| 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 | 0.09% |
| MHG SERVICES INC3 Filed as: MHG SERVICES, INC. | 1800 SE 10TH AVENUE, SUITE 320 FORT LAUDERDALE, FL 33316 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $13 | $13 | 0.00% |
| 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 EDWARDS PARTNERS, LLC | 440 ROYAL PALM WAY, SUITE 200 PALM BEACH, FL 33480 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $10K | $0 | $10K | 8.00% |
| EILEEN SANCHEZ MEDINA3 | 6100 SW 44TH TERRACE MIAMI, FL 33155 | AFLAC | $566 | $65 | $631 | 4.58% |
| MARIA C ORTIZ3 Filed as: MARIA C. ORTIZ | 7400 SE 50TH TERRACE, SUITE 300 MIAMI, FL 33155 | AFLAC | $184 | $23 | $207 | 1.50% |
| JOISETT RODRIGUEZ3 Filed as: JOISETT RODRIGUEZ AND OTHER AGENTS | 9513 SW 140TH COURT MIAMI, FL 33186 | AFLAC | $165 | $0 | $165 | 1.20% |
| INGRID MARISA FARRELL3 | 5805 SW 96TH STREET PINECREST, FL 33156 | AFLAC | $105 | $41 | $146 | 1.06% |
| MARTA M SASTRE3 Filed as: MARTA M. SASTRE | 1214 COLUMBUS BOULEVARD CORAL GABLES, FL 33134 | AFLAC | $75 | $0 | $75 | 0.54% |
| ELIZABETH B BOWDRING3 Filed as: ELIZABETH B. BOWDRING | 8617 FORT HUNT ROAD ALEXANDRIA, VA 22308 | AFLAC | $53 | $0 | $53 | 0.38% |
| ALFRED RIETKERK3 | 438 PISGAH PIKE PULASKI, TN 38478 | AFLAC | $44 | $0 | $44 | 0.32% |
| THEODORE JAMES MCGONIGAL3 | 3525 BELLAND CIRCLE CLERMONT, FL 34711 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $267 | $0 | $267 | 2.26% |
| THOMAS SCANLON3 Filed as: THOMAS SCANLON AND OTHER AGENTS | 121 ROLLING MEADOW DRIVE HOLLISTON, MA 01746 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $135 | $9 | $144 | 1.22% |
| B & B INSURANCE SOLUTIONS INC3 Filed as: B AND B INSURANCE SOLUTIONS, INC. | 12002 SW 128TH COURT MIAMI, FL 33186 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $83 | $41 | $124 | 1.05% |
| 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 | 0.70% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ADAM IRA BROWN | 700 NE 7TH AVENUE, SUITE 6 FORT LAUDERDALE, FL 33304 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $58 | $14 | $72 | 0.61% |
| HOWARD HOROWITZ3 Filed as: HOWARD J. HOROWITZ | 2610 ALCOTT STREET CARMEL, IN 46032 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $67 | $0 | $67 | 0.57% |
| 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 | 0.42% |
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 | 125 | 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) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 293 | $1.5M |
| Dental(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 293 | $1.5M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 293 | $1.5M |
| Life insurance(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 293 | $1.5M |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 15 | $12K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 293 | $1.5M |
| Other(4 contracts, 4 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 293 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 293 | — |
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.