| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 800 NORTH MAGNOLIA AVENUE, SUITE 10 ORLANDO, FL 32803 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $83K | $83K | 3.53% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 2502 NORTH ROCKY POINT DRIVE SUITE 400 TAMPA, FL 33607 | PRINCIPAL LIFE INSURANCE COMPANY | $43K | — | $43K | 8.85% |
| GARRY LYNN JOHNSON3 | 3850 EAST BASELINE ROAD, SUITE 121 MESA, AZ 85206 | PRINCIPAL LIFE INSURANCE COMPANY | — | $2K | $2K | 0.50% |
| JANILLE C. MCCALL3 | 1496 DORAL ROAD ORLANDO, FL 32825 | AFLAC | $2K | — | $2K | 6.51% |
| JOYCE WEBER ENTERPRISES INC3 Filed as: JOYCE WEBER ENTERPRISES, INC. | 13313 FALCON POINTE DRIVE ORLANDO, FL 32837 | AFLAC | $765 | — | $765 | 2.34% |
| J WEBER AND ASSOCIATES INC3 Filed as: J,. WEBER AND ASSOCIATES, INC. | 13313 FALCON POINTE DRIVE ORLANDO, FL 32837 | AFLAC | $665 | — | $665 | 2.03% |
| TLW VENTURES LLC3 Filed as: TLW VENTURES, LLC AND OTHER AGENTS | 614 EAST HIGHWAY 50 338 CLERMONT, FL 34711 | AFLAC | $520 | — | $520 | 1.59% |
| DH2 ENTERPRISES INC3 Filed as: DH2 ENTERPRISES, INC. | 13313 FALCON POINTE DRIVE ORLANDO, FL 32837 | AFLAC | $464 | — | $464 | 1.42% |
| THE PERRY GROUP INC3 Filed as: THE PERRY GROUP, INC. | 1650 SAND LAKE ROAD, SUITE 201D ORLANDO, FL 32809 | AFLAC | $277 | — | $277 | 0.85% |
| HARLENE MATZA3 | 101 SPRINGWOOD LANE MOORESVILLE, NC 28117 | AFLAC | $200 | — | $200 | 0.61% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 201629 DALLAS, TX 75320 | VISION SERVICE PLAN | $912 | — | $912 | 9.18% |
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 | 190 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 197 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 249 | $2.3M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 316 | $487K |
| Vision | VISION SERVICE PLAN | 101 | $10K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 316 | $487K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 316 | $487K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 316 | $487K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 249 | $2.3M |
| Other(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 316 | $520K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 316 | — |
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.