| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EXCALIBUR FINANCIAL GROUP3 Filed as: EXCALIBUR FINANCIAL GROUP INC | 812 N VALRICO RD VALRICO, FL 33594 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $39K | $39K | 5.72% |
| BRENTLEY M HUXTABLE3 | 2520 LAKE WADE CT ORLANDO, FL 32809 | AFLAC | $8K | $173 | $8K | 13.95% |
| THE PERRY GROUP INC3 | 1650 SAND LAKE RD STE 201D ORLANDO, FL 32809 | AFLAC | $1K | $40 | $1K | 2.14% |
| DAVIDSON WALLACE3 | 707 SUNBURST COVE LN WINTER GARDEN, FL 34787 | AFLAC | $717 | $40 | $757 | 1.25% |
| AMBER E SCHMALE PEREYRA3 | 2119 KEWANNEE TRL CASSELBERRY, FL 32707 | AFLAC | $206 | $0 | $206 | 0.34% |
| LISA H PERRY3 | 1650 SAND LAKE RD STE 201D ORLANDO, FL 32809 | AFLAC | $155 | — | $155 | 0.26% |
| EXCALIBUR FINANCIAL GROUP3 Filed as: EXCALIBUR FINANCIAL GROUP INC | 4830 W KENNEDY BLVD STE 550 TAMPA, FL 33609 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $12 | $2K | 4.05% |
| EXCALIBUR FINANCIAL GROUP Filed as: EXCALIBUR FINANCIAL GRP INC | 4830 WEST KENNEDY BLVD UNIT 550 TAMPA, FL 33609 | THE HARTFORD | $2K | — | $2K | 12.00% |
| EXCALIBUR FINANCIAL GROUP3 Filed as: EXCALIBUR FINANCIAL GRP INC | 4830 WEST KENNEDY BLVD TAMPA, FL 33609 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $362 | — | $362 | 3.00% |
| YOLANDA TRISTANCHO-HELWIG3 | 315 WEST 39TH STREET NEW YORK, NY 10018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $159 | — | $159 | 1.32% |
| RONALD SADOFSKY3 | 14887 SEA MYRTLE LN HUDSON, FL 34667 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.15% |
| TRILOGY BENEFITS CONSULTING LLC3 | 11635 GROVE ST SEMINOLE, FL 33772 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | $1 | $15 | 0.12% |
| STEVEN VERMETTE INC3 | 920 SPRING PARK LOOP CELEBRATION, FL 34747 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | — | $13 | 0.11% |
| COLIN JAMES MCDOUGALL3 | 3513 PAVILION PALMS CIR APT 10 RIVERVIEW, FL 33578 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.08% |
| CORCORAN & HOYT LLC3 | 3905 TAMPA ROAD OLDSMAR, FL 34677 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | $0 | $9 | 0.07% |
| DANIELS SOLUTIONS LLC3 | 13650 W HILLSBOROUGH AVE GREATER TAMPA, FL 33635 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | $2 | $7 | 0.06% |
| ANDERSON BENEFIT SOLUTIONS3 | 3821 LAKE PADGETT DR LAND O LAKES, FL 34639 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.05% |
| CHOICE BENEFIT SOLUTIONS INC3 | 525 CAPRI BLVD TREASURE ISLAND, FL 33706 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.05% |
| GREGORY PAUL STAUDINGER3 | 5686 BROADVIEW RD APT 2132 CLEVELAND, OH 44134 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $1 | $4 | 0.03% |
| EXCALIBUR FINANCIAL GROUP3 Filed as: EXCALIBUR FINANCIAL GROUP INC | 4830 W KENNEDY BLVD STE 550, TAMPA, TAMPA, FL 33609 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $1K | — | $1K | 15.24% |
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 | 187 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 187 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 78 | $680K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 187 | $60K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 97 | $10K |
| Life insurance(2 contracts, 2 carriers) | THE HARTFORD | 187 | $26K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 52 | $73K |
| Other | THE HARTFORD | 187 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 187 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.