| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 9140 CORSEA DEL FONTANA WAY BLDG 110 SUITE 2 NAPLES, FL 341094397 | BLUE CROSS BLUE SHIELD OF FLORIDA | $25K | — | $25K | 3.50% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 9140 CORSEA DEL FONTANA WAY BLDG 110 SUITE 2 NAPLES, FL 341094397 | HEALTH OPTIONS INC | $17K | — | $17K | 3.50% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4010 W BOY SCOUT BLVD STE 200 TAMPA, FL 336075752 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $13K | $3K | $17K | 8.46% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4010 W BOY SCOUT BLVD STE 200 TAMPA, FL 336075752 | VISION SERVICE PLAN | $2K | — | $2K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FL INC | 3820 COLONIAL BLVD STE 200 FORT MEYERS, FL 33966 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $508 | $4 | $512 | 8.40% |
| JAMES H. VAN EPPS3 Filed as: JAMES H VAN EPPS | 10930 CRABAPPLE RD STE 206 ROSWELL, GA 30075 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $392 | — | $392 | 6.43% |
| BALDWYN KRYSTYN SHERMAN PARTNERS3 | 4010 W BOYSCOUT BLVD TAMPA, FL 33607 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $336 | — | $336 | 5.51% |
| CHARLES D. BLOCK3 Filed as: CHARLES D BLOCK | 648 VILLAGE PARK DR UNIT 208 WILMINGTON, NC 28405 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $91 | — | $91 | 1.49% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN HEADQUARTERS | PO BOX 2412 DAYTONA BEACH, FL 32115 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $35 | $35 | 0.57% |
| RANDOLPH POWERS3 | PO BOX 10188 CAPE CORAL, FL 33910 | AFLAC | $81 | — | $81 | 2.01% |
| ROGERS BENEFIT GROUP INC3 Filed as: DEBORAH L ROGERS | 11124 FOSTER CARRIAGE RD LITHIA, FL 33547 | AFLAC | $55 | — | $55 | 1.37% |
| JOSEPH WARING3 | 3434 SW 5TH PLACE CAPE CORAL, FL 33914 | AFLAC | $45 | — | $45 | 1.12% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INC | 3820 COLONIAL BLVD SUITE 200 FORT MYERS, FL 33912 | AFLAC | $41 | — | $41 | 1.02% |
| LESLEE BOTELLO3 Filed as: LESLEE A BOTELLO | 310 TRUMAN AVE LEHIGH ACRES, FL 33936 | AFLAC | $41 | — | $41 | 1.02% |
| LARRY S CORNELL3 | 182 RENGERMAN HILL RD EAST HARTLAND, CT 06027 | AFLAC | $21 | — | $21 | 0.52% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA A CHAMBLISS | 2059 PINE RIVER DR KINGWOOD, TX 77339 | AFLAC | $20 | — | $20 | 0.50% |
| JULIE W CRAIG3 | 15655 77TH TRL N PALM BEACH GARDENS, FL 33418 | AFLAC | $20 | — | $20 | 0.50% |
| KEVIN MCCARTHY3 Filed as: KEVIN T MCCARTHY | 197 LANG DR NORTH KINGSTOWN, RI 02852 | AFLAC | $15 | — | $15 | 0.37% |
| HAROLD L STAFFORD3 | 601 HERITAGE DR SUITE 227 JUPITER, FL 33458 | AFLAC | $13 | — | $13 | 0.32% |
| JIMMY D BOONE3 | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC | $11 | — | $11 | 0.27% |
| LYNNE F. KULISCH3 Filed as: LYNNE F KULISCH | 103 LAUREL HILL AVE #A PASCOAG, RI 02859 | AFLAC | $10 | — | $10 | 0.25% |
| JAYNE A STALLINGS3 | 8056 TIGER PALM WAY FORT MYERS, FL 33966 | AFLAC | $8 | — | $8 | 0.20% |
| C HUDSON AND ASSOCIATES3 | 2843 TWIN PINE ROAD THOMSON, GA 30824 | AFLAC | $6 | — | $6 | 0.15% |
| MARK S TAGLIAFERRI3 | 110 JEFFERSON BLVD WARWICK, RI 02888 | AFLAC | $5 | — | $5 | 0.12% |
| SUSAN BRIMHALL3 | 155 CYPRESS LN SUITE 525 OLDSMAR, FL 34677 | AFLAC | $4 | — | $4 | 0.10% |
| SINIAPI INSURANCE ASSOC3 | 16 SWAN CT CRANSTON, RI 02921 | AFLAC | $4 | — | $4 | 0.10% |
| DEXTER ANTONIO HARRIS3 | 100 GALLERIA PARKWAY SUITE 900 ATLANTA, GA 30339 | AFLAC | $1 | — | $1 | 0.02% |
| MISCELLANEOUS AGENTS3 Filed as: MISCELLANEOUS BROKERS | — | AFLAC | $1 | — | $1 | 0.02% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FL INC | 3820 COLONIAL BLVD STE 200 FORT MEYERS, FL 33966 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $299 | — | $299 | 12.79% |
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 | 245 | 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) | 245 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 156 | $1.2M |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 245 | $196K |
| Vision | VISION SERVICE PLAN | 135 | $16K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 245 | $196K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 245 | $196K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 245 | $196K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 156 | $1.2M |
| Other(4 contracts, 4 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 245 | $208K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 245 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.