| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | PARK 80 WEST PLAZA 2 SADDLE BROOK, NJ 07663 | AETNA LIFE INSURANCE CO | $43K | $1K | $44K | 5.23% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | SUN LIFE ASSURANCE | $14K | $1K | $16K | 13.11% |
| STEVEN MARK ABRAMS3 | 22921 IRONWEDGE DR BOCA RATON, FL 33433 | AFLAC | $7K | $596 | $8K | 10.31% |
| MICHAEL K PORTER3 | 4000 HOLLYWOOD BLVD STE 555S HOLLYWOOD, FL 33021 | AFLAC | $714 | $111 | $825 | 1.10% |
| MARIALENA SELVAGGIO3 | 1685 SW 4TH AVE BOCA RATON, FL 33432 | AFLAC | $692 | $22 | $714 | 0.96% |
| BRIAN GEORGE JAEGGI3 | 2875 NW 28TH ST BOCA RATON, FL 33434 | AFLAC | $509 | $132 | $641 | 0.86% |
| ETHAN GREER3 | 558 CLINGMANS LN CHATTANOOGA, TN 37419 | AFLAC | $332 | — | $332 | 0.44% |
| KENDALL C HUDSON3 | 1645 PALM BEACH LAKES BLVD STE 1200 WEST PALM BEACH, FL 33401 | AFLAC | $198 | — | $198 | 0.26% |
| GERARD F MCCARTHY3 | 8944 NW 52ND CT CORAL SPRINGS, FL 33067 | AFLAC | $140 | — | $140 | 0.19% |
| DE VITA B MCKENZIE3 | 1139 IROLO ST LOS ANGELES, CA 90006 | AFLAC | $124 | — | $124 | 0.17% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAMPTON WOOD DR BOCA RATON, FL 33433 | AFLAC | $98 | — | $98 | 0.13% |
| HAROLD L STAFFORD3 | 8544 TOWNLEY RD APT 1B HUNTERSVILLE, NC 28078 | AFLAC | $76 | — | $76 | 0.10% |
| MICHELLE LAMPERT3 Filed as: MICHELLE T DUBE | 104 WISCONSIN ST LAKE WORTH, FL 33461 | AFLAC | $61 | — | $61 | 0.08% |
| STEVE D SERVI3 | 6127 S RAINBOW BLVD STE 110 LAS VEGAS, NV 89118 | AFLAC | $58 | — | $58 | 0.08% |
| NADIA DIAZ NORRIS3 | 4572 CONCORDIA LN BOYNTON BEACH, FL 33436 | AFLAC | $48 | — | $48 | 0.06% |
| MICHAEL A ORTIZ3 | 740 CHEYENNE LN ELGIN, IL 60123 | AFLAC | $44 | — | $44 | 0.06% |
| ERIC W HIRSCHKORN3 | 718 SE ABLETT LN PORT ST LUCIE, FL 34984 | AFLAC | $43 | — | $43 | 0.06% |
| DEXTER ANTONIO HARRIS3 | 100 GALLERIA PKWY SE STE 900 ATLANTA, GA 30339 | AFLAC | $36 | — | $36 | 0.05% |
| LANCE E SULLIVAN3 | 3619 SANWOOD ST LAS VEGAS, NV 89147 | AFLAC | $34 | — | $34 | 0.05% |
| SEAN PATRICK DUGAN3 | 10443 SW 16TH MNR DAVIE, FL 33324 | AFLAC | $34 | — | $34 | 0.05% |
| LISA M MUSTO3 Filed as: LISA MARIE MUSTO | 3424 W COMMUNITY DR JUPITER, FL 33458 | AFLAC | $33 | — | $33 | 0.04% |
| JAMES SMITH3 Filed as: JAMES B SMITH | 615 ELINOR ST CHATTANOOGA, TN 37405 | AFLAC | $32 | — | $32 | 0.04% |
| MATTHEW G BERGER3 Filed as: MATTHEW W PINER | 13633 WAVERTON LN HUNTERSVILLE, NC 28078 | AFLAC | $29 | — | $29 | 0.04% |
| TERESITA M GARCIA MENDOZA3 | 3051 NE 47TH CT APT 308 FORT LAUDERDALE, FL 33308 | AFLAC | $27 | — | $27 | 0.04% |
| JOHN DEE MAULDIN3 | 4116 KENTSHIRE LN DALLAS, TX 75287 | AFLAC | $27 | — | $27 | 0.04% |
| MEGAN E VECKMAN3 | 307 E BAY CEDAR CIR JUPITER, FL 33458 | AFLAC | $26 | — | $26 | 0.03% |
| JULIE W CRAIG3 | 8544 TOWNLEY RD APT 1B HUNTERSVILLE, NC 28078 | AFLAC | $22 | — | $22 | 0.03% |
| CHRISTOPHER W GRAHAM3 Filed as: CHRISTOPHER D LEE | 837 SE COURANCES DR PORT ST LUCIE, FL 34984 | AFLAC | $21 | — | $21 | 0.03% |
| KATTY W COHEN3 | 21711 TOWN PLACE DR BOCA RATON, FL 33433 | AFLAC | $20 | — | $20 | 0.03% |
| MOLLY SCHIBLY CATALDO0 | 609 NE 28TH ST UNIT 3 WILTON MANORS, FL 33334 | AFLAC | $15 | — | $15 | 0.02% |
| DEBORAH L JONGES3 | PO BOX 5432 BELLA VISTA, AR 72714 | AFLAC | $14 | — | $14 | 0.02% |
| FRANK ROBERT SOBOCINSKI3 | 2000 PGA BLVD STE 4440 PALM BEACH GARDENS, FL 33408 | AFLAC | $13 | — | $13 | 0.02% |
| VALERIE MARQUEZ BLANCO3 | 12110 SW 105TH TER MIAMI, FL 33186 | AFLAC | $11 | — | $11 | 0.01% |
| ALFRED RIETKERK3 | 438 PISGAH PIKE PULASKI, TN 38478 | AFLAC | $11 | — | $11 | 0.01% |
| SUSAN P WATLEY3 | 6366 INDEPENDENCE DR COLUMBUS, GA 31909 | AFLAC | $11 | — | $11 | 0.01% |
| G SCOTT COOKE3 | 2832 NE 17TH AVE WILTON MANORS, FL 33334 | AFLAC | $10 | — | $10 | 0.01% |
| LMA BENEFITS AGENCY LLC3 Filed as: LMA BENEFITS GROUP | 2331 SW 15TH ST APT 29 DEERFIELD BEACH, FL 33442 | AFLAC | $9 | — | $9 | 0.01% |
| PAULA JEAN NICOLO3 | 10500 BLACKWOLF CIR ANCHORAGE, AK 99507 | AFLAC | $9 | — | $9 | 0.01% |
| JACQUELINE TIFFER3 Filed as: JACQUELINE CUETO | 9000 SW 122ND PL APT 318 MIAMI, FL 33186 | AFLAC | $8 | — | $8 | 0.01% |
| STEVEN J GRANSON3 | 20281 E COUNTRY CLUB DR AVENTURA, FL 33180 | AFLAC | $6 | — | $6 | 0.01% |
| MARTA M SASTRE3 | 1214 COLUMBUS BLVD CORAL GABLES, FL 33134 | AFLAC | $6 | — | $6 | 0.01% |
| GREGORY KEITH BRANNON3 | 6727 QUAIL RIDGE DRIVE MONTGOMERY, AL 36117 | AFLAC | $5 | — | $5 | 0.01% |
| RUSSELL SHAYNE FOX3 | 9205 COVE POINT CIR BOYNTON BEACH, FL 33472 | AFLAC | $5 | — | $5 | 0.01% |
| C HUDSON AND ASSOCIATES3 | 2843 TWIN PINE RD THOMSON, GA 30824 | AFLAC | $4 | — | $4 | 0.01% |
| SHELDON FRIEDMAN3 | 11 EDGEMONT PL TEANECK, NJ 07666 | AFLAC | $4 | — | $4 | 0.01% |
| RAYMOND LEVI3 | 3416 TENNESSEE TER ORLANDO, FL 32806 | AFLAC | $3 | — | $3 | 0.00% |
| JOE FREIRE3 | 9601 SW 142ND AVE APT 916 MIAMI, FL 33186 | AFLAC | $2 | — | $2 | 0.00% |
| JOSHUA BUZZARD3 | 6848 HENDRY DR LAKE WORTH, FL 33463 | AFLAC | $2 | — | $2 | 0.00% |
| DAVID S MORRIS3 | 950 PENINSULA CORPORATE CIR STE 100 BOCA RATON, FL 33487 | AFLAC | $2 | — | $2 | 0.00% |
| STEVEN KAISER3 Filed as: STEVEN WILLIAM KAISER | 6447 IVY SPRINGS DR FLOWERY BRANCH, GA 30542 | AFLAC | $2 | — | $2 | 0.00% |
| JUAN C FERLINI3 | 891 MAYBERRY ML NEW BRAUNFELS, TX 78130 | AFLAC | $2 | — | $2 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH H WILLIS JR | 1431 NE 55TH ST FORT LAUDERDALE, FL 33334 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES W BENCIN3 | 11 SHELDRAKE LN WEST PALM BEACH, FL 33418 | AFLAC | $1 | — | $1 | 0.00% |
| THOMAS R BAILEY3 | 142 MAPLE CT NW CHARLESTON, TN 37310 | AFLAC | $0 | — | $0 | 0.00% |
| NELSON G FABAL3 | 17820 NW 84TH AVE HIALEAH, FL 33015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $243 | $3K | 7.57% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY LIE | OBA BOUCHARD CLEARWATER, FL 33765 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $142 | $2K | 3.94% |
| WORKSITE AMERICA LLC3 Filed as: WORKSITE AMERICA LIE | 14141 46TH ST N STE 1209 CLEARWATER, FL 33762 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $493 | $132 | $625 | 1.38% |
| BRIAN R CHOWNING3 | 36241 S GRAYS AIRPORT RD FRUITLAND PARK, FL 34731 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $199 | $133 | $332 | 0.73% |
| PATRICIA M CARDUCCI3 | 4784 SIMCOE ST PALM HARBOR, FL 34683 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $228 | $92 | $320 | 0.70% |
| GINAKES & ASSOCIATES LLC3 | 1020 W INTERNATIONAL SPEEDWAY DAYTONA BEACH, FL 32114 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $229 | $85 | $314 | 0.69% |
| ALAN KENNETH MACKAY3 | 2204 16TH STREET CT W BRADENTON, FL 34205 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $49 | — | $49 | 0.11% |
| FRANCISCO JAVIER RUIZ3 | 10102 COURTNEY OAKS CIR APT 20 TAMPA, FL 33619 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $41 | — | $41 | 0.09% |
| SINGLE POINT ENROLLMENT SOLUTIONS3 Filed as: SINGLE POINT ENROLLMENT SOLUTIONS I | 12002 SW 128TH CT STE 201 MIAMI, FL 33186 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $38 | — | $38 | 0.08% |
| STEVEN VERMETTE INC3 | 920 SPRING PARK LOOP CELEBRATION, FL 34747 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $23 | — | $23 | 0.05% |
| SHIRLEY B DRAKE3 | 14141 46TH ST N STE 1209 CLEARWATER, FL 33762 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | $4 | $22 | 0.05% |
| GARY NABORS3 Filed as: GARY D NABORS | 1641 WOODFIELD CREEK DR APT 20 WAKE FOREST, NC 27587 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.02% |
| B & B INSURANCE SOLUTIONS INC3 | 12002 SW 128TH CT MIAMI, FL 33186 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.02% |
| ROBERT CAMERON SNOW3 | 9132 VILLA PALMA LN WEST PALM BEACH, FL 33418 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.01% |
| THOMAS C HARTLAUB3 | 153 OUR ST HAVANA, FL 32333 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| CAITLIN SCHAEFFER3 | 1537 INDIAN DANCE CT MAITLAND, FL 32751 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| JENNIFER WEYMOUTH RESMONDO3 Filed as: JENNIFER WEYMOUTH LIE | 2940 OAKTREE DR KISSIMMEE, FL 34744 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $1 | $3 | 0.01% |
| KASSANDRA MARIE WILL2 | 2315 BARKWOOD PASS CLEARWATER, FL 33763 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| WORKSITE BENEFITS SOLUTION LLC3 Filed as: WORKSITE BENEFITS SOLUTION LIE | 2622 WYMAN CIR KISSIMMEE, FL 34744 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | $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 | 203 | 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) | 203 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO | 133 | $851K |
| Dental | SUN LIFE ASSURANCE | 203 | $119K |
| Vision | SUN LIFE ASSURANCE | 203 | $119K |
| Life insurance | SUN LIFE ASSURANCE | 203 | $119K |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE | 203 | $239K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 203 | — |
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.