| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EXCALIBUR FINANCIAL GROUP3 | 4010 W BOY SCOUT BLVD TAMPA, FL 33607 | BLUE CROSS BLUE SHIELD OF FLORIDA HEALTH OPTIONS, INC | $18K | — | $18K | 3.92% |
| EXCALIBUR FINANCIAL GROUP3 | 4010 W BOY SCOUT BLVD TAMPA, FL 33607 | BLUE CROSS BLUE SHIELD OF FLORIDA | $12K | — | $12K | 3.96% |
| BRENTLEY M HUXTABLE3 | 815 MAIN LN APT 4407 ORLANDO, FL 32801 | AFLAC | $7K | $631 | $8K | 11.73% |
| THE PERRY GROUP INC3 | 1650 SAND LAKE RD STE 201D ORLANDO, FL 32809 | AFLAC | $1K | $147 | $1K | 1.88% |
| AMBER E SCHMALE PEREYRA3 | 2119 KEWANNEE TRL CASSELBERRY, FL 32707 | AFLAC | $380 | $147 | $527 | 0.80% |
| DAVIDSON WALLACE3 | 707 SUNBURST COVE LN WINTER GARDEN, FL 34787 | AFLAC | $311 | — | $311 | 0.47% |
| LISA H PERRY3 | 1650 SAND LAKE RD STE 201D ORLANDO, FL 32809 | AFLAC | $216 | — | $216 | 0.33% |
| COORDINATED BENEFITS ASSOCIATES INC3 | 203 STUYVESANT AVE LYNDHURST, NJ 07071 | AFLAC | $22 | — | $22 | 0.03% |
| MARY DRESSENDOFER3 | 12 CRABAPPLE CV HAMPTON, NJ 08827 | AFLAC | $14 | — | $14 | 0.02% |
| JOSHUA PAUL GROUP INC3 | 17 OAK LN RANDOLPH, NJ 07869 | AFLAC | $9 | — | $9 | 0.01% |
| GEORGE GIAMARINO3 Filed as: GEORGE J GIAMARINO | 360 HARDING AVE LYNDHURST, NJ 07071 | AFLAC | $8 | — | $8 | 0.01% |
| ROSALINDA PAPARATTO3 | 940 MOUNTAIN AVE MOUNTAINSIDE, NJ 07092 | AFLAC | $8 | — | $8 | 0.01% |
| JORGE ERNESTO CARDENAS3 | 126 DAKOTA AVE GROVELAND, FL 34736 | AFLAC | $1 | — | $1 | 0.00% |
| EXCALIBUR FINANCIAL GROUP3 | 302 KNIGHTS RUN AVE STE 110 TAMPA, FL 33602 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $1K | $4K | 6.07% |
| EXCALIBUR FINANCIAL GROUP3 Filed as: EXCALIBUR FINANCIAL GROUP INC | 4010 W BOY SCOUT BLVD STE 700 TAMPA, FL 336075735 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 12.00% |
| EXCALIBUR FINANCIAL GROUP3 | 4010 W BOY SCOUT BLVD TAMPA, FL 33607 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $584 | — | $584 | 3.55% |
| YOLANDA TRISTANCHO-HELWIG3 | 315 WEST 39TH STREET NEW YORK, NY 10018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $225 | — | $225 | 1.37% |
| RONALD SADOFSKY3 | 7550 NOTRE DAME DR NEW PORT RICHEY, FL 34653 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $46 | — | $46 | 0.28% |
| TRILOGY BENEFITS CONSULTING LLC3 | 11635 GROVE ST SEMINOLE, FL 33772 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $28 | — | $28 | 0.17% |
| MATTHEW RUSH3 | 915 EDGE HILL RD VALRICO, FL 33594 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 0.13% |
| STEVEN VERMETTE INC3 | 920 SPRING PARK LOOP CELEBRATION, FL 34747 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.11% |
| DANIELS SOLUTIONS LLC3 | 13650 W HILLSBOROUGH AVE GREATER TAMPA, FL 33635 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $4 | $17 | 0.10% |
| JANET S DOHERTY3 | 17328 E ADRIATIC PL AURORA, CO 80013 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | — | $14 | 0.09% |
| ANDERSON BENEFIT SOLUTIONS3 | 3821 LAKE PADGETT DR LAND O LAKES, FL 34639 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | — | $13 | 0.08% |
| CHOICE BENEFIT SOLUTIONS INC3 | 525 CAPRI BLVD TREASURE ISLAND, FL 33706 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | — | $13 | 0.08% |
| CORCORAN & HOYT LLC3 | 3905 TAMPA ROAD OLDSMAR, FL 34677 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.07% |
| HEIL BUSINESS SOLUTIONS CORPORATION3 | 2150 49TH STREET N, SUITE F ST. PETERSBURG, FL 33710 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.02% |
| EXCALIBUR FINANCIAL GROUP3 | 4010 W BOY SCOUT BLVD TAMPA, FL 33607 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
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 | 216 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 216 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA HEALTH OPTIONS, INC | 46 | $751K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 216 | $63K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 113 | $12K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 198 | $36K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 46 | $83K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA HEALTH OPTIONS, INC | 46 | $751K |
| Other | HARTFORD LIFE AND ACCIDENT | 198 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 216 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.