| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK EDWARD PARTNERS LLC3 | 505 PARK AVENUE NEW YORK, NY 10022 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | $0 | $1K | 0.07% |
| THE SOUTHERN REGION LLC3 | 7313 MERCHANT COURT SARASOTA, FL 34240 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $8K | $0 | $8K | 8.99% |
| MARK EDWARD PARTNERS LLC3 | 440 ROYAL PALM WAY, SUITE 200 PALM BEACH, FL 33480 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $7K | $0 | $7K | 7.99% |
| THEODORE JAMES MCGONIGAL3 | 3525 BELLAND CIRCLE CLERMONT, FL 34711 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $839 | $4 | $843 | 7.17% |
| HOWARD HOROWITZ3 Filed as: HOWARD J. HOROWITZ | 2610 ALCOTT STREET CARMEL, IN 46032 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $331 | $133 | $464 | 3.95% |
| B & B INSURANCE SOLUTIONS INC3 Filed as: B AND B INSURANCE SOLUTIONS INC | 12002 SOUTHWEST 128TH COURT MIAMI, FL 33186 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $121 | $93 | $214 | 1.82% |
| MJ INSURANCE3 Filed as: THOMAS SCANLON AND VARIOUS AGENTS | 121 ROLLING MEADOW DRIVE HOLLISTON, MA 01746 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $89 | $0 | $89 | 0.76% |
| CRYSTAL LBC LLC3 | 2 ALHAMBRA PLAZA, SUITE 102 CORAL GABLES, FL 33134 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $63 | $0 | $63 | 0.54% |
| PARRISH J PEACHEE3 Filed as: PARRISH J. PEACHEE | 109 NORTH UNION STREET WESTFILED, IN 46074 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $40 | $1 | $41 | 0.35% |
| SHEALY BENEFITS SERVICES INC3 | 215 HOGAN WAY LEXINGTON, SC 29072 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $37 | $0 | $37 | 0.31% |
| EILEEN SANCHEZ MEDINA3 | 6100 SOUTHWEST 44TH TERRACE MIAMI, FL 33155 | AFLAC | $1K | $79 | $1K | 12.04% |
| MARIA ORTIZ3 | 7400 SOUTHWEST 50TH TERRACE SUITE 300 MIAMI, FL 33155 | AFLAC | $235 | $16 | $251 | 2.21% |
| MARTA M SASTRE3 Filed as: MARTA SASTRE | PO BOX 140127 CORAL GABLES, FL 33114 | AFLAC | $175 | $16 | $191 | 1.68% |
| MJ INSURANCE3 Filed as: ROBIN STROUD AND VARIOUS AGENTS | PO BOX 2768 WOODBRIDGE, VA 22195 | AFLAC | $124 | $18 | $142 | 1.25% |
| ELIZABETH B BOWDRING3 Filed as: ELIZABETH BOWDRING | 8617 FORT HUNT ROAD ALEXANDRIA, VA 22308 | AFLAC | $48 | $0 | $48 | 0.42% |
| ALFRED RIETKERK3 | 3120 NORTHEAST 47TH STREET FORT LAUDERDALE, FL 33308 | AFLAC | $40 | $0 | $40 | 0.35% |
| JOISETT RODRIGUEZ3 | 9513 SOUTHWEST 140TH COURT MIAMI, FL 33186 | AFLAC | $38 | $0 | $38 | 0.33% |
| HOWARD HOROWITZ3 Filed as: HOWARD J. HOROWITZ | 2610 ALCOTT STREET CARMEL, IN 46032 | THE PAUL REVERE LIFE INSURANCE COMPANY | $38 | $15 | $53 | 20.70% |
| THEODORE JAMES MCGONIGAL3 | 3525 BELLAND CIRCLE CLERMONT, FL 34711 | THE PAUL REVERE LIFE INSURANCE COMPANY | $10 | $0 | $10 | 3.91% |
| B & B INSURANCE SOLUTIONS INC3 Filed as: B AND B INSURANCE SOLUTIONS INC | 12002 SOUTHWEST 128TH COURT MIAMI, FL 33186 | THE PAUL REVERE LIFE INSURANCE COMPANY | $8 | $2 | $10 | 3.91% |
| PARRISH J PEACHEE3 Filed as: PARRISH J. PEACHEE | 109 NORTH UNION STREET WESTFILED, IN 46074 | THE PAUL REVERE LIFE INSURANCE COMPANY | $6 | $0 | $6 | 2.34% |
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 | 222 | 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) | 222 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 308 | $1.6M |
| Dental(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 308 | $1.7M |
| Vision(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 308 | $1.6M |
| Life insurance(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 308 | $1.7M |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 16 | $12K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 308 | $1.6M |
| Other(5 contracts, 5 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 308 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 308 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.