| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 2056 VISTA PARKWAY SUITE 300 WEST PALM BEACH, FL 334116735 | BLUE CROSS BLUE SHIELD OF FLORIDA | $33K | — | $33K | 4.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2056 VISTA PARKWAY SUITE 300 WEST PALM BEACH, FL 334116735 | HEALTH OPTIONS, INC. | $3K | — | $3K | 4.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 2056 VISTA PARKWAY SUITE 300 WEST PALM BEACH, FL 334116735 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | — | $2K | 5.14% |
| STAHL & ASSOCIATES INSURANCE INC.3 Filed as: STAHL & ASSOICATES INS. INC. | 110 CARILLON PARKWAY ST. PETERSBURG, FL 337161201 | UNITEDHEALTHCARE INSURANCE COMPANY | $640 | — | $640 | 1.37% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE INC. | 2056 VISTA PARKWAY SUITE 300 WEST PALM BEACH, FL 33411 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 9.97% |
| STAHL & ASSOCIATES INSURANCE INC.3 Filed as: STAHL & ASSOICATES INS. INC. | 110 CARILLON PARKWAY ST. PETERSBURG, FL 33716 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 5.03% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | PO BOX 3009 ARLINGTON HEIGHTS, IL 600063009 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 3.34% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 2850 GOLF ROAD 5TH FLOOR ROLLING MEADOWS, IL 60008 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $388 | — | $388 | 4.20% |
| STAHL & ASSOCIATES INSURANCE INC.3 Filed as: STAHL & ASSOICATES INS. INC. | 110 CARILLON PARKWAY ST. PETERSBURG, FL 33716 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $313 | — | $313 | 3.39% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 2056 VISTA PARKWAY SUITE 300 WEST PALM BEACH, FL 33411 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $222 | — | $222 | 2.41% |
| HARRISON-DAVIS INC3 Filed as: HARRISON-DAVIS INC. | 5426 BAY CENTER DRIVE SUITE 550 TAMPA, FL 336093406 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $6 | — | $6 | 0.07% |
| ALLIANCE FIN GRP OF CENTRAL &3 Filed as: ALLIANCE FIN. GROUP OF CENTRAL & | 14021 METROPOLIS AVENUE FORT MEYERS, FL 33912 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2 | — | $2 | 0.02% |
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 | 116 | 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) | 116 | 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 | 94 | $907K |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 125 | $47K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 75 | $9K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 117 | $45K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 117 | $45K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 117 | $45K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 117 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 125 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.