| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA | 1720 SOUTHEAST 16TH AVENUE SUITE 301 OCALA, FL 34471 | BLUE CROSS BLUE SHIELD OF FLORIDA | $39K | — | $39K | 5.00% |
| BKH HOLDINGS INC3 | 11811 GLEN WESSEX COURT TAMPA, FL 33626 | BLUE CROSS BLUE SHIELD OF FLORIDA | $4K | — | $4K | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL FLORIDA | 600 CLEVELAND STREET SUITE 600 CLEARWATER, FL 33755 | BLUE CROSS BLUE SHIELD OF FLORIDA | $4K | — | $4K | 5.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA | 1720 SOUTHEAST 16TH AVENUE SUITE 301 OCALA, FL 34471 | BLUE CROSS BLUE SHIELD OF FLORIDA | $832 | — | $832 | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL FLORIDA | 600 CLEVELAND STREET SUITE 600 CLEARWATER, FL 33755 | BLUE CROSS BLUE SHIELD OF FLORIDA | $110 | — | $110 | 4.98% |
| BKH HOLDINGS INC3 | 11811 GLEN WESSEX COURT TAMPA, FL 33626 | BLUE CROSS BLUE SHIELD OF FLORIDA | $72 | — | $72 | 5.03% |
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 | 157 | 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) | 157 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 120 | $967K |
| Prescription drug(6 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 120 | $967K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120 | — |
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.