| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF SW FLORIDA | 1421 PINE RIDGE RD STE 200 NAPLES, FL 34109 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $1K | — | $1K | 0.31% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC | 1819 MAIN ST STE 315 SARASOTA, FL 34236 | STANDARD INSURANCE COMPANY | $5K | $2K | $6K | 6.71% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PXC INC | PO BOX 732954 PO BOX 732954 DALLAS, TX 75373 | STANDARD INSURANCE COMPANY | — | $2K | $2K | 2.09% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PXC INC | 911 PANORAMA TRAIL SO ROCHESTER, NY 14625 | STANDARD INSURANCE COMPANY | — | $403 | $403 | 0.42% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF NY INC | 1819 MAIN ST STE 315 SARASOTA, FL 34236 | STANDARD INSURANCE COMPANY | $3K | $1K | $4K | 6.49% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PXC INC | PO BOX 732954 DALLAS, TX 75373 | STANDARD INSURANCE COMPANY | — | $1K | $1K | 2.17% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PXC INC | 911 PANORAMA TRAIL SO ROCHESTER, NY 14625 | STANDARD INSURANCE COMPANY | — | $277 | $277 | 0.40% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC | 1819 MAIN ST STE 315 SARASOTA, FL 34236 | STANDARD INSURANCE COMPANY | $5K | $395 | $6K | 10.07% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC | 1421 PINE RIDGE ROAD SUITE 200 NAPLES, FL 34109 | VISION SERVICE PLAN | $883 | — | $883 | 7.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF NY INC | 1819 MAIN ST STE 315 SARASOTA, FL 34236 | STANDARD INSURANCE COMPANY | $862 | $132 | $994 | 13.05% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PXC INC | PO BOX 732954 DALLAS, TX 75373 | STANDARD INSURANCE COMPANY | — | $179 | $179 | 2.35% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PXC INC | 911 PANORAMA TRAIL SO ROCHESTER, NY 14625 | STANDARD INSURANCE COMPANY | — | $29 | $29 | 0.38% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 ADMINISTRATION FEES | Contract Administrator; Plan Administrator Service code 13 | — | $26K |
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 | 133 | 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) | 133 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 96 | $434K |
| Dental | STANDARD INSURANCE COMPANY | 63 | $56K |
| Vision | VISION SERVICE PLAN | 64 | $13K |
| Life insurance | STANDARD INSURANCE COMPANY | 133 | $69K |
| Short-term disability | STANDARD INSURANCE COMPANY | 35 | $8K |
| Long-term disability | STANDARD INSURANCE COMPANY | 127 | $97K |
| Other | STANDARD INSURANCE COMPANY | 133 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 133 | — |
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.