| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TODD M MEZRAH3 | 5350 W KENNEDY BLVD STE TWO TAMPA, FL 33609 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $35K | $5K | $39K | 17.00% |
| TODD M MEZRAH3 | 5350 W KENNEDY BLVD STE TWO TAMPA, FL 33609 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $34K | $37K | $71K | 49.19% |
| M FINANCIAL HOLDINGS INC3 | SUITE 900 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $6K | $6K | 3.83% |
| TODD M MEZRAH3 | 5350 W KENNEDY BLVD STE TWO TAMPA, FL 33609 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $15K | $17K | $32K | 46.52% |
| M FINANCIAL HOLDINGS INC3 | SUITE 900 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $3K | $3K | 3.68% |
| NATIONAL BENEFITS PARTNER LLC3 | 181 E 5600 SOUTH STE 240 SALT LAKE CITY, UT 84107 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 3.50% |
| JAMES M PITZ3 Filed as: JAMES HALL | 181 E 5600 SOUTH STE 240 SALT LAKE CITY, UT 84107 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $536 | — | $536 | 0.96% |
| TODD M MEZRAH3 | 5350 W KENNEDY BLVD STE TWO TAMPA, FL 33609 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $9K | $10K | $19K | 48.11% |
| M FINANCIAL HOLDINGS INC3 | SUITE 900 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $2K | $2K | 3.83% |
| TODD M MEZRAH3 | 5350 W KENNEDY BLVD STE TWO TAMPA, FL 33609 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $6K | $12K | 48.23% |
| M FINANCIAL HOLDINGS INC3 | SUITE 900 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $967 | $967 | 3.83% |
| TODD M MEZRAH3 | 5350 W KENNEDY BLVD STE TWO TAMPA, FL 33609 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $1K | $2K | 45.03% |
| M FINANCIAL HOLDING INC3 | SUITE 900 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $187 | $187 | 3.58% |
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 | 7,552 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 23 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 136 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,711 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(10 contracts, 7 carriers) | BLUE CROSS BLUE SHIELD OF HAWAII | 1,473 | $16.8M |
| Dental(3 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 254 | $1.9M |
| Vision(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 7,588 | $2.0M |
| Life insurance(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO | 7,522 | $1.8M |
| Short-term disability | AETNA LIFE INSURANCE CO | 1,410 | $892K |
| Long-term disability(8 contracts, 3 carriers) | AETNA LIFE INSURANCE CO | 1,481 | $1.5M |
| Other(4 contracts, 3 carriers) | NATIONAL UNION FIRE INS CO OF PITTSBURGH, PA | 2,736 | $440K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,588 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.