| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK EDWARD PARTNERS LLC3 Filed as: MARK EDWARD PARTNERS, LLC | 505 PARK AVENUE NEW YORK, NY 10022 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | $0 | $1K | 0.07% |
| THE SOUTHERN REGION LLC3 Filed as: THE SOUTHERN REGION, LLC | 7313 MERCHANT COURT SARASOTA, FL 34240 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $11K | $0 | $11K | 9.00% |
| MARK EDWARD PARTNERS LLC3 Filed as: MARK EDWARD PARTNERS, LLC | 440 ROYAL PALM WAY, SUITE 200 PALM BEACH, FL 33480 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $10K | $0 | $10K | 7.99% |
| EILEEN SANCHEZ MEDINA3 | 6100 SW 44TH TERRACE MIAMI, FL 33155 | AFLAC | $795 | $48 | $843 | 6.49% |
| INGRID MARISA FARRELL3 | 5805 SW 96TH STREET PINECREST, FL 33156 | AFLAC | $511 | $0 | $511 | 3.93% |
| MARIA C ORTIZ3 Filed as: MARIA C. ORTIZ | 7400 SW 50TH TERRACE, SUITE 300 MIAMI, FL 33155 | AFLAC | $226 | $9 | $235 | 1.81% |
| MJ INSURANCE3 Filed as: ALFRED RIETKERK AND VARIOUS AGENTS | 3120 NE 47TH STREET FORT LAUDERDALE, FL 33308 | AFLAC | $233 | $0 | $233 | 1.79% |
| ELIZABETH B BOWDRING3 Filed as: ELIZABETH B. BOWDRING | 8617 FORT HUNT ROAD ALEXANDRIA, VA 22308 | AFLAC | $48 | $0 | $48 | 0.37% |
| MARTA M SASTRE3 Filed as: MARTA M. SASTRE | PO BOX 140127 CORAL GABLES, FL 33114 | AFLAC | $41 | $6 | $47 | 0.36% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | AFLAC | $2 | $0 | $2 | 0.02% |
| THEODORE JAMES MCGONIGAL3 | 3525 BELLAND CIRCLE CLERMONT, FL 34711 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $327 | $0 | $327 | 2.53% |
| MJ INSURANCE3 Filed as: THOMAS SCANLON AND VARIOUS AGENTS | 121 ROLLING MEADOW DRIVE HOLLISTON, MA 01746 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $227 | $13 | $240 | 1.86% |
| MJ INSURANCE3 Filed as: B AND B NSURANCE SOLUTIONS, INC. | 12002 SW 128TH COURT MIAMI, FL 33186 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $106 | $62 | $168 | 1.30% |
| HOWARD HOROWITZ3 Filed as: HOWARD J. HOROWITZ | 2610 ALCOTT STREET CARMEL, IN 46032 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $83 | $8 | $91 | 0.70% |
| CRYSTAL IBC LLC3 Filed as: CRYSTAL IBC, LLC | 2 ALHAMBRA PLAZA, SUITE 102 CORAL GABLES, FL 33134 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $82 | $0 | $82 | 0.63% |
| WORLD PRIME SOLUTIONS3 | 7000 NOVA DRIVE DAVIE, FL 33317 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $60 | $10 | $70 | 0.54% |
| SHEALY BENEFITS SERVICES INC3 Filed as: SHEALY BENEFITS SERVICES, INC. | 215 HOGAN WAY LEXINGTON, SC 29072 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $49 | $0 | $49 | 0.38% |
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 | 140 | 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) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 329 | $1.9M |
| Dental(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 329 | $1.9M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 329 | $1.9M |
| Life insurance(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 329 | $1.9M |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 17 | $13K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 329 | $1.9M |
| Other(4 contracts, 4 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 329 | $2.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 329 | — |
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.