| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PCF INSURANCE SERVICES OF THE WEST3 | 2790 N FEDERAL HWY BOCA RATON, FL 33431 | AETNA LIFE INSURANCE COMPANY | $5K | $121K | $127K | 3.77% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: MADURO INSURANCE GRP DBA GALLAGHER | 18001 OLD CUTLER RD PALMETTO BAY, FL 33157 | AETNA LIFE INSURANCE COMPANY | $11K | — | $11K | 0.31% |
| LEVI & ASSOCIATES INSURANCE3 | 2700 N FEDERAL HWY BOCA RATON, FL 33431 | AETNA LIFE INSURANCE COMPANY | $1K | — | $1K | 0.03% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 2790 N FEDERAL HWY STE 300 BOCA RATON, FL 33431 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $406 | $9K | 15.75% |
| PLANSOURCE BENEFIT ADMINISTRATION3 Filed as: PLANSOURCE BENEFIT ADMINISTRAT | PO BOX 1313 ORLANDO, FL 32802 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $541 | — | $541 | 1.00% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES OF THE | 2790 N FEDERAL HWY STE 300 BOCA RATON, FL 33431 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $389 | $8K | 15.75% |
| PLANSOURCE BENEFIT ADMINISTRATION3 Filed as: PLANSOURCE BENEFIT ADMINISTRAT | PO BOX 1313 ORLANDO, FL 32802 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $519 | — | $519 | 1.00% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 2790 N FEDERAL HWY STE 300 BOCA RATON, FL 33431 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $693 | $52 | $745 | 10.74% |
| PLANSOURCE BENEFIT ADMINISTRATION3 Filed as: PLANSOURCE BENEFIT ADMINISTRAT | PO BOX 1313 ORLANDO, FL 32802 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $69 | — | $69 | 1.00% |
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 | 348 | 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) | 348 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 375 | $3.4M |
| Dental | AETNA LIFE INSURANCE COMPANY | 375 | $3.4M |
| Vision | AETNA LIFE INSURANCE COMPANY | 375 | $3.4M |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 348 | $59K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 84 | $54K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 84 | $54K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 348 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 375 | — |
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.