| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | 9850 NW 41ST STREET, SUITE 100 MIAMI, FL 33178 | AETNA HEALTH, INC. | $0 | $94K | $94K | 5.22% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | 9850 NW 41ST STREET, SUITE 100 MIAMI, FL 33178 | SUN LIFE ASSURANCE COMPANY OF CANADA | $21K | $0 | $21K | 11.42% |
| WILLIAM GROSSMAN3 | 2300 RENAISSANCE BOULEVARD KING OF PRUSSIA, PA 19406 | CAPITAL HEALTH PLAN | $3K | $0 | $3K | 2.76% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | 9850 NW 41ST STREET, SUITE 100 MIAMI, FL 33178 | AETNA LIFE INSURANCE COMPANY | $8K | $162 | $8K | 7.61% |
| DARLING J LIE NIELSEN3 Filed as: DARLING J. LIE NIELSEN | 201 ALHAMBRA CIRCLE, SUITE 703 CORAL GABLES, FL 33134 | NORTHWESTERN LONG TERM CARE INSURANCE COMPANY | $313 | $807 | $1K | 4.13% |
| ROBERT J POLEO3 Filed as: ROBERT J. POLEO | 201 ALHAMBRA CIRCLE, SUITE 703 CORAL GABLES, FL 33134 | NORTHWESTERN LONG TERM CARE INSURANCE COMPANY | $0 | $63 | $63 | 0.23% |
| CHARLES E MC INTYRE3 Filed as: CHARLES E. MC INTYRE | 1200 NORTH FEDERAL HIGHWAY SUITE 300 BOCA RATON, FL 33432 | NORTHWESTERN LONG TERM CARE INSURANCE COMPANY | $31 | $4 | $35 | 0.13% |
| CUNDY, INC.3 | PO BOX 24080 FORT LAUDERDALE, FL 33307 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $168 | $0 | $168 | 10.22% |
| THOMAS C CUNDY REVOCABLE TRUST3 | 600 BRICKELL AVENUE 23RD FLOOR MIAMI, FL 33131 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $56 | $0 | $56 | 3.98% |
| SHEALY BENEFITS SERVICES INC3 Filed as: SHEALY BENEFITS SERVICES, INC. | 215 HOGAN WAY LEXINGTON, SC 29072 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $20 | $0 | $20 | 1.42% |
| THEODORE JAMES MCGONIGAL3 | 3525 BELLAND CIRCLE CLERMONT, FL 34711 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $14 | $0 | $14 | 0.99% |
| TILTON ASSOCIATES INC3 Filed as: TILTON ASSOCIATES, INC. | 4141 NW 10TH STREET COCONUT CREEK, FL 33066 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6 | $0 | $6 | 0.43% |
| CORY JOSEPH FANECA3 | 3308 50TH AVENUE EAST BRANDENTON, FL 34203 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.21% |
| STEVEN VERMETTE INC3 Filed as: STEVEN VERMETTE, INC. | 920 SPRING PARK LOOP CELEBRATION, FL 34747 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.21% |
| DOROTHY J LATORRE3 Filed as: DOROTHY J. LATORRE | 725 NW 49TH AVENUE COCONUT CREEK, FL 33063 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.07% |
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 | 142 | 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) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | AETNA HEALTH, INC. | 294 | $2.0M |
| Dental | AETNA LIFE INSURANCE COMPANY | 294 | $103K |
| Vision | AETNA LIFE INSURANCE COMPANY | 294 | $103K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 145 | $185K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 145 | $185K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 145 | $185K |
| Prescription drug(4 contracts, 4 carriers) | AETNA HEALTH, INC. | 294 | $2.0M |
| Other(4 contracts, 4 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 145 | $215K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 294 | — |
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.