| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES3 | 951 YAMATO ROAD SUITE 200 BOCA RATON, FL 33431 | UNITEDHEALTHCARE INSURANCE COMPANY | — | — | $0 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ INSURANCE SERVICES | 3945 W ATLANTIC AVE DELRAY BEACH, FL 33445 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $7K | $7K | 5.01% |
| KATTY W COHEN3 Filed as: KATTY W. COHEN | 21711 TOWN PLACE DRIVE BOCA RATON, FL 33433 | AFLAC | $7K | $307 | $7K | 10.73% |
| JAVIER ORTIZ3 | 165 NE 96TH ST MIAMI SHORES, FL 33138 | AFLAC | $1K | $64 | $1K | 1.83% |
| G SCOTT COOKE3 | 2832 NE 17TH AVE WILTON MANORS, FL 33334 | AFLAC | $978 | $67 | $1K | 1.56% |
| LUIS M HERNANDEZ-ROSADO3 | 1301 NE 6TH ST APT 1 FORT LAUDAERDALE, FL 33304 | AFLAC | $922 | $9 | $931 | 1.39% |
| EMILY B WAYMAN3 | 1199 SOUTH FEDERAL HIGHWAY SUITE 155 BOCA RATON, FL 33433 | AFLAC | $608 | $14 | $622 | 0.93% |
| BRENDA LYNN GARRETT3 | 5400 GLENWOOD AVE STE G03 RALEIGH, NC 27612 | AFLAC | $538 | — | $538 | 0.80% |
| PLASTRIDGE AGENCY INC3 Filed as: THE PLASTRIDGE AGENCY, INC. | 820 NORTH EAST 6TH AVENUE DELRAY BEACH, FL 33483 | AFLAC | $314 | — | $314 | 0.47% |
| LUIS M HERNANDEZ-ROSADO3 Filed as: LUIS M HERNANDEZ- ROSADO | 1201 RIVER REACH DR APT 505 FORT LAUDERDALE, FL 33315 | AFLAC | $293 | — | $293 | 0.44% |
| JOSHUA BUZZARD3 | 7458 TRESCOT DR LAKE WORTH, FL 33467 | AFLAC | $273 | — | $273 | 0.41% |
| ELIZABETH GUZMAN3 | 10623 NW 6TH CT CORAL SPRINGS, FL 33071 | AFLAC | $167 | — | $167 | 0.25% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERVICES INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $125 | — | $125 | 0.19% |
| WORLDWIDE BENEFITS INC3 | 573 NW 55TH BOCA RATON, FL 33487 | AFLAC | $109 | — | $109 | 0.16% |
| C HUDSON AND ASSOCIATES3 | 2843 TWIN PINE RD THOMSON, GA 30824 | AFLAC | $98 | — | $98 | 0.15% |
| BARRY BAYUK3 Filed as: BARRY M BAYUK | 7193 VENETO DRIVE BOYNTON BEACH, FL 33437 | AFLAC | $47 | — | $47 | 0.07% |
| WEEKES AND CALLAWAY, INC.3 Filed as: WEEKES & CALLAWAY INC | 3945 WEST ATLANTIC AVE DELRAY BEACH, FL 33445 | AFLAC | $39 | — | $39 | 0.06% |
| TALLON AND ASSOCIATES INC3 | PO BOX 30668 PALM BEACH GARDENS, FL 33420 | AFLAC | $38 | — | $38 | 0.06% |
| J W GRIMES INC3 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $38 | — | $38 | 0.06% |
| SUWAT ASSAWAMATIYANONT3 Filed as: SUWAT ASSAWAMATIYANOT | 8171 HAMPTON WOOD APT 505 BOCA RATON, FL 33433 | AFLAC | $36 | — | $36 | 0.05% |
| KENDALL C HUDSON3 | 801 NORTHPOINT PARKWAY STE 35 WEST PALM BEACH, FL 33407 | AFLAC | $27 | — | $27 | 0.04% |
| JACKIE FRANKLIN3 | 8207 EAGLE CREEK DR LOUISVILLE, KY 40222 | AFLAC | $26 | — | $26 | 0.04% |
| BILINGUAL BENEFITS CONSULTANTS INC3 | 2383 AKERS MILL ROAD APT S 15 ATLANTA, GA 30039 | AFLAC | $23 | — | $23 | 0.03% |
| FRANK ROBERT SOBOCINSKI3 Filed as: FRANK SOBOCINSKI | 528 SWEET BAY CIR JUPITER, FL 33458 | AFLAC | $22 | — | $22 | 0.03% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH WILLIS JR | 1431 NE 55TH ST FORT LAUDERDALE, FL 33334 | AFLAC | $19 | — | $19 | 0.03% |
| MICHAEL A ORTIZ3 | 3219 RENALD LN ST CHARLES, IL 60175 | AFLAC | $18 | — | $18 | 0.03% |
| LANCE E SULLIVAN3 | 3619 SANWOOD STREET LAS VEGAS, NV 89147 | AFLAC | $18 | — | $18 | 0.03% |
| DEXTER ANTONIO HARRIS3 | 100 GALLERIA PKWY SE STE 900 ATLANTA, GA 30339 | AFLAC | $15 | — | $15 | 0.02% |
| HAROLD L STAFFORD3 | 5381 W HILLSBORO BLVD APT 108 COCONUT CREEK, FL 33073 | AFLAC | $12 | — | $12 | 0.02% |
| SOUTHEASTERN UNDWR INC3 | 6751 MACON RD STE 4 COLUMBUS, GA 31904 | AFLAC | $9 | — | $9 | 0.01% |
| SUSAN P WATLEY3 Filed as: SUSAN WATLEY | 6366 INDEPENDENCE DR COLUMBUS, GA 31909 | AFLAC | $6 | — | $6 | 0.01% |
| TRACY L MCLEAN3 | 12 OLD ELBERT RD ROYSTON, GA 30662 | AFLAC | $5 | — | $5 | 0.01% |
| DEBORAH L JONGES3 | PO BOX 31994 PALM BEACH GARDENS, FL 33420 | AFLAC | $3 | — | $3 | 0.00% |
| ALFRED RIETKERK3 | 3120 NE 47TH ST FORT LAUDERDALE, FL 33308 | AFLAC | $2 | — | $2 | 0.00% |
| THOMAS R BAILEY3 Filed as: THOMAS BAILEY | 142 MAPLE COURT NW CHARLESTON, TN 37310 | AFLAC | $2 | — | $2 | 0.00% |
| MARK C LEE3 Filed as: MARK LEE | 1444 SOUTH 17TH ST WILMINGTON, NC 28401 | AFLAC | $1 | — | $1 | 0.00% |
| DAVID MORRIS3 | 950 PENINSULA CORPORATE CIR BOCA RATON, FL 33487 | AFLAC | $1 | — | $1 | 0.00% |
| THOMAS R BAILEY3 | 142 MAOLE CT NW CHARLESTON, TN 37310 | AFLAC | $1 | — | $1 | 0.00% |
| JUAN C FERLINI3 | 13826 CHRISTIAN BARRET DR MOORPARK, CA 93021 | AFLAC | $0 | — | $0 | 0.00% |
| OMER S BASS IV3 | 565 W GATEWAY CT MERRIT ISLAND, FL 32952 | AFLAC | $0 | — | $0 | 0.00% |
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 | 193 | 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) | 193 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 243 | $1.1M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 193 | $147K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 193 | $147K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 193 | $147K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 193 | $147K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 193 | $147K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 243 | $1.1M |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 193 | $214K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 243 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.