| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RIVA INSURANCE GROUP3 | 18010 SW 89 AVE MIAMI, FL 33157 | UNITEDHEALTHCARE INSURANCE COMPANY | $26K | — | $26K | 3.00% |
| COMPREHENSIVE COMPANIES3 Filed as: COMPREHENSIVE UNDERWRITERS | 2199 PONCE DE LEON BLVD STE 300 CORAL GABLES, FL 33134 | GUARDIAN | $6K | — | $6K | 10.00% |
| MICHAEL VIDAL3 | 18413 NW 9 ST PEMBROKE PINES, FL 33029 | ALLSTATE INSURANCE COMPANY | $4K | — | $4K | 8.41% |
| AYMEE GONZALEZ-BLANCO3 | 5975 SUNSET DRIVE, STE 605 MIAMI, FL 33143 | ALLSTATE INSURANCE COMPANY | $2K | — | $2K | 3.60% |
| COMPREHENSIVE COMPANIES3 | 2199 PONCE DE LEON BLVD STE 300 CORAL GABLES, FL 33134 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 15.00% |
| ELIZABETH GUZMAN3 | 10623 NW 6TH CT CORAL SPRINGS, FL 33071 | AFLAC | $2K | — | $2K | 6.06% |
| KATTY W COHEN3 | 21711 TOWN PLACE DRIVE BOCA RATON, FL 33433 | AFLAC | $647 | — | $647 | 1.68% |
| SUSANA RIZO3 | 18495 S DIXIE HWY #105 MIAMI, FL 33157 | AFLAC | $554 | — | $554 | 1.44% |
| KENDALL C HUDSON3 | 801 NORTHPOINT PARKWAY STE 35 WEST PALM BEACH, FL 33407 | AFLAC | $326 | — | $326 | 0.85% |
| RUSSELL SHAYNE FOX3 | 5241 CEDAR LAKE RD APT 434 BOYNTON BEACH, FL 33437 | AFLAC | $205 | — | $205 | 0.53% |
| G SCOTT COOKE3 | 2832 NE 17TH AVE WILTON MANORS, FL 33334 | AFLAC | $202 | — | $202 | 0.53% |
| JAVIER ORTIZ3 | 165 NE 96TH ST MIAMI SHORES, FL 33138 | AFLAC | $195 | — | $195 | 0.51% |
| C HUDSON AND ASSOCIATES3 | 2843 TWIN PINE RD THOMSON, GA 30824 | AFLAC | $191 | — | $191 | 0.50% |
| KATTY W COHEN3 | 21711 TOWN PLACE DRIVE BOCA RATON, FL 33433 | AFLAC | $124 | — | $124 | 0.32% |
| BRENDA LYNN GARRETT3 | 107 S SAN AGUSTIN DR MOORESVILLE, NC 28117 | AFLAC | $120 | — | $120 | 0.31% |
| JOSHUA BUZZARD3 | 7458 TRESCOTT ROAD LAKE WORTH, FL 33467 | AFLAC | $81 | — | $81 | 0.21% |
| TALLON AND ASSOCIATES INC3 | PO BOX 30668 PALM BEACH GARDENS, FL 33420 | AFLAC | $46 | — | $46 | 0.12% |
| LANCE E SULLIVAN3 Filed as: LANCE SULLIVAN | 3619 SANWOOD ST LAS VEGAS, NV 89147 | AFLAC | $45 | — | $45 | 0.12% |
| DEXTER ANTONIO HARRIS3 | 100 GALLERIA PARKWAY STE 900 ATLANTA, GA 30339 | AFLAC | $28 | — | $28 | 0.07% |
| MATTHEW G BERGER3 Filed as: MATTHEW W PINER | 100 S SMITHFIELD RD KNIGHTDALE, NC 27545 | AFLAC | $27 | — | $27 | 0.07% |
| HAROLD L STAFFORD3 | 10722 NW 20TH DR CORAL SPRINGS, FL 33071 | AFLAC | $19 | — | $19 | 0.05% |
| LANCE E SULLIVAN3 Filed as: LANCE SULLIVAN | 2105 LAVERS CIR APT 211 DELRAY BEACH, FL 33444 | AFLAC | $17 | — | $17 | 0.04% |
| SUSAN P WATLEY3 | 6366 INDEPENDENCE DR COLUMBUS, GA 31909 | AFLAC | $11 | — | $11 | 0.03% |
| ALFRED RIETKERK3 | 3120 NE 47TH ST FORT LAUDERDALE, FL 33308 | AFLAC | $10 | — | $10 | 0.03% |
| FRANK ROBERT SOBOCINSKI3 | 528 SWEET BAY CIR JUPITER, FL 33458 | AFLAC | $7 | — | $7 | 0.02% |
| BILINGUAL BENEFITS CONSULTANTS INC3 | 2383 AKERS MILL ROAD APT S15 ATLANTA, GA 30039 | AFLAC | $6 | — | $6 | 0.02% |
| MICHAEL A ORTIZ3 | 3219 RENARD LN ST CHARLES, IL 60175 | AFLAC | $5 | — | $5 | 0.01% |
| DEBORAH L JONGES3 | PO BOX 31994 PALM BEACH GARDENS, FL 33420 | AFLAC | $5 | — | $5 | 0.01% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAMPTON WOOD DR BOCA RATON, FL 33433 | AFLAC | $3 | — | $3 | 0.01% |
| SUWAT ASSAWAMATIYANONT3 | 1800 NE 48TH CT FORT LAUDERDALE, FL 33308 | AFLAC | $2 | — | $2 | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH H WILLIS JR | 1431 NE 55TH ST FORT LAUDERDALE, FL 33334 | AFLAC | $2 | — | $2 | 0.01% |
| DAVID S MORRIS3 | 950 PENINSULA CORP CIR STE 1005 BOCA RATON, FL 33487 | AFLAC | $2 | — | $2 | 0.01% |
| JUAN C FERLINI3 Filed as: JUAN FERLINI | 13826 CHRISTIAN BARRETT DR MOORPARK, CA 93021 | AFLAC | $1 | — | $1 | 0.00% |
| COMPREHENSIVE COMPANIES3 | 2199 PONCE DE LEON BLVD STE 300 CORAL GABLES, FL 33134 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $919 | — | $919 | 4.06% |
| JOSEF GOLUB3 Filed as: JOSEF ABRAHAM GOLUB | 268 SUNLIT COVE DR NE ST PETERSBURG, FL 33702 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $192 | — | $192 | 0.85% |
| VONDA GOLUB3 | 3330 OVERLOOK DR NE ST PETERSBURG, FL 33703 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $144 | — | $144 | 0.64% |
| COMPREHENSIVE COMPANIES3 | 2199 PONCE DE LEON BLVD STE 300 CORAL GABLES, FL 33134 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 15.00% |
| COMPREHENSIVE COMPANIES3 | 2199 PONCE DE LEON BLVD STE 300 CORAL GABLES, FL 33134 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $587 | — | $587 | 12.10% |
| VONDA GOLUB3 | 3330 OVERLOOK DR NE ST PETERSBURG, FL 33703 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $414 | — | $414 | 8.53% |
| JOSEF GOLUB3 Filed as: JOSEF ABRAHAM GOLUB | 268 SUNLIT COVE DR NE ST PETERSBURG, FL 33702 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $383 | — | $383 | 7.89% |
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 | 173 | 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) | 173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 154 | $859K |
| Dental | GUARDIAN | 120 | $57K |
| Life insurance(4 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 173 | $77K |
| Short-term disability(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 173 | $103K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 173 | $42K |
| Stop-loss / reinsurancereinsurance | ALLSTATE INSURANCE COMPANY | 52 | $48K |
| Other(4 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 173 | $92K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 173 | — |
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.