| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALLACE WELCH & WILLINGHAM INC3 | 300 FIRST AVE S FIFTH FLOOR ST PETERSBURG, FL 33701 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $0 | $8K | $8K | 2.77% |
| RANDALL DAVID BRISTOWE3 | 11234 SAN JOSE BLVD. SUITE 7 JACKSONVILLE, FL 32223 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $12K | — | $12K | 23.35% |
| SHAWN I. STUBBS3 | 11234 SAN JOSE BLVD. SUITE 7 JACKSONVILLE, FL 32223 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $603 | — | $603 | 1.20% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA BEHAVIORAL HEALTH, LLC PLAN ADMIN | Plan Administrator Service code 14 | 151 FARMINGTON AVE RSAA HARTFORD, CT 06156 | $5K |
| WALLACE WELCH & WILLINGHAM INC EIN 59-1203168 BROKER | Other commissions Service code 55 | 300 FIRST AVE S 5TH FLOOR ST PETERSNURG, FL 33701 | $0 |
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 | 498 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 504 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 883 | $2.6M |
| Dental | AETNA LIFE INSURANCE CO. | 883 | $2.6M |
| Vision | AETNA LIFE INSURANCE CO. | 883 | $2.6M |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 709 | $303K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 709 | $303K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 709 | $303K |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 709 | $354K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 883 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.