| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WAMPLER SCHMITH & WITKOWSKI, INC3 Filed as: WAMPLER SCHMIDT & WITKOWSKI, INC | 6416 SPINNAKER BLVD ENGLEWOOD, FL 34224 | FLORIDA COMBINED LIFE | $11K | — | $11K | — |
| WAMPLER SCHMITH & WITKOWSKI, INC3 Filed as: WAMPLER SCHMIDT & WITKOWSKI, INC | 6416 SPINNAKER BLVD ENGLEWOOD, FL 34224 | BLUECORSS BLUESHIELD OF FLORIDA, INC | $1K | — | $1K | — |
| WAMPLER SCHMITH & WITKOWSKI, INC3 Filed as: WAMPLER SCHMIDT & WITKOWSKI, INC | 6416 SPINNAKER BLVD ENGLEWOOD, FL 34224 | USABLE LIFE | $448 | — | $448 | — |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY # DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $44 | — | $44 | — |
| WAMPLER SCHMITH & WITKOWSKI, INC3 Filed as: WAMPLER SCHMIDT & WITKOWSKI, INC | 6416 SPINNAKER BLVD ENGLEWOOD, FL 34224 | BLUE OPTIONS | $3K | — | $3K | — |
| WAMPLER SCHMITH & WITKOWSKI, INC3 Filed as: WAMPLER SCHMIDT & WITKOWSKI, INC | 6416 SPINNAKER BLVD ENGLEWOOD, FL 34224 | HEALTH OPTIONS | $63K | — | $63K | — |
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 | 129 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE OPTIONS | 115 | $0 |
| Dental | FLORIDA COMBINED LIFE | 129 | $0 |
| Vision | BLUECORSS BLUESHIELD OF FLORIDA, INC | 79 | $0 |
| Life insurance | USABLE LIFE | 184 | $0 |
| Long-term disability | USABLE LIFE | 184 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 184 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.