| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE FARMINGTON COMPANY3 | PO BOX 527 FARMINGTON, CT 06034 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $46K | — | $46K | 18.34% |
| THE FARMINGTON COMPANY3 | 30 WATERSIDE DRIVE, PO BOX 527 FARMINGTON, CT 06034 | TRUSTMARK INSURANCE COMPANY | $28K | — | $28K | 11.82% |
| BENEFITS TECHNOLOGIES LLC3 | 1200 E TAFT STREET SAPULPA, OK 74066 | TRUSTMARK INSURANCE COMPANY | $7K | — | $7K | 3.01% |
| US BENTEC WORKPLACE SOLUTIONS3 | 700 W HILLSBORO BLVD, BLDG 2-102 DEERFIELD BEACH, FL 33441 | TRUSTMARK INSURANCE COMPANY | $2K | — | $2K | 0.99% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVS - PALM BEACH | 2056 VISTA PARKWAY, SUITE 300 WEST PALM BEACH, FL 33411 | TRUSTMARK INSURANCE COMPANY | $2K | — | $2K | 0.69% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER-WORKSITE BENEFIT SVS | 800 CAPITAL CIRCLE, SE UNIT 2 TALLAHASSEE, FL 32301 | TRUSTMARK INSURANCE COMPANY | $29 | — | $29 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 600063009 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 0.85% |
| THE FARMINGTON COMPANY3 | 101 GARDENS DRIVE #205 POMPANO BEACH, FL 33069 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21K | — | $21K | 19.99% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 100 MERIDIAN CENTRE BLVD. ROCHESTER, NY 14618 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $21 | $1K | 1.28% |
| HELEN DIZ-HATTON3 | 4 PALMER LANE ENGLISHTOWN, NJ 07726 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $569 | $361 | $930 | 0.88% |
| US BENTEC WORKPLACE SOLUTIONS3 Filed as: US BENTEC WORKPLACE SOL. (1KY30) | 99 WOOD AVENUE SOUTH, SUITE 501 ISELIN, NJ 08830 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5K | — | $5K | 5.89% |
| THE FARMINGTON COMPANY3 | 30 WATERSIDE DRIVE FARMINGTON, CT 06034 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 3.71% |
| US BENTEC WORKPLACE SOLUTIONS3 Filed as: US BENTEC WORKPLACE SOL. (1KY20) | 99 WOOD AVENUE SOUTH, SUITE 501 ISELIN, NJ 08830 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $893 | — | $893 | 1.16% |
| MARSH & MCLENNAN AGENCY LLC3 | 9850 NW 41ST STREET, SUITE 100 MIAMI, FL 33178 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $861 | — | $861 | 1.12% |
| US BENTEC WORKPLACE SOLUTIONS Filed as: US BENTEC WORKPLACE SOL. (3EGF0) | 99 WOOD AVENUE SOUTH, SUITE 501 ISELIN, NJ 08830 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $280 | — | $280 | 0.36% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2056 VISTA PARKWAY, SUITE 300 WEST PALM BEACH, FL 33411 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $193 | — | $193 | 0.25% |
| FBMC BENEFITS MANAGEMENT INC3 | 3101 SESSION ROAD TALLAHASSEE, FL 32303 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $93 | — | $93 | 0.12% |
| US BENTEC WORKPLACE SOLUTIONS3 Filed as: US BENTEC WORKPLACE SOL. (0EEN0) | 99 WOOD AVENUE SOUTH, SUITE 501 ISELIN, NJ 08830 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $24 | — | $24 | 0.03% |
| KENNETH J GAMELIN3 | 1217 LAKE GENEVA DR LAKE WORTH, FL 33461 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $14 | — | $14 | 0.02% |
| DAVID G SHORE3 Filed as: DAVID HUSSON | 2925 NW 126 AVE SUITE 307-1 SUNRISE, FL 33323 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $11 | — | $11 | 0.01% |
| MICHAEL J MASTERSON3 | P.O. BOX 246 BOCA RATON, FL 33429 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $8 | — | $8 | 0.01% |
| US BENTEC WORKPLACE SOLUTIONS Filed as: US BENTEC WORKPLACE SOL. (4WKH0) | 99 WOOD AVENUE SOUTH, SUITE 501 ISELIN, NJ 08830 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $8 | — | $8 | 0.01% |
| ABBIE ANN PATTERSON3 Filed as: ABBIE A PATTERSON | 4001 SOUTH OCEAN BLVD, SUITE 213 SOUTH PALM BEACH, FL 33480 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| NATIONAL BENEFIT PARTNERS3 | 23282 MILL CREEK DR, SUITE 390 LAGUNA HILLS, CA 92653 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | P.O. BOX 3009 ARLINGTON HEIGHTS, IL 600063009 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $691 | $691 | 0.90% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 600063009 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $630 | $630 | 1.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | P.O. BOX 3009 ARLINGTON HEIGHTS, IL 600063009 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $391 | $391 | 0.95% |
| ESKRA & ASSOCIATES INC3 Filed as: ESKRA AND ASSOCIATES INC | 100 MIRACLE MILE, SUITE 250 CORAL GABLES, FL 33134 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 11.55% |
| DALE FINN3 | 2081 VISTA PKWY, SUITE 300 WEST PALM BEACH, FL 33472 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| MICHAEL CHARLES TYLER3 | 4290 LAKE LUCERNE CIRCLE WEST PALM BEACH, FL 33409 | STANDARD INSURANCE COMPANY | $411 | — | $411 | 1.46% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVS - PALM BEACH | 2056 VISTA PARKWAY, SUITE 300 WEST PALM BEACH, FL 33411 | LEGAL ACCESS PLANS, LLC | $2K | — | $2K | 18.20% |
| THE FARMINGTON COMPANY3 | PO BOX 527 FARMINGTON, CT 06034 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $2K | — | $2K | 28.35% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA BEHAVIORAL HEALTH, LLC EIN 20-0446713 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 151 FARMINGTON AVENUE RSAA HARTFORD, CT 06156 | $39K |
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 | 1,115 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD - FLORIDA BLUE | 1,117 | $1.4M |
| Dental(3 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 940 | $643K |
| Vision | VISION SERVICE PLAN | 743 | $60K |
| Life insurance(2 contracts, 2 carriers) | TRUSTMARK INSURANCE COMPANY | 1,491 | $362K |
| Short-term disability(5 contracts, 4 carriers) | BOSTON MUTUAL LIFE INSURANCE COMPANY | 877 | $598K |
| Long-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 317 | $182K |
| Prescription drug | BLUE CROSS BLUE SHIELD - FLORIDA BLUE | 1,117 | $1.4M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD - FLORIDA BLUE | 1,117 | $1.4M |
| Other(9 contracts, 6 carriers) | BOSTON MUTUAL LIFE INSURANCE COMPANY | 1,491 | $915K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,491 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.