| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALLACE WELCH & WILLINGHAM INC3 | PO BOX 33020 ST PETERSBURG, FL 33733 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $5K | — | $5K | 1.15% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE WELCH & WILLIGHAM INC | PO BOX 33020 ST PETERSBURG, FL 337338020 | SUN LIFE ASSURANCE COMPANY OF CANADA | $18K | — | $18K | 12.17% |
| WALLACE WELCH & WILLINGHAM INC3 | PO BOX 33020 ST. PETERSBURG, FL 33733 | AMERITAS LIFE INSURANCE CORP. | $8K | — | $8K | 10.00% |
| WALLACE WELCH & WILLINGHAM INC3 | 300 FIRST AVENUE SOUTH 5TH FLOOR ST PETERSBURG, FL 33701 | ADVANTICA INSURANCE COMPANY | $2K | — | $2K | 11.83% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CLAIMS PROCESSING | Insurance services; Claims processing Service code 12 | — | $246K |
| WALLACE, WELCH, & WILLINGHAM INS. AGENT OR BROKER | Insurance agents and brokers Service code 22 | 300 FIRST AVENUE SOUTH 5TH FLOOR SAINT PETERSBURG, FL 33701 | $100K |
| CIGNA | Named fiduciary; Participant communication; Non-monetary compensation; Float revenue; Claims processing; Direct payment from the plan; Contract Administrator; Other services 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 | 257 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 258 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP. | 241 | $79K |
| Vision | ADVANTICA INSURANCE COMPANY | 335 | $19K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 257 | $149K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 257 | $149K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 257 | $149K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 239 | $435K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 257 | $149K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 335 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.