| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIRST FLORIDA INSURERS OF TAMPA INC Filed as: FIRST FLORIDA INSURERS OF TAMPA,INC | 3710 CORPOREX PARK, SUITE 215 TAMPA, FL 33619 | ENVISION INSURANCE COMPANY | $16K | — | $16K | 2.65% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELLS FARGO BANK N.A. EIN 94-1347393 NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $120K |
| TELLIGEN, INC EIN 42-0992483 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $55K |
| EMPLOYEE 2 EIN 36-2525679 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $55K |
| EMPLOYEE 1 EIN 36-2525679 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $49K |
| RJ LEE & ASSOCIATES EIN 36-4090984 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $26K |
| ROMOLO & ASSOCIATES, CPA'S, LLC EIN 84-2885766 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $26K |
| BICC SYSTEMS, INC EIN 36-2852073 NONE | Other services; Direct payment from the plan Service code 49 | — | $25K |
| MCCARTHY CALLAS & FEENEY PC EIN 36-4184033 NONE | Legal; Direct payment from the plan Service code 29 | — | $14K |
| MOORHEAD PATTERSON & COMPANY PC EIN 42-1092253 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $9K |
| UNITED ACTUARIAL SERVICES INC EIN 35-2156428 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $8K |
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 | 798 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 215 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,013 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 852 | $6.0M |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 828 | $31K |
| Prescription drug | ENVISION INSURANCE COMPANY | 252 | $590K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 828 | $327K |
| Other | ENVISION INSURANCE COMPANY | 252 | $590K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 852 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.