| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LASSITER WARE3 Filed as: LASSITER WARE INC. | 2011 SW 20TH PL STE 103 OCALA, FL 34471 | BLUE CROSS BLUE SHIELD OF FLORIDA | $9K | — | $9K | 6.10% |
| LASSITER WARE3 Filed as: LASSITER WARE INC. | 2011 SW 20TH PL STE 103 OCALA, FL 34471 | HEALTH OPTIONS | $4K | — | $4K | 7.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: LASSITERWARE, LLC | 1317 CITIZENS BLVD LEESBURG, FL 34748 | BLUE CROSS BLUE SHIELD OF FLORIDA | $4K | — | $4K | 6.83% |
| LASSITER WARE3 Filed as: LASSITER WARE INC | 1317 CITIZENS BLVD LEESBURG, FL 34748 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $913 | $5K | 12.48% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | — | $4K | $4K | 9.25% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 495011788 | PRINCIPAL LIFE INSURANCE COMPANY | — | $222 | $222 | 0.55% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHEAST PARTNERS | INSURANCE SERVICES 1317 CITIZENS BLVD LEESBURG, FL 34748 | PRINCIPAL LIFE INSURANCE COMPANY | -$86 | — | -$86 | -0.21% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: LASSITERWARE, LLC | 1317 CITIZENS BLVD LEESBURG, FL 34748 | HEALTH OPTIONS | $1K | — | $1K | 7.00% |
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 | 227 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 227 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 18 | $279K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 227 | $40K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 227 | $40K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 227 | $40K |
| Prescription drug(4 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 18 | $279K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 227 | — |
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.