| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITABILITY, LLC3 | 1250 OLD DIXIE HWY SUITE 1 LAKE PARK, FL 33403 | CIGNA | $277K | $4K | $281K | 27.26% |
| BENEFITABILITY, LLC3 | 1250 OLD DIXIE HWY SUITE 1 LAKE PARK, FL 33403 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $27K | — | $27K | 15.00% |
| BENEFITABILITY, LLC3 | 1250 OLD DIXIE HWY SUITE 1 LAKE PARK, FL 33403 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | — | $10K | 15.00% |
| BENEFIT ABILITY LLC3 | 1250OLD DIXIE HWY SUITE 1 LAKE PARK, FL 33403 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | — | $8K | 15.00% |
| BENEFITABILITY, LLC3 | 1250 OLD DIXIE HWY SUITE 1 LAKE PARK, FL 33403 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 15.00% |
| BENEFITABILITY, LLC3 | 1250 OLD DIXIE HWY SUITE 1 LAKE PARK, FL 33403 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 CARRIER | Named fiduciary; Participant communication; Claims processing; Float revenue; Contract Administrator; Other services; Non-monetary compensation; Direct payment from the plan Service code 12 | — | $21K |
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 | 409 | 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) | 409 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA | 744 | $1.0M |
| Dental | CIGNA | 744 | $1.0M |
| Vision | CIGNA | 744 | $1.0M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 409 | $181K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 219 | $67K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 409 | $54K |
| Prescription drug | CIGNA | 744 | $1.0M |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 268 | $37K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 744 | — |
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.