| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THAXTON GROUP, INC.3 Filed as: THAXTON GROUP INC | 501 E KENNEDY BLVD TAMPA, FL 33602 | HUMANA MEDICAL PLAN, INC. | $49K | $5K | $54K | 4.63% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX AGENCY INC-ROCHESTER | 225 KENNETH DR ROCHESTER, NY 14623 | HUMANA MEDICAL PLAN, INC. | $10K | — | $10K | 0.84% |
| THAXTON GROUP, INC.3 Filed as: THAXTON GROUP INC | 501 E KENNEDY BLVD TAMPA, FL 33602 | HUMANA INSURANCE COMPANY | $4K | — | $4K | 4.25% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX AGENCY INC- ROCHESTER | 225 KENNETH DRIVE ROCHESTER, NY 14623 | HUMANA INSURANCE COMPANY | $366 | — | $366 | 0.40% |
| THAXTON GROUP, INC.3 | 501 E KENNEDY BLVD STE 1000 TAMPA, FL 33602 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 11.09% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX INS AGENCY INC | 150 SAWGRASS DR ROCHESTER, NY 14620 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 3.91% |
| THAXTON GROUP, INC.3 | 501 E KENNEDY BLVD STE 1000 TAMPA, FL 33602 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 11.07% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX INS AGENCY INC | 150 SAWGRASS DR ROCHESTER, NY 14620 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 3.93% |
| WORKSITE BENEFITS SOLUTION LLC3 Filed as: WORKSITE AMERICA LLC | 14141 46TH ST N SUITE 1209 CLEARWATER, FL 33762 | GUARDIAN | $2K | — | $2K | 7.68% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX INS AGENCY INC | 225 KENNETH DRIVE ROCHESTER, NY 14623 | GUARDIAN | $501 | $26 | $527 | 2.44% |
| THAXTON GROUP, INC.3 Filed as: THAXTON GROUP, INC. DBA SHEA B | 100 NORTH TAMPA STREET SUITE 3530 TAMPA, FL 33602 | GUARDIAN | $497 | — | $497 | 2.30% |
| THAXTON GROUP, INC.3 | 501 E KENNEDY BLVD STE 1000 TAMPA, FL 33602 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 11.16% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX INS AGENCY INC | 150 SAWGRASS DR ROCHESTER, NY 14620 | STANDARD INSURANCE COMPANY | $806 | — | $806 | 3.84% |
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 | 138 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA MEDICAL PLAN, INC. | 105 | $1.2M |
| Dental | HUMANA INSURANCE COMPANY | 110 | $91K |
| Vision | HUMANA INSURANCE COMPANY | 110 | $91K |
| Life insurance | STANDARD INSURANCE COMPANY | 128 | $21K |
| Short-term disability | STANDARD INSURANCE COMPANY | 128 | $29K |
| Long-term disability | STANDARD INSURANCE COMPANY | 23 | $49K |
| Other | GUARDIAN | 33 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 128 | — |
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.