| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DONALD J NELSON JR3 Filed as: DONALD J. NELSEN, JR. | 1143 SHIPWATCH CIRCLE TAMPA, FL 33602 | TOKIO MARINE HCC - STOP LOSS GROUP | $19K | — | $19K | 5.00% |
| NELSEN INSURANCE CONSULTING INC3 Filed as: NELSEN INSURANCE CONSULTING INC. | 1143 SHIPWATCH CIR TAMPA, FL 33602 | TOKIO MARINE HCC - STOP LOSS GROUP | — | $9K | $9K | 2.38% |
| TOTAL INSURANCE SOLUTIONS3 | — | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 8.31% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 62-0427913 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $934K |
| SOUTHERN BENEFIT ADMINISTRATORS INC EIN 62-1116095 NONE | Consulting (general); Direct payment from the plan; Participant communication; Copying and duplicating; Plan Administrator Service code 14 | — | $532K |
| HIGHLAND CAPITAL MANAGEMENT, LLC EIN 27-5440911 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $42K |
| NEEDLES & ASSOCIATES, LLC EIN 51-0435869 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $36K |
| GODWIN, MORRIS, LAURENZI & BLOOMFIE EIN 62-1371542 NONE | Legal; Direct payment from the plan Service code 29 | — | $17K |
| OSBORN CARREIRO & ASSOC EIN 71-0631123 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $7K |
| INVESTMENT PERFORMANCE SERVICES LLC EIN 58-2432390 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $5K |
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 | 1,799 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 14 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,829 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 3,720 | $123K |
| Stop-loss / reinsurancereinsurance | TOKIO MARINE HCC - STOP LOSS GROUP | 1,660 | $379K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 3,720 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,720 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.