| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | PARK 80 PLAZA 2 SADDLE BROOK, NJ 07663 | AETNA | — | $4K | $4K | 0.28% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY LLC - MIAMI | 9850 NW 41ST ST. STE 100 DORAL, FL 331782986 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $31K | $31K | 4.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY LLC | 9850 NW 41ST STE 100 MIAMI, FL 33178 | SUN LIFE ASSURANCE COMPANY OF CANADA | $25K | — | $25K | 12.40% |
| WILLIAM GROSSMAN3 | 9800 NW 41ST STREET MIAMI, FL 33178 | CAPITAL HEALTH PLAN | $510 | — | $510 | 1.07% |
| DARLING J LIE NIELSEN3 | 201 ALHAMBRA CIR STE 703 CORAL GABLES, FL 33134 | NORTHWESTERN LONG TERM CARE INSURANCE COMPANY | $664 | $238 | $902 | 4.13% |
| CHARLES RICHARD DOWNS3 | STE 2200 2 S BISCAYNE BLVD MIAMI, FL 33131 | NORTHWESTERN LONG TERM CARE INSURANCE COMPANY | $664 | $152 | $816 | 3.74% |
| CHARLES E MC INTYRE3 Filed as: CHARLES MCINTYRE | STE 300 1200 N FEDERAL HWY BOCA RATON, FL 33432 | NORTHWESTERN LONG TERM CARE INSURANCE COMPANY | $285 | $48 | $333 | 1.52% |
| ASSUREDPARTNERS3 Filed as: SOUTH FLORIDA GRP LLC | STE 2000 500 E BROWARD BLVD CORAL GABLES, FL 33309 | NORTHWESTERN LONG TERM CARE INSURANCE COMPANY | — | $23 | $23 | 0.11% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY LLC COMPANY | 9850 NW 41ST STREET SUITE 100 MIAMI, FL 331780000 | SOLSTICE BENEFITS, INC. | $1K | — | $1K | 10.00% |
| THOMAS C CUNDY REVOCABLE TRUST2 | 8925 COLLINS AVENUE SURFSIDE, FL 33154 | COLONIAL LIFE & ACCIDENT INSURANCE AGENCY | $108 | — | $108 | 2.06% |
| THOMAS C CUNDY3 Filed as: THOMAS CUNDY | PO BOX 24080 FT LAUDERDALE, FL 33307 | COLONIAL LIFE & ACCIDENT INSURANCE AGENCY | $93 | — | $93 | 1.78% |
| SHEALY BENEFITS SERVICES INC3 | 215 HOGAN WAY LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INSURANCE AGENCY | $74 | $0 | $74 | 1.41% |
| MICHAEL MARSHALL3 | 1134 SE 6TH CT DANIA BEACH, FL 33004 | COLONIAL LIFE & ACCIDENT INSURANCE AGENCY | $55 | — | $55 | 1.05% |
| THEODORE JAMES MCGONIGAL3 Filed as: THEODORE JAMES MCGONICAL | 7451 S ARAGON BLVD SUNRISE, FL 33313 | COLONIAL LIFE & ACCIDENT INSURANCE AGENCY | $40 | — | $40 | 0.76% |
| CORY JOSEPH FANECA3 | 3308 50TH AVE EAST BRADENTON, FL 34203 | COLONIAL LIFE & ACCIDENT INSURANCE AGENCY | $33 | — | $33 | 0.63% |
| RHODES INS GROUP3 Filed as: THE RHODES INS GRP | 1263 E LAS OLAS BLVD FT LAUDERDALE, FL 33301 | COLONIAL LIFE & ACCIDENT INSURANCE AGENCY | $31 | — | $31 | 0.59% |
| NELSON G FABAL3 | 17820 NW 84TH AVE MIAMI, FL 33015 | COLONIAL LIFE & ACCIDENT INSURANCE AGENCY | $28 | — | $28 | 0.53% |
| STEVEN VERMETTE INC3 | 920 SPRING PARK LOOP CELEBRATION, FL 34747 | COLONIAL LIFE & ACCIDENT INSURANCE AGENCY | $14 | — | $14 | 0.27% |
| TILTON ASSOCIATES INC3 | 4141 NW 10ST COCONUT CREEK, FL 33066 | COLONIAL LIFE & ACCIDENT INSURANCE AGENCY | $8 | — | $8 | 0.15% |
| DOROTHY J LATORRE3 | 725 NW 49TH AVE COCONUT CREEK, FL 33063 | COLONIAL LIFE & ACCIDENT INSURANCE AGENCY | $2 | — | $2 | 0.04% |
| CUNDY, INC.3 Filed as: CUNDY INC | PO BOX 24080 FORT LAUDERDALE, FL 33307 | ALLSTATE BENEFITS | $280 | — | $280 | 20.48% |
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 | 138 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | AETNA | 280 | $2.4M |
| Dental | RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA | 321 | $164K |
| Vision | SOLSTICE BENEFITS, INC. | 227 | $13K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 159 | $203K |
| Short-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 159 | $209K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 159 | $203K |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 159 | $230K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 321 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.