| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | PO BOX 201629 DALLAS, TX 75320 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | $87K | $87K | 4.37% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | UNKNOWN ORLANDO, FL 32801 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | $5K | $5K | 0.27% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 2502 NORTH ROCKY POINT DRIVE SUITE 400 TAMPA, FL 33607 | PRINCIPAL LIFE INSURANCE COMPANY | $36K | $0 | $36K | 8.88% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | PO BOX 62889 VIRGINIA BEACH, VA 23466 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $2K | $2K | 0.55% |
| GARRY LYNN JOHNSON3 | 3850 EAST BASELINE ROAD SUITE 121 MEZA, AZ 85206 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $2K | $2K | 0.51% |
| JANILLE C. MCCALL3 Filed as: JANILLE MCCALL | 1520 CASA RIO DRIVE ORLANDO, FL 32825 | AFLAC | $2K | $0 | $2K | 5.94% |
| J WEBER AND ASSOCIATES INC3 Filed as: J. WEBER AND ASSOCIATES, INC. | 13313 FALCON POINTE DRIVE ORLANDO, FL 32837 | AFLAC | $1K | $58 | $1K | 3.53% |
| JOYCE WEBER ENTERPRISES INC3 Filed as: JOYCE WEBER ENTERPRISES, INC. | 13313 FALCON POINTE DRIVE ORLANDO, FL 32837 | AFLAC | $972 | $58 | $1K | 3.06% |
| DH2 ENTERPRISES INC3 Filed as: DH2 ENTERPRISES, INC. | 13313 FALCON POINTE DRIVE ORALNDO, FL 32837 | AFLAC | $468 | $23 | $491 | 1.46% |
| MJ INSURANCE3 Filed as: J W GRIMES INC. AND VARIOUS AGENTS | 6165 WATERFORD ROAD COLUMBUS, GA 31904 | AFLAC | $366 | $23 | $389 | 1.16% |
| THE PERRY GROUP INC3 Filed as: THE PERRY GROUP, INC. | 1650 SAND LAKE ROAD, SUITE 201D ORLANDO, FL 32809 | AFLAC | $257 | $0 | $257 | 0.76% |
| HARLENE MATZA3 | 101 SPRINGWOOD LANE MOORESVILLE, NC 28117 | AFLAC | $179 | $0 | $179 | 0.53% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | PO BOX 201629 DALLAS, TX 75320 | VISION SERVICE PLAN | $821 | $0 | $821 | 8.57% |
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 | 179 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 231 | $2.0M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 305 | $400K |
| Vision | VISION SERVICE PLAN | 95 | $10K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 305 | $400K |
| Short-term disability(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 305 | $434K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 305 | $400K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 231 | $2.0M |
| Other(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 305 | $434K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 305 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.