| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RONALD WAYNE MOORE3 | 3401 W CYPRESS ST. STE. 10 TAMPA, FL 33607 | PRINCIPAL LIFE INSURANCE COMPANY | $11K | — | $11K | 11.62% |
| PROVIDENCE BENEFITS SOLUTIONS LLC3 Filed as: PROVIDENCE BENEFIT SOLUTIONS | 3401 W CYPRESS ST. STE. 103 TAMPA, FL 33607 | MADISON NATIONAL LIFE INSURANCE COMPANY | $6K | — | $6K | 16.29% |
| NORTH AMERICAN BENEFITS COMPANY5 | 20 VALLEY STREAM PARKWAY, STE. 310 MALVERN, PA 19355 | MADISON NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 7.07% |
| JOHN M NEWMAN, JR3 Filed as: JOHN M NEWMAN JR. | 35 PONTE VEDRA COLONY CIRCLE PONTE VEDRA BEACH, FL 32082 | MADISON NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 5.29% |
| PROVIDENCE BENEFITS SOLUTIONS LLC Filed as: PROVIDENCE BENEFITS SOLUTION | 3401 W CYPRESS ST. STE. 103 TAMPA, FL 33607 | 5STAR LIFE INSURANCE COMPANY | $4K | — | $4K | 47.68% |
| THE ABACUS GROUP LLC Filed as: ABACUS GROUP LLC | 252 HARRY LANE BLVD #100 KNOXVILLE, TN 37923 | 5STAR LIFE INSURANCE COMPANY | $2K | — | $2K | 16.90% |
| PROVIDENCE BENEFITS SOLUTIONS LLC3 Filed as: PROVIDENCE BENEFIT SOLUTIONS | 3401 W CYPRESS ST, STE, 103 TAMPA, FL 33607 | ADVANTICA | $1K | — | $1K | 16.43% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS OF FLORIDA INC | 9500 KOGER BLVD STE. 200 ST. PETERSBURG, FL 33702 | ADVANTICA | $410 | — | $410 | 5.47% |
| PROVIDENCE BENEFITS SOLUTIONS LLC Filed as: PROVIDENCE BENEFIT SOLUTIONS | 3401 W CYPRESS ST. STE 103 TAMPA, FL 33607 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $514 | — | $514 | — |
| GIS BENEFITS INC Filed as: GIS BENEFITS OF FLORIDA INC | 9500 KOGER BLVD. STE. 200 ST. PETERSBURG, FL 33702 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $171 | — | $171 | — |
| STOP LOSS INSURANCE SERVICES, INC. Filed as: CERTUS MANAGEMENT GROUP STOP LOSS | 300 N MERIDIAN ST SUITE 1010 INDIANAPOLIS, IN 46204 | HEALTHSCOPE | $210K | — | $210K | — |
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. |
| Total participants (= "Plan participants" tile) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 39 | $93K |
| Vision(2 contracts, 2 carriers) | ADVANTICA | 191 | $7K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 39 | $93K |
| Short-term disability(2 contracts, 2 carriers) | MADISON NATIONAL LIFE INSURANCE COMPANY | 65 | $44K |
| Long-term disability | MADISON NATIONAL LIFE INSURANCE COMPANY | 65 | $35K |
| Stop-loss / reinsurancereinsurance | HEALTHSCOPE | 0 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 191 | — |
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.