| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | HUMANA MEDICAL PLAN, INC. | $34K | $3K | $37K | 5.37% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY, SUITE 195 ATLANTA, GA 30339 | HARTFORD LIFE AND ACCIDENT | $10K | $1K | $11K | 16.26% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY, SUITE 195 ATLANTA, GA 30339 | HUMANA INSURANCE COMPANY | $6K | $2K | $8K | 15.42% |
| KATTY W COHEN3 Filed as: KATTY W. COHEN | 21711 TOWN PLACE DRIVE BOCA RATON, FL 33433 | AFLAC | $853 | $50 | $903 | 4.83% |
| MJ INSURANCE3 Filed as: G SCOTT COOKE AND VARIOUS AGENTS | 2832 NORTHEAST 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $360 | $0 | $360 | 1.93% |
| FRIDAY ROSE CRAWFORD3 | 4100 NORTHWEST 7TH COURT DELRAY BEACH, FL 33445 | AFLAC | $226 | $0 | $226 | 1.21% |
| BRENDA LYNN GARRETT3 | 12475 KENTWOOD AVENUE FORT MEYERS, FL 33913 | AFLAC | $155 | $0 | $155 | 0.83% |
| JAVIER L ORTIZ3 Filed as: JAVIER L. ORTIZ | 9620 NORTHEAST 2ND AVENUE SUITE 203 MIAMI SHORES, FL 33138 | AFLAC | $117 | $10 | $127 | 0.68% |
| SHARON BASSOFF INC3 | 11550 SOUTHWEST 9TH COURT PEMBROKE PINES, FL 33025 | AFLAC | $91 | $0 | $91 | 0.49% |
| JOSHUA BUZZARD3 | 6848 HENDRY DRIVE LAKE WORTH, FL 33463 | AFLAC | $84 | $0 | $84 | 0.45% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | COMPBENEFITS COMPANY | $597 | $567 | $1K | 19.36% |
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 | 142 | 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) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA MEDICAL PLAN, INC. | 90 | $690K |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 82 | $56K |
| Vision | HUMANA INSURANCE COMPANY | 82 | $50K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 161 | $69K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 161 | $69K |
| Prescription drug | HUMANA MEDICAL PLAN, INC. | 90 | $690K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 161 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 161 | — |
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.