE CROSS BLUE SHIELD OF FLORIDA | $37K | — | $37K | 5.00% |
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL INC. | 1200 PLANTATION ISLAND DRIVE ST AUGUSTINE, FL 320803115 | USABLE LIFE | $14K | — | $14K | 18.26% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: BLUE CROSS BLUE OF SHIELD OF FL | 4800 DEERWOOD CAMPUS PKWY #DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $82 | — | $82 | 0.10% |
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL INC. | 1200 PLANTATION ISLAND DRIVE ST. AUGUSTINE, FL 320803115 | FLORIDA COMBINED LIFE | $11K | — | $11K | 15.99% |
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL INC. | 1200 PLANTATION ISLAND DRIVE ST. AUGUSTINE, FL 320803115 | FLORIDA COMBINED LIFE | $2K | — | $2K | 9.85% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DRIVE S. ST. AUGUSTINE, FL 320803115 | EYEMED VISION CARE | $2K | — | $2K | 17.53% |
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 | 263 | 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) | 263 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | FLORIDA COMBINED LIFE | 150 | $85K |
| Vision | EYEMED VISION CARE | 182 | $14K |
| Life insurance | USABLE LIFE | 263 | $79K |
| Short-term disability | USABLE LIFE | 263 | $79K |
| Long-term disability | USABLE LIFE | 263 | $79K |
| Other(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 263 | $822K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 263 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.