| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE CAPITAL RESOURCES OF FLOR3 | JONATHAN GRABE 815 EYRIE DRIVE SUITE 4-B OVIEDO, FL 32765 | BLUE CROSS BLUE SHIELD OF FLORIDA | $13K | — | $13K | 1.50% |
| GRABE FINANCIAL SERVICES INC3 Filed as: GRABE FINANCIAL SERVICES, INC. | 520 EAST FORT KING STREET SUITE B-4 OCALA, FL 34471 | GUARDIAN | $5K | — | $5K | 5.96% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | 9909 MIRA MESA BLVD STE 160 SAN DIEGO, CA 92131 | GUARDIAN | $4K | — | $4K | 4.10% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES IN | 300 NORTH BEACH STREET DAYTONA BEACH, FL 32114 | GUARDIAN | $1K | — | $1K | 1.32% |
| MJ INSURANCE3 Filed as: VARIOUS AGENTS-SEE ATTACHED | — | AFLAC | $14K | $602 | $14K | 18.45% |
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 | 147 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 141 | $844K |
| Dental | GUARDIAN | 143 | $90K |
| Vision | GUARDIAN | 143 | $90K |
| Life insurance | GUARDIAN | 143 | $90K |
| Other | AFLAC | 86 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 143 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.