| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALKHATAB NABIL3 | 433 PLAZA REAL, #275 BOCA RATON, FL 33432 | HUMANA | $20K | — | $20K | 9.24% |
| MIS BENEFITS CONSULTANTS INC3 Filed as: MIS BENEFIT CONSULTANTS, INC. | 2663 RIO DEJANEIRO AVE. COOPER CITY, FL 33026 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $797 | $6K | 5.86% |
| IRENE SHULGIN3 | 2381 PECAN CT. PEMBROKE LAKES, FL 33026 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $572 | $5K | 5.69% |
| MICHAEL MARSHALL3 | 1134 SE 6TH CT. DANIA BEACH, FL 33004 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $474 | $2K | 1.61% |
| ELENAM ESPINOSA-WEEKS3 | 802 CYPRESS GROVE LA. POMPANO BEACH, FL 33069 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $676 | $17 | $693 | 0.72% |
| LESLIE BRERETON3 | 2125 NE 63RD CT. FT. LAUDERDALE, FL 33308 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $469 | $11 | $480 | 0.50% |
| K & G INSURANCE HOUSE MIZNER PARK3 Filed as: K & G INSURANCE HOUSE, INC. | 433 PLAZA REAL BOCA RATON, FL 33432 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $354 | $0 | $354 | 0.37% |
| ELIJEANA KING3 | 1431 SW 72 AVE. PLANTATION, FL 38317 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $318 | $0 | $318 | 0.33% |
| MARCOS A MORAN3 Filed as: MARCOS A. MORAN | 6309 ARTHUR ST. HOLLYWOOD, FL 33024 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $264 | $0 | $264 | 0.28% |
| DANITZA PENALOZA3 | 541 CARRINGTON LA. WESTON, FL 33326 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $160 | $17 | $177 | 0.18% |
| SYLK ENTERPRISES INC3 Filed as: SYLK ENTERPRISES, INC. | 425 PALM BEACH DR. N. DELRAY BEACH, FL 33445 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $158 | $0 | $158 | 0.17% |
| PATRICIA ACKERMAN3 | 1863 NW 96TH AVE. PLANTATION, FL 33322 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $140 | $0 | $140 | 0.15% |
| CYNTHIA ALANE DAVIS3 | 3807 ARTHUR ST. HOLLYWOOD, FL 38021 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $93 | $0 | $93 | 0.10% |
| ADVANCED AGENTS INC3 Filed as: ADVANCED AGENTS, INC. | 1488 CORONADO RD. WESTON, FL 33327 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $76 | $0 | $76 | 0.08% |
| ADVANCED AGENTS INC3 Filed as: ADVANCED ATLANTIS, INC. | 1488 CORONADO RD. WESTON, FL 33327 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $36 | $0 | $36 | 0.04% |
| K & G INSURANCE HOUSE MIZNER PARK3 | 433 PLAZA REAL, #275 BOCA RATON, FL 33432 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $1K | $9K | 11.82% |
| K & G INSURANCE HOUSE MIZNER PARK3 | 433 PLAZA REAL, #275 BOCA RATON, FL 33432 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $853 | $8K | 11.18% |
| K & G INSURANCE HOUSE MIZNER PARK3 | 433 PLAZA REAL, #275 BOCA RATON, FL 33432 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $600 | $4K | 12.05% |
| K & G INSURANCE HOUSE MIZNER PARK3 | 433 PLAZA REAL, #275 BOCA RATON, FL 33432 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $110 | $1K | 11.05% |
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 | 382 | 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) | 382 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 2 carriers) | PREFERRED MEDICAL PLAN, INC. | 467 | $3.1M |
| Dental | HUMANA | 283 | $211K |
| Life insurance(3 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 566 | $179K |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 140 | $125K |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 566 | $88K |
| Prescription drug(4 contracts) | PREFERRED MEDICAL PLAN, INC. | 467 | $3.0M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 143 | $72K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 566 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.