| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP, LLC | 18700 N HAYDEN ROAD SUITE 405 SCOTTSDALE, AZ 85255 | SUN LIFE ASSURANCE COMPANY OF CANADA | $32K | $17K | $50K | 8.51% |
| THE BALDWIN GROUP WEST LLC3 Filed as: THE BALDWIN GROUP SOUTHEAST LLC | 4211 W BOY SCOUT BLVD SUITE 800 TAMPA, FL 33607 | STANDARD INSURANCE COMPANY | $22K | $0 | $22K | 15.00% |
| WATCHTOWER TECHNOLOGIES INC3 | 227 W MONROE STREET SUITE 5200 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | $0 | $198 | $198 | 0.13% |
| THE BALDWIN GROUP WEST LLC3 Filed as: THE BALDWIN GROUP SOUTHEAST LLC | 4211 W BOY SCOUT BLVD SUITE 800 TAMPA, FL 33607 | STANDARD INSURANCE COMPANY | $11K | $0 | $11K | 15.00% |
| WATCHTOWER TECHNOLOGIES INC3 | 227 W MONROE STREET SUITE 5200 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | $0 | $107 | $107 | 0.14% |
| THE BALDWIN GROUP WEST LLC3 Filed as: THE BALDWIN GROUP SOUTHEAST LLC | 4211 W BOY SCOUT BLVD SUITE 800 TAMPA, FL 33607 | STANDARD INSURANCE COMPANY | $11K | $0 | $11K | 15.00% |
| WATCHTOWER TECHNOLOGIES INC3 | 227 W MONROE STREET SUITE 5200 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | $0 | $134 | $134 | 0.18% |
| BKS PARTNERS3 | 4233 PABLO PROFESSIONAL COURT JACKSONVILLE, FL 32224 | EYEMED ON BEHALF OF THE FIFELITY SECURITY LIFE INSURANCE COMPANY | $4K | $0 | $4K | 10.90% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4010 W BOY SCOUT BLVD SUITE 200 TAMPA, FL 33607 | UNITEDHEALTHCARE INSURANCE COMPANY | $8K | $0 | $8K | 20.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | — | $216K |
| BALDWIN KRYSTYN SHERMAN PARTNERS BROKER | Other commissions; Insurance agents and brokers Service code 22 | 4211 W BOY SCOUT BLVD SUITE 800 TAMPA, FL 33607 | $106K |
| SUN LIFE ASSURANCE COMPANY OF CANAD EIN 38-1082080 DENTAL ADMIN | Claims processing Service code 12 | — | $22K |
| THE BALDWIN GROUP SOUTHEAST LLC BROKER DENTAL | Other commissions; Insurance agents and brokers Service code 22 | 4010 W BOY SCOUT BLVD SUITE 200 TAMPA, FL 33607 | $6K |
| WATERTOWER TECHNOLOGIES INC BROKER DENTAL | Other commissions; Insurance agents and brokers Service code 22 | 306 W ERIE STREET SUITE 300 CHICAGO, IL 60654 | $329 |
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 | 323 | 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. |
| Total participants (= "Plan participants" tile) | 323 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED ON BEHALF OF THE FIFELITY SECURITY LIFE INSURANCE COMPANY | 255 | $41K |
| Life insurance | STANDARD INSURANCE COMPANY | 323 | $147K |
| Short-term disability | STANDARD INSURANCE COMPANY | 130 | $76K |
| Long-term disability | STANDARD INSURANCE COMPANY | 154 | $73K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 252 | $582K |
| Other | UNITEDHEALTHCARE INSURANCE COMPANY | 70 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 323 | — |
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.