| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCOTT FENSTERMAKER3 | 1582 VILLAGE SQUARE BLVD TALLAHASSEE, FL 323092748 | BLUE CROSS BLUE SHIELD OF FLORIDA | $32K | — | $32K | 3.50% |
| DAVID ASHLEY3 | LAKE HAMPTON OFFICE 6982 SW 101 STREET HAMPTON, FL 32044 | SUN LIFE ASSURANCE COMPANY OF CANADA | $10K | — | $10K | 10.00% |
| BARTON, FENSTERMAKER, TONDELLO3 Filed as: BARTON,FENSTERMAKER,TONDELLO & ASSC | 1582 VILLAGE SQUARE BLVD TALLAHASSEE, FL 323092748 | FLORIDA COMBINED LIFE | $6K | — | $6K | 8.08% |
| DAVID ASHLEY3 | LAKE HAMPTON OFFICE 6982 SW 101 STREET HAMPTON, FL 32044 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 7.05% |
| DAVID ASHLEY3 | LAKE HAMPTON OFFICE 6982 SW 101 STREET HAMPTON, FL 32044 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 10.00% |
| ENROLLEASE3 Filed as: STRATEGIC BENEFITS GROUP LLC | 1582 VILLAGE SQUARE BLVD TALLAHASSEE, FL 32309 | UNION SECURITY INSURANCE COMPANY | $479 | — | $479 | 8.92% |
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 | 168 | 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) | 168 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 144 | $911K |
| Dental(2 contracts, 2 carriers) | FLORIDA COMBINED LIFE | 140 | $80K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 168 | $25K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 153 | $49K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 153 | $101K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 144 | $911K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 168 | — |
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.