| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT FABRIZIO3 | 814 NORTH VALRICO ROAD VALRICO, FL 33596 | EXCELLUS BLUE CROSS BLUE SHIELD | $34K | — | $34K | 3.25% |
| ROBERT FABRIZIO3 | 814 NORTH VALRICO ROAD VALRICO, FL 33596 | EXCELLUS BLUE CROSS BLUE SHIELD | $9K | — | $9K | 3.25% |
| ROBERT FABRIZIO3 | 814 NORTH VALRICO ROAD VALRICO, FL 33596 | EXCELLUS BLUE CROSS BLUE SHIELD | $8K | — | $8K | 3.25% |
| WILLIAM MANNIX3 Filed as: WILLIAM J MANNIX | 4830 WEST KENNEDY BOULEVARD SUITE 550 TAMPA, FL 33609 | PRINCIPAL LIFE INSURANCE COMPANY | $7K | — | $7K | 4.93% |
| ROBERT FABRIZIO3 Filed as: ROBERT B FABRIZIO | 4830 WEST KENNEDY BOULEVARD SUITE 550 TAMPA, FL 33609 | PRINCIPAL LIFE INSURANCE COMPANY | $7K | — | $7K | 4.93% |
| EXCALIBUR FINANCIAL GROUP3 Filed as: EXCALIBUR FINANCIAL GROUP INC | 302 KNIGHTS RUN AVENUE SUITE 110 TAMPA, FL 33602 | PRINCIPAL LIFE INSURANCE COMPANY | — | $5K | $5K | 3.31% |
| ROBERT FABRIZIO3 | 814 NORTH VALRICO ROAD VALRICO, FL 33596 | EXCELLUS BLUE CROSS BLUE SHIELD | $2K | — | $2K | 3.25% |
| ROBERT FABRIZIO3 Filed as: ROBERT B FABRIZIO | 4830 WEST KENNEDY BOULEVARD SUITE 550 TAMPA, FL 33609 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 5.93% |
| WILLIAM MANNIX3 Filed as: WILLIAM J MANNIX | 4830 WEST KENNEDY BOULEVARD SUITE 550 TAMPA, FL 33609 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 5.92% |
| EXCALIBUR FINANCIAL GROUP3 Filed as: EXCALIBUR FINANCIAL GROUP INC | 302 KNIGHTS RUN AVENUE SUITE 110 TAMPA, FL 33602 | PRINCIPAL LIFE INSURANCE COMPANY | — | $2K | $2K | 3.23% |
| WILLIAM MANNIX3 Filed as: WILLIAM J MANNIX | 4830 WEST KENNEDY BOULEVARD SUITE 550 TAMPA, FL 33609 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 6.97% |
| ROBERT FABRIZIO3 Filed as: ROBERT B FABRIZIO | 4830 WEST KENNEDY BOULEVARD SUITE 550 TAMPA, FL 33609 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 6.97% |
| EXCALIBUR FINANCIAL GROUP3 Filed as: EXCALIBUR FINANCIAL GROUP INC | 302 KNIGHTS RUN AVENUE SUITE 110 TAMPA, FL 33602 | PRINCIPAL LIFE INSURANCE COMPANY | — | $750 | $750 | 2.17% |
| EXCALIBUR FINANCIAL GROUP3 | — | HM LIFE INSURANCE COMPANY | $448 | — | $448 | 10.01% |
| ROBERT FABRIZIO3 | 814 NORTH VALRICO ROAD VALRICO, FL 33596 | EXCELLUS BLUE CROSS BLUE SHIELD | $90 | — | $90 | 3.24% |
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 | 184 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts) | EXCELLUS BLUE CROSS BLUE SHIELD | 75 | $1.6M |
| Dental(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 112 | $193K |
| Vision(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 112 | $198K |
| Life insurance(3 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 168 | $228K |
| Short-term disability(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 112 | $193K |
| Long-term disability(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 112 | $193K |
| Prescription drug(5 contracts) | EXCELLUS BLUE CROSS BLUE SHIELD | 75 | $1.6M |
| Other(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 112 | $193K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 168 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.