| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GREEN LINE BENEFITS3 Filed as: GREEN LINE BENEFITS LLC | 3299 ATLANTIC CIRCLE NAPLES, FL 34119 | HUMANA INSURANCE COMPANY | $6K | $500 | $6K | 10.00% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD HAUPPAUGE, NY 11788 | HUMANA INSURANCE COMPANY | $1K | $0 | $1K | 1.92% |
| GREEN LINE BENEFITS3 | 5150 TAMIAMI TRAIL N SUITE 501 NAPLES, FL 34103 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 15.00% |
| ARCHON BENEFITS & INSURANCE SERVICE3 | 140 ANGORA CT DANVILLE, CA 94506 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 5.00% |
| GREEN LINE BENEFITS3 | 5150 TAMIAMI TRAIL N SUITE 501 NAPLES, FL 34103 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 15.00% |
| ARCHON BENEFITS & INSURANCE SERVICE3 | 140 ANGORA CT DANVILLE, CA 94506 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $896 | $0 | $896 | 5.00% |
| GREEN LINE BENEFITS3 | 5150 TAMIAMI TRAIL N SUITE 501 NAPLES, FL 34103 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| ARCHON BENEFITS & INSURANCE SERVICE3 | 140 ANGORA CT DANVILLE, CA 94506 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $720 | $0 | $720 | 5.00% |
| GREEN LINE BENEFITS3 | 5150 TAMIAMI TRAIL N SUITE 501 NAPLES, FL 34103 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 15.00% |
| ARCHON BENEFITS & INSURANCE SERVICE3 | 140 ANGORA CT DANVILLE, CA 94506 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $367 | $0 | $367 | 5.00% |
| GREEN LINE BENEFITS3 | 5150 TAMIAMI TRAIL N SUITE 501 NAPLES, FL 34103 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $560 | $0 | $560 | 13.50% |
| ARCHON BENEFITS & INSURANCE SERVICE3 | 140 ANGORA CT DANVILLE, CA 94506 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $207 | $0 | $207 | 4.99% |
| GREEN LINE BENEFITS3 | 5150 TAMIAMI TRAIL N SUITE 501 NAPLES, FL 34103 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $358 | $0 | $358 | 12.50% |
| ARCHON BENEFITS & INSURANCE SERVICE3 | 140 ANGORA CT DANVILLE, CA 94506 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $143 | $0 | $143 | 4.99% |
| GREEN LINE BENEFITS3 | 5150 TAMIAMI TRAIL N SUITE 501 NAPLES, FL 34103 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $259 | $0 | $259 | 19.97% |
| ARCHON BENEFITS & INSURANCE SERVICE3 | 140 ANGORA CT DANVILLE, CA 94506 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $65 | $0 | $65 | 5.01% |
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 | 109 | 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) | 109 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HUMANA INSURANCE COMPANY | 59 | $60K |
| Vision | HUMANA INSURANCE COMPANY | 59 | $60K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 109 | $22K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 34 | $18K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 28 | $14K |
| Other(5 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 109 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 109 | — |
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.