| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRUCE GOIN3 | 200 GALLERIA PARKWAY, STC 1950 ATLANTA, GA 30339 | CAPITAL HEALTH PLAN | $34K | — | $34K | 2.82% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL BENEFITS ADVISORS- ORLANDO | 200 GALLERIA PARKWAY SE SUITE 1950 ATLANTA, GA 30339 | UNITED HEALTHCARE INSURANCE COMPANY | $21K | — | $21K | 3.37% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP- NORTH FL | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | UNITED HEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 0.55% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | PRINCIPAL LIFE INSURANCE COMPANY | $23K | $2K | $25K | 13.37% |
| CENTRO BENEFITS RESEARCH LLC3 | 200 GALLERIA PARKWAY SE SUITE 1950 ATLANTA, GA 30339 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 1.22% |
| MICHELLE G POLLOCK3 | 5444 OAKMONT DR PACE, FL 32571 | AFLAC | $2K | $154 | $3K | 10.94% |
| WILLIAM TYLER BRUNNER3 | 8050 HEIRLOOM DR PENSACOLA, FL 32514 | AFLAC | $1K | $112 | $1K | 5.65% |
| DIGITAL INSURANCE LLC3 | 300 N TARRAGONA ST PENSACOLA, FL 32501 | AFLAC | $1K | — | $1K | 4.53% |
| JOHN C POLLOCK3 | 600 UNIVERSITY OFFICE BLVD STE 12 PENSACOLA, FL 32504 | AFLAC | $601 | $396 | $997 | 4.23% |
| BRIAN ANDREWS3 | 5728 TAMARACK DRIVE PACE, FL 32571 | AFLAC | $764 | $112 | $876 | 3.71% |
| CAITLIN F. SCOTT3 Filed as: CAITLIN F SCOTT | 1059 MITSCHER DR KEY WEST, FL 33040 | AFLAC | $102 | — | $102 | 0.43% |
| JESSICA MARIE MUSACCHIA3 | 8118 TREETOP LN PENSACOLA, FL 32514 | AFLAC | $47 | $10 | $57 | 0.24% |
| JAVIER ORTIZ3 | 9620 NE 2ND AVE SUITE 203 MIAMI SHORES, FL 33138 | AFLAC | $23 | — | $23 | 0.10% |
| G SCOTT COOKE3 | 2832 NE 17TH AVE WILTON MANORS, FL 33334 | AFLAC | $15 | — | $15 | 0.06% |
| LEIGH ANNE WHITE3 | 2533 REDFORD DR CANTONMENT, FL 32533 | AFLAC | $2 | — | $2 | 0.01% |
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 | 194 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 202 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CAPITAL HEALTH PLAN | 187 | $1.8M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 354 | $186K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 354 | $186K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 354 | $186K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 354 | $186K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 354 | $186K |
| Other | AFLAC | 51 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 354 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.