| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EXCALIBUR FINANCIAL GROUP3 Filed as: EXCALIBUR FINANCIAL GROUP INC. | 4830 WEST KENNEDY BLVD SUITE 550 TAMPA, FL 33609 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | $50K | — | $50K | 0.54% |
| EXCALIBUR FINANCIAL GROUP3 Filed as: EXCALIBUR FINANCIAL GROUP INC. | 4830 WEST KENNEDY BLVD SUITE 550 TAMPA, FL 33609 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | — | $25K | $25K | 0.27% |
| EXCALIBUR FINANCIAL GROUP3 Filed as: EXCALIBUR FINANCIAL GROUP INC. | 4830 WEST KENNEDY BLVD SUITE 550 TAMPA, FL 33609 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | — | $20K | $20K | 0.22% |
| EXCALIBUR FINANCIAL GROUP3 Filed as: EXCALIBUR FINANCIAL GROUP INC. | 4830 WEST KENNEDY BLVD SUITE 550 TAMPA, FL 33609 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | $0 | $9K | $9K | 0.10% |
| WILLIAM MANNIX3 | 4830 WEST KENNEDY BLVD SUITE 550 TAMPA, FL 33609 | PRINCIPAL LIFE INSURANCE COMPANY | $27K | — | $27K | 5.56% |
| ROBERT FABRIZIO3 | 4830 WEST KENNEDY BLVD SUITE 550 TAMPA, FL 33609 | PRINCIPAL LIFE INSURANCE COMPANY | $27K | — | $27K | 5.56% |
| EXCALIBUR FINANCIAL GROUP3 | 4830 WEST KENNEDY BLVD SUITE 550 TAMPA, FL 33609 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $11K | $11K | 2.27% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXCALIBUR FINANCIAL GROUP INC. EIN 59-3501032 | Insurance agents and brokers Service code 22 | 4830 WEST KENNEDY BLVD SUITE 550 TAMPA, FL 33607 | $240K |
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 | 2,028 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,036 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 1,891 | $9.1M |
| Dental | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 1,891 | $9.1M |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 2,525 | $486K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 2,525 | $486K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 2,525 | $486K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,525 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.