| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SERVICE | DENNIS GOLDSTEIN 951 YAMATO ROAD, SUITE 200W BOCA RATON, FL 33431 | BLUE CROSS BLUE SHIELD OF FLORIDA | $43K | — | $43K | 4.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SERVICE | P. O. BOX 632886 CINCINNATI, OH 45263 | METROPOLITAN LIFE INSURANCE CO | $9K | $1K | $11K | 10.61% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SERVICE | DENNIS GOLDSTEIN 951 YAMATO ROAD, SUITE 200W BOCA RATON, FL 33431 | HEALTH OPTIONS, INC. | $2K | — | $2K | 4.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SERVICE | PO BOX 632886 CINCINNATI, OH 45263 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 9.67% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES | PO BOX 632886 CINCINNATI, OH 45263 | STANDARD INSURANCE COMPANY | $935 | — | $935 | 13.27% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES | PO BOX 632886 CINCINNATI, OH 45263 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 16.85% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 S. 8TH STREET SUITE 700 MINNEAPOLIS, MN 55402 | FEDERAL INSURANCE COMPANY | $556 | — | $556 | 14.99% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | 2033 MAIN ST SUITE 407 SARASOTA, FL 34237 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | — | $3K | — |
| JUSTIN M REYNOLDS3 | 11905 PERSIAN TERRACE BRADENTON, FL 34212 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $982 | $1K | $2K | — |
| ARBER SINANI3 | 6932 EXETER PARK PLACE APOLLO BEACH, FL 33572 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $722 | $1K | $2K | — |
| CORCORAN & HOYT LLC3 | 3905 TAMPA ROAD OLDSMAR, FL 34677 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $650 | $240 | $890 | — |
| ROGER BOUCHARD INSURANCE INC3 | P.O. BOX 6090 CLEARWATER, FL 33758 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $683 | — | $683 | — |
| MICHELLE MUELLER LEA3 | 11510 GRAMERCY PARK AVE BRADENTON, FL 34211 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $552 | $100 | $652 | — |
| UNITED TAX & FINANCE ADVISORY SERVI3 Filed as: UNITED TAX & FINANCE ADVISORY SERV | 18135 CANAL POINTE ST TAMPA, FL 33647 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $537 | — | $537 | — |
| WORKSITE AMERICA LLC3 | 14141 46TH STREET NORTH CLEARWATER, FL 33762 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $497 | — | $497 | — |
| MICHAEL WAYNE CLARK3 | 3120 CLOUDCROFT AVE SPRING HILL, FL 34609 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $427 | — | $427 | — |
| SHIRLEY B DRAKE3 Filed as: SHIRLEY B. DRAKE | 14141 46TH STREET NORTH CLEARWATER, FL 33762 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $219 | — | $219 | — |
| JERRY R MAUREY3 | 34401 SMART DRIVE ZEPHYRHILLS, FL 33541 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $48 | $73 | $121 | — |
| KRISTAL DEL GUADALUPE FIGUEROA3 | 3257 COOL SPRINGS CT NAPERVILLE, IL 60564 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $83 | — | $83 | — |
| HEIDI S WEISHAUPT3 Filed as: HEIDI S. WEISHAUPT | 4520 29TH AVE CIRCLE E PALMETTO, FL 34221 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $52 | — | $52 | — |
| JOANNE RIVERA3 | 18135 CANAL POINTE ST TAMPA, FL 33647 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $30 | — | $30 | — |
| JACLYN ANN RICCOBONO3 | 11935 FOREST PARK CIRCLE BRADENTON, FL 34211 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | — | $24 | — |
| DANIELSE SOLUTIONS LLC3 | 4941 POMPANO DRIVE NEW PORT RICHEY, FL 34652 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | $6 | $24 | — |
| CHRISTINA L SUTTON3 Filed as: CHRISTINA L. SUTTON | P O BOX 746 OZONA, FL 34660 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | — |
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 | 255 | 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) | 255 | 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 | 228 | $1.1M |
| Dental | METROPOLITAN LIFE INSURANCE CO | 427 | $100K |
| Vision | METROPOLITAN LIFE INSURANCE CO | 427 | $100K |
| Life insurance | STANDARD INSURANCE COMPANY | 255 | $26K |
| Short-term disability | STANDARD INSURANCE COMPANY | 9 | $7K |
| Long-term disability | STANDARD INSURANCE COMPANY | 9 | $7K |
| Other(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 228 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 427 | — |
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.