| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATES INC | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | AETNA HEALTH INC. | — | $51K | $51K | 1.66% |
| MADURO INSURANCE GROUP3 Filed as: MADURO INSURANCE GRP DBA GALLAGHE | 9020 SW 137TH AVE 250 MIAMI, FL 33186 | AETNA HEALTH INC. | — | $15K | $15K | 0.48% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATES INC | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 33202 | AETNA LIFE INSURANCE COMPANY | $16K | — | $16K | 6.68% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: MADURO INSURANCE GRP DBA GALLAGHER | 9020 SW 137TH AVE 250 MIAMI, FL 33186 | AETNA LIFE INSURANCE COMPANY | $5K | — | $5K | 2.17% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATES, INC. | 1000 N ASHLEY DRIVE #110 TAMPA, FL 33602 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INSURANCE C | $3K | — | $3K | 7.88% |
| INSGROUP INC3 Filed as: MADURO INSURANCE GROUP DBA TOM GALL | 7171 SW 56TH AVE #502 MIAMI, FL 33143 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INSURANCE C | $727 | — | $727 | 2.22% |
| ASSUREX3 Filed as: ASSUREX GLOBAL CORPORATION-EXCHANGE | 175 SOUTH THIRD ST STE 800 COLUMBUS, OH 43215 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INSURANCE C | $118 | — | $118 | 0.36% |
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 | 499 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 8 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 515 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA HEALTH INC. | 598 | $3.3M |
| Dental(2 contracts, 2 carriers) | AETNA HEALTH INC. | 598 | $3.3M |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INSURANCE C | 449 | $33K |
| Life insurance(2 contracts, 2 carriers) | AETNA HEALTH INC. | 598 | $3.3M |
| Other(2 contracts, 2 carriers) | AETNA HEALTH INC. | 598 | $3.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 598 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.