| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRUCE GOIN3 | 200 GALLERIA PARKWAY STE 1950 ATLANTA, GA 30339 | CAPITAL HEALTH PLAN | $29K | $0 | $29K | 2.46% |
| BRIDGET FAZZOLARA3 | 38233 MOUND RD BUILDING F STERLING HEIGHTS, MI 48310 | CAPITAL HEALTH PLAN | $13K | $0 | $13K | 1.07% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | BLUE CROSS BLUE SHIELD OF FLORIDA | $17K | — | $17K | 5.55% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE SUITE 1950 ATLANTA, GA 30339 | PRINCIPAL LIFE INSURANCE COMPANY | $15K | $8K | $23K | 10.59% |
| BENEFITS PARTNER LLC3 Filed as: BENEFITS PARTNER, LLC | 38233 MOUND RD BUILDING F STERLING HEIGHTS, MI 48310 | PRINCIPAL LIFE INSURANCE COMPANY | $11K | $0 | $11K | 5.33% |
| CENTRO BENEFITS RESEARCH LLC3 Filed as: CENTRO BENEFITS RESEARCH | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $6K | $6K | 2.63% |
| MICHELLE G POLLOCK3 Filed as: MICHELLE G. POLLOCK | 5444 OAKMONT DR. PACE, FL 32571 | AFLAC | $2K | $0 | $2K | 7.45% |
| DIGITAL INSURANCE LLC3 | 300 N. TARRAGONA ST. PENSACOLA, FL 32501 | AFLAC | $1K | $0 | $1K | 4.47% |
| BRIAN V ANDREWS3 Filed as: BRIAN V. ANDREWS | 5728 TAMARACK DR. PACE, FL 32571 | AFLAC | $991 | $39 | $1K | 3.10% |
| JESSICA MARIE MUSACCHIA3 Filed as: JESSICA M. MUSACCHIA | 8118TREETOP LANE PENSACOLA, FL 32514 | AFLAC | $920 | $0 | $920 | 2.77% |
| LEIGH ANNE WHITE Filed as: LEIGH ANN WHITE | 2533 REDFORD DRIVE CANTONMENT, FL 32533 | AFLAC | $793 | $0 | $793 | 2.38% |
| WILLIAM TYLER BRUNNER3 Filed as: WILLIAM YLTER BRUNNDER | 5644 CHURCHILL DOWNS CT PACE, FL 32571 | AFLAC | $734 | $39 | $773 | 2.32% |
| BRYAN SHOVER | 309 KNOB HILL DRIVE VALDOSTA, GA 31602 | AFLAC | $71 | $0 | $71 | 0.21% |
| CAITLIN F. SCOTT3 | 1059 MITSCHER DR. KEY WEST, FL 33040 | AFLAC | $38 | $0 | $38 | 0.11% |
| LARA CARLSON | 106 LAUREL VIEW DRIVE ST. SIMONS ISLAND, GA 31522 | AFLAC | $21 | $0 | $21 | 0.06% |
| JOHN C POLLOCK Filed as: JOHN POLLOCK | 5444 OAKMONT DRIVE MILTON, FL 32571 | AFLAC | — | — | $0 | 0.00% |
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 | 184 | 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) | 192 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 64 | $714K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 380 | $216K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 380 | $216K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 380 | $249K |
| Short-term disability(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 380 | $249K |
| Long-term disability(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 380 | $249K |
| Prescription drug(2 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 64 | $714K |
| Other | AFLAC | 51 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 380 | — |
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."
No prospect flags tripped on this filing.