| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PRIME GROUP INSURANCE SERVICES, INC3 | 5215 WEST LAUREL STREET SUITE 100 TAMPA, FL 33607 | BLUE CROSS BLUE SHIELD OF FLORIDA | $74K | — | $74K | 6.00% |
| PRIME GROUP INSURANCE SERVICES, INC3 | 5215 WEST LAUREL STREET SUITE 100 TAMPA, FL 33607 | HEALTH OPTIONS, INC. | $24K | — | $24K | 6.50% |
| PRIMEGROUP INSURANCE SERVICES3 | 5215 WEST LAUREL STREET SUITE 100 TAMPA, FL 33607 | METROPOLITAN LIFE INSURANCE COMPANY | $25K | $3K | $28K | 12.66% |
| PRIMEGROUP INSURANCE SERVICES3 | 5215 WEST LAUREL STREET SUITE 100 TAMPA, FL 33607 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $356 | $3K | 19.22% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $564 | $226 | $790 | 5.81% |
| PRIME GROUP INSURANCE SERVICES, INC3 | 5215 W. LAUREL ST STE 100 TAMPA, FL 33607 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $269 | $2K | 19.11% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $442 | $177 | $619 | 5.81% |
| PRIMEGROUP INSURANCE SERVICES3 | 5215 WEST LAUREL STREET SUITE 100 TAMPA, FL 33607 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $193 | $1K | 19.23% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $308 | $123 | $431 | 5.82% |
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 | 240 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 241 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 117 | $1.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 334 | $217K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 334 | $217K |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 334 | $225K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 334 | $217K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 334 | $217K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 334 | $217K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 334 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.