| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FLORIDA SHORES INSURANCE LLC3 | 908 NE 6TH ST POMPANO BEACH, FL 33060 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $47K | $47K | 4.21% |
| FLORIDA SHORES INSURANCE LLC3 | 908 NE 6TH ST POMPANO BEACH, FL 33060 | SUN LIFE ASSURANCE COMPANY OF CANADA | $11K | — | $11K | 14.45% |
| MARIE FRANCES AIELLO3 | 908 NE 6 STREET POMPANO BEACH, FL 33060 | UNION SECURITY INSURANCE COMPANY | $5K | — | $5K | 10.05% |
| MARIE FRANCES AIELLO3 | 908 NE 6TH STREET POMPANO BEACH, FL 33060 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 10.84% |
| MICHELLE LAMPERT3 Filed as: MICHELLE MEYER EDWARDS | 3341 NORTH EAST 14 TERRACE POMPANO BEACH, FL 33064 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 5.45% |
| IRENE SHULGIN3 | 5720 SW 164 TERRACE SOUTH WEST RANCHES, FL 33026 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $464 | $2K | 4.79% |
| MIS BENEFITS CONSULTANTS INC3 | 2663 RIO DE JANEIRO AVE COOPER CITY, FL 33026 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $522 | $2K | 4.50% |
| KATHERINE PALAGI3 | 437 N. SPALDING LEBANON, KY 40033 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 3.68% |
| CHRISTINA BIEBER3 | 12827 WOODMILL DRIVE PALM BEACH GARDENS, FL 33418 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $625 | $82 | $707 | 1.56% |
| ANNE OWENS3 | 1516 DEER LAKE DRIVE LEXINGTON, KY 40515 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $366 | $18 | $384 | 0.85% |
| JEFFREY ALAN BOSTON3 | 9700 STRUEH HENDRICKS RD EVANSVILLE, FL 47712 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $250 | $57 | $307 | 0.68% |
| SHARON R NOWELL3 | 4111 NW 9TH ST COCONUT CREEK, FL 33066 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $292 | — | $292 | 0.65% |
| JAKE CLAYTON SCOTT3 | 3661 NW MEDITERRANEAN LANE JENSEN BEACH, FL 34957 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $216 | — | $216 | 0.48% |
| NORMA J DAVIS3 | 269 RUFFIAN TRAIL CORBIN, KY 40701 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $201 | $6 | $207 | 0.46% |
| BENEFIT SOLUTIONS INC3 Filed as: BENEFIT SOLUTIONS GROUP INC | 4021 ST GERMAINE CT LOUISVILLE, KY 40207 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $100 | $2 | $102 | 0.23% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS OF FLORIDA | DBA GATEWAY-ACENTRIA INSURANCE FT LAUDERDALE, FL 33310 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $78 | — | $78 | 0.17% |
| AVERY INSURANCE INC3 | ATTN PEMELA AVERY POMPANO BEACH, FL 33069 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $35 | — | $35 | 0.08% |
| TILTON ASSOCIATES INC3 | 4141 NW 10 ST COCONUT CREEK, FL 33066 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $23 | — | $23 | 0.05% |
| KENNETH DAVID WILDER3 | 10824 SW 2ND ST MIAMI, FL 33173 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.04% |
| GATEWAY-ACENTRIA INSURANCE LIE3 | PO BOX 5648 FT LAUDERDALE, FL 33310 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 0.02% |
| MICHAEL MARSHALL3 | 1134 SE 6TH CT DANIA BEACH, FL 33004 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| STEVEN VERMETTE INC3 | 920 SPRING PARK LOOP CELEBRATION, FL 34747 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| JOSEPH GLENN EVANS3 | 4312 DIAMOND TERRACE WESTON, FL 33331 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 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 | 119 | 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 97 | $1.1M |
| Dental | UNION SECURITY INSURANCE COMPANY | 148 | $45K |
| Vision | UNION SECURITY INSURANCE COMPANY | 148 | $45K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 119 | $124K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 119 | $78K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 119 | $78K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 97 | $1.1M |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 119 | $78K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 148 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.