| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 2400 EAST COMMERICAL BOULEVARD SUIE 600 FORT LAUDERDALE, FL 33308 | AETNA HEALTH, INC. | — | $43K | $43K | 4.38% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 62689 VIRGINIA BEACH, VA 23466 | AETNA HEALTH, INC. | — | $9K | $9K | 0.90% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH AND WILLINGHAM, INC. | 201 1ST AVENUE, 5TH FLOOR SAINT PETERSBURG, FL 33701 | AETNA HEALTH, INC. | — | $309 | $309 | 0.03% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 335 CLUBHOUSE ROAD HUNT VALLEY, MD 21031 | SUN LIFE ASSURANCE COMPANY OF CANADA | $17K | — | $17K | 10.30% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICE, LLC | PO BOX 62689 VIRGINIA BEACH, VA 23466 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $3K | $3K | 1.68% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 1715 NORTH WESTSHORE ROAD TAMPA, FL 33607 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $741 | $7K | 29.09% |
| MJ INSURANCE3 Filed as: ROBERT BAXTER AND VARIOUS AGENTS | 2739 VIA PIAZZA LOOP FORT MEYERS, FL 33905 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $649 | $3K | 14.77% |
| GINA MARIE MARTINEZ3 | 2401 NE 65TH STREET FORT LAUDERDALE, FL 33308 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $2K | $3K | 13.72% |
| GRAEM M CLARK3 Filed as: GRAEM M. CLARK | 589 WINDMERE DRIVE LEXINGTON, SC 29702 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $931 | $1K | $2K | 9.74% |
| CHAUNDRA F MILES-WALKER3 Filed as: CHAUNDRA F. MILES-WALKER | 11415 NEWGATE CREST DRIVE RIVERVIEW, FL 33579 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $661 | $2K | 8.30% |
| SHEALY BENEFITS SERVICES INC3 Filed as: SHEALY BENEFITS SERVICE, INC. | 215 HOGAN WAY LEXINGTON, SC 29072 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $681 | $2K | 8.14% |
| ADVANCED BENEFIT SYSTEM INC3 Filed as: ADVANCED BENEFIT SYSTEM, INC. | 245 SEVEN FARMS DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $508 | $863 | $1K | 6.09% |
| BARRY OLFERN AND ASSOC. INC4 Filed as: BARRY OLFERN AND ASSOCIATES INC. | 954 TYLER STREET HOLLYWOOD, FL 33019 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $718 | — | $718 | 29.58% |
| THOMPSON SUCCESS PARTNERS, INC.4 Filed as: THOMPSON SUCCESS PARTNERS INC. | 4323 SW 18TH PLACE CAPE CORAL, FL 33914 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $437 | — | $437 | 18.01% |
| CYNTHIA LERNER RUBIN4 Filed as: CYNTHIA L. RUBIN | 445 DOCKSIDE DRIVE UNIT 101 NAPLES, FL 34110 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $99 | — | $99 | 4.08% |
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 | 174 | 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) | 175 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA HEALTH, INC. | 189 | $987K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 178 | $164K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 178 | $164K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 178 | $164K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 178 | $164K |
| Prescription drug | AETNA HEALTH, INC. | 189 | $987K |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 178 | $189K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 189 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.