| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS, CORP. | DBA ACENTRIA INSURANCE 2600 CENTENNIAL PL STE 200 TALLAHASSEE, FL 323080583 | HEALTH OPTIONS, INC. | $3K | — | $3K | 0.25% |
| DAVID ASHLEY3 | LAKE HAMPTON OFFICE 6982 SW 101 STREET HAMPTON, FL 32044 | SUN LIFE ASSURANCE COMPANY OF CANADA | $14K | — | $14K | 11.00% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS, CORP. | DBA ACENTRIA INSURANCE 2600 CENTENNIAL PL STE 200 TALLAHASSEE, FL 323080583 | FLORIDA COMBINED LIFE | $10K | — | $10K | 9.25% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS, CORP. | DBA ACENTRIA INSURANCE 2600 CENTENNIAL PL STE 200 TALLAHASSEE, FL 323080583 | BLUE CROSS BLUE SHIELD OF FLORIDA | $242 | — | $242 | 0.25% |
| DAVID ASHLEY3 | LAKE HAMPTON OFFICE 6982 SW 101 STREET HAMPTON, FL 32044 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 5.00% |
| DAVID ASHLEY3 | LAKE HAMPTON OFFICE 6982 SW 101 STREET HAMPTON, FL 32044 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | — | $4K | 10.00% |
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 | 187 | 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) | 187 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH OPTIONS, INC. | 154 | $1.2M |
| Dental | FLORIDA COMBINED LIFE | 162 | $108K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 197 | $42K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 175 | $68K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 175 | $127K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH OPTIONS, INC. | 154 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 197 | — |
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.