| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAUGHT FINANCIAL GRP INC3 Filed as: HAUGHT FINANCIAL GROUP, INC. | P. O. BOX 3158 PONTE VEDRA BEACH, FL 32004 | BLUE CROSS BLUE SHIELD OF FLORIDA | $51K | $0 | $51K | 5.00% |
| HAUGHT FINANCIAL GRP INC3 Filed as: HAUGHT FINANCIAL GROUP, INC. | P. O. BOX 3158 PONTE VEDRA BEACH, FL 32004 | BLUE CROSS BLUE SHIELD OF FLORIDA | $6K | $0 | $6K | 5.00% |
| WILLIAM PATRICK DOSTALER3 Filed as: WILLIAM TRAVIS CUMMINGS | 2095 SALT MYRTLE LN FLEMING ISLAND, FL 32003 | PRINCIPAL FINANCIAL GROUP | $2K | $0 | $2K | 2.49% |
| HAUGHT FINANCIAL GRP INC3 Filed as: HAUGHT FINANCIAL GROUP, INC. | P. O. BOX 3158 PONTE VEDRA BEACH, FL 32004 | PRINCIPAL FINANCIAL GROUP | $1K | $0 | $1K | 1.75% |
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL, INC. | 1200 PLANTATION ISLAND DRIVE S SUITE 210 ST. AUGUSTINE, FL 32080 | PRINCIPAL FINANCIAL GROUP | -$8 | $0 | -$8 | -0.01% |
| WILLIAM PATRICK DOSTALER3 Filed as: WILLIAM CUMMINGS | 2095 SALT MYRTLE LN FLEMING ISLAND, FL 32003 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 6.19% |
| HAUGHT FINANCIAL GRP INC3 Filed as: HAUGHT FINANCIAL GROUP, INC. | P. O. BOX 3158 PONTE VEDRA BEACH, FL 32004 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 5.77% |
| HAUGHT FINANCIAL GRP INC3 Filed as: HAUGHT FINANCIAL GROUP, INC. | P. O. BOX 3158 PONTE VEDRA BEACH, FL 32004 | HUMANA | $715 | $0 | $715 | 4.87% |
| WILLIAM PATRICK DOSTALER3 Filed as: WILLIAM CUMMINGS | 8833 PERIMETER PARK BLVD SUITE 703 JACKSONVILLE, FL 32216 | HUMANA | $71 | $0 | $71 | 0.48% |
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 | 159 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 159 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 143 | $1.1M |
| Vision | HUMANA | 118 | $15K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 179 | $26K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 179 | $26K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 179 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 179 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.