| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC. Filed as: WELLS FARGO INSURANCE | 2502 NORTH ROCKY POINT DRIVE SUITE 400 TAMPA, FL 33607 | BLUE CROSS BLUE SHIELD OF FLORIDA | $72K | $0 | $72K | 3.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 2502 NORTH ROCKY POINT DRIVE SUITE 40 TAMPA, FL 33607 | BLUE CROSS BLUE SHIELD OF FLORIDA | $20K | $0 | $20K | 3.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 600 HIGHWAY 169 SOUTH SUITE 1200 ST LOUIS PARK, MN 55426 | AETNA LIFE INSURANCE COMPANY | $13K | $0 | $13K | 6.98% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 2030 MAIN STREET 700 IRVINE, CA 92614 | AETNA LIFE INSURANCE COMPANY | $0 | $91 | $91 | 0.05% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 7400 NORTH SHADELAND AVENUE SUITE 100 INDIANAPOLIS, IN 46250 | ANTHEM HEALTH PLANS OF KENTUCKY | $6K | $0 | $6K | 6.03% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 601478 CHARLOTTE, NC 28260 | STANDARD INSURANCE COMPANY | $8K | $1K | $9K | 10.37% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 601478 CHARLOTTE, NC 28260 | STANDARD INSURANCE COMPANY | $6K | $0 | $6K | 10.35% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 100 NE 3RD AVENUE SUITE 1050 FORT LAUDERDALE, FL 33301 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $0 | $7K | 14.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 2502 NORTH ROCKY POINT DRIVE SUITE 400 TAMPA, FL 33607 | AMERITAS LIFE INSURANCE CORPORATION | $3K | $0 | $3K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 5200 NORTH PALM AVENUE SUITE 114 FRESNO, CA 93704 | AMERITAS LIFE INSURANCE CORPORATION | $0 | $491 | $491 | 1.71% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 203383 DALLAS, TX 75320 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 2502 NORTH ROCKY POINT DRIVE SUITE 400 TAMPA, FL 33607 | AMERITAS LIFE INSURANCE CORPORATION | $871 | $0 | $871 | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 5200 NORTH PALM AVENUE SUITE 114 FRESNO, CA 93704 | AMERITAS LIFE INSURANCE CORPORATION | $0 | $491 | $491 | 5.64% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 2975 REGENT BOULEVARD IRVING, TX 75063 | DELTA DENTAL OF KENTUCKY | $756 | $0 | $756 | 9.23% |
| BENEFIT TECHNOLOGIES LLC3 | 2300 NORTHWEST CORPORATE BOULEVARD SUITE 215 BOCA RATON, FL 33431 | ALLSTATE | $320 | $0 | $320 | 9.89% |
| HEATHER N. LECK3 Filed as: HEATHER N LECK | 80 NORTHEAST 4TH AVENUE SUITE 21 DELRAY BEACH, FL 33483 | ALLSTATE | $92 | $0 | $92 | 2.84% |
| BENEFITS TECHNOLOGIES LLC3 Filed as: BENEFITS TECHNOLOGIES | 2300 NORTHWEST CORPORATE BOULEVARD SUITE 215 BOCA RATON, FL 33431 | ALLSTATE | $81 | $0 | $81 | 11.05% |
| HEATHER N. LECK3 Filed as: HEATHER N LECK | 80 NORTHEAST 4TH AVENUE SUITE 21 DELRAY BEACH, FL 33483 | ALLSTATE | $23 | $0 | $23 | 3.14% |
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 | 460 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 460 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 208 | $3.2M |
| Dental(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 435 | $218K |
| Vision(2 contracts, 2 carriers) | EYEMED VISION CARE | 419 | $27K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 235 | $77K |
| Long-term disability | STANDARD INSURANCE COMPANY | 233 | $91K |
| Prescription drug(3 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 208 | $3.2M |
| Other(4 contracts, 4 carriers) | STANDARD INSURANCE COMPANY | 235 | $135K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 435 | — |
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.