| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 1201 NW 62ND STREET, SUITE 130 FORT LAUDERDALE, FL 33309 | HEALTH OPTIONS | $27K | — | $27K | 4.08% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 1201 NW 62ND STREET, SUITE 130 FORT LAUDERDALE, FL 33309 | BLUE CROSS BLUE SHIELD OF FLORIDA | $7K | — | $7K | 4.94% |
| 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 | $2K | $2K | $4K | 6.97% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 901 MARQUETTE AVENUE SUITE 1800 MINNEAPOLIS, MN 55402 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $428 | $2K | 4.06% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 80 S 8TH STREET MINNEAPOLIS, MN 55402 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 3.46% |
| WORLD PRIME SOLUTIONS3 | 7000 NOVA DR APT. 203 DAVIE, FL 33317 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $886 | $313 | $1K | 2.24% |
| ERLANDE MICHEL3 | 3141 LAFRANCE AVE SW PALM BAY, FL 32908 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $473 | $6 | $479 | 0.90% |
| BRITO BENEFITS SOLUTIONS INC3 | 14716 SOUTHWEST 112 TER MIAMI, FL 33196 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $306 | $91 | $397 | 0.74% |
| ESQUEN INSURANCE GROUP CORP3 | 14552 SW 152ND PLACE MIAMI, FL 33196 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $213 | — | $213 | 0.40% |
| SHEALY BENEFITS SERVICES INC3 | 215 HOGAN WAY LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $167 | — | $167 | 0.31% |
| NOEMI F GUZMAN3 | 12334 SW 148TH TER MIAMI, FL 33186 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $130 | — | $130 | 0.24% |
| GUY SANMIGUEL3 | 4965 SW 134 AVE MIRAMAR, FL 33027 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $107 | — | $107 | 0.20% |
| CRAIG WAYNE SOTTILE3 | 3652 NE 19TH AVENUE FORT LAUDERDALE, FL 33308 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $58 | — | $58 | 0.11% |
| JUDITH I VIDAL3 | 7280 STIRLING RD APT. 105 HOLLYWOOD, FL 33024 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $51 | — | $51 | 0.10% |
| BENJAMIN DARANG3 | 2901 NW 48 AVE, APT 167 LAUDERDALE LAKES, FL 33313 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $33 | — | $33 | 0.06% |
| GINA MARIE MARTINEZ3 | 2400 NE 36TH ST APT 7 LIGHTHOUSE POINT, FL 33064 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $31 | — | $31 | 0.06% |
| WALNIECIA NEKISHA RUSSELL3 | 6916 PALMETTO CIRCLE S APT. 109 BOCA RATON, FL 33433 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $25 | $1 | $26 | 0.05% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE UNIT 203 DANIEL ISLAND, SC 29492 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.01% |
| CREATIVE BENEFIT CONSULTANTS INC3 | 18214 102ND WAY S SUITE 100 BOCA RATON, FL 33498 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $3 | $5 | 0.01% |
| JOSEPH A STALTARE3 | 11085 SACCO DRIVE BOCA RATON, FL 33428 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $3 | $5 | 0.01% |
| MODERN LIFE FINANCIAL GROUP3 | 2826 SOUTHWEST 145 CT MIAMI, FL 33175 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| LAURA MCCLUNG PLYLER3 | 201 CAUGHMAN FARM LANE LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| ERIN WIGGINS3 | 1738 MOHAWK AVENUE CHARLESTON, SC 29412 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| ERIN WIGGINS3 | 1738 MOHAWK AVENUE CHARLESTON, SC 29412 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 3201 CHERRY RIDGE DRIVE SUITE D405 SAN ANTONIO, TX 78230 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 10.30% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 5738 FOREMOST DRIVE SE GRAND RAPIDS, MI 49546 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 2.98% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP INC | 1000 S PINE ISLAND RD SUITE 225 PLANTATION, FL 33324 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $452 | — | $452 | 0.92% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES IN | 220 S RIDGEWOOD AVE DAYTONA BEACH, FL 32114 | HUMANA INSURANCE COMPANY | $3K | — | $3K | 6.86% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 300 N BEACH STREET DAYTONA BEACH, FL 32114 | HUMANA INSURANCE COMPANY | $238 | — | $238 | 0.54% |
| KATTY W COHEN3 | 21711 TOWN PLACE DRIVE BOCA RATON, FL 33433 | AFLAC | $699 | — | $699 | 3.94% |
| SHARON BASSOFF INC3 | 11550 SW 9TH COURT PEMBROKE PINES, FL 33025 | AFLAC | $274 | — | $274 | 1.54% |
| STEVEN B HULNICK3 | 101 PLAZA REAL S, APT. 716 BOCA RATON, FL 33432 | AFLAC | $204 | — | $204 | 1.15% |
| BARBARA BAYUK3 | 7193 VENETO DRIVE BOYNTON BEACH, FL 33437 | AFLAC | $80 | — | $80 | 0.45% |
| KEVIN W DOWNS3 Filed as: KEVIN DOWNS | 8505 S TROPICAL TRAIL MERRITT ISLAND, FL 32952 | AFLAC | $75 | — | $75 | 0.42% |
| KENDALL C HUDSON3 | 1645 PALM BEACH LAKES BLVD STE 1200 WEST PALM BEACH, FL 33401 | AFLAC | $68 | — | $68 | 0.38% |
| C HUDSON AND ASSOCIATES3 | 2843 TWIN PINE ROAD THOMSON, GA 30824 | AFLAC | $65 | — | $65 | 0.37% |
| ASSUREDPARTNERS3 Filed as: TALLON BENFITS, INC | PO BOX 30668 PALM BEACH GARDENS, FL 33420 | AFLAC | $62 | — | $62 | 0.35% |
| BRENDA GARRETT3 | 1350 FRONT PLACE, UNIT 5102 NORTH PORT, FL 34287 | AFLAC | $60 | — | $60 | 0.34% |
| LANCE E SULLIVAN3 Filed as: LANCE SULLIVAN | 3619 SANWOOD ST LAS VEGAS, NV 89147 | AFLAC | $60 | — | $60 | 0.34% |
| DEXTER ANTONIO HARRIS3 Filed as: DEXTER HARRIS | 100 GALLERIA PKWY SE STE 900 ATLANTA, GA 30339 | AFLAC | $42 | — | $42 | 0.24% |
| JOSHUA BUZZARD3 | 6848 HENDRY DR LAKE WORTH, FL 33463 | AFLAC | $34 | — | $34 | 0.19% |
| RUSSELL FOX3 | 9205 COVE POINT CIR BOYNTON BEACH, FL 33472 | AFLAC | $33 | — | $33 | 0.19% |
| G SCOTT COOKE3 | 2832 NE 17TH AVE WILTON MANORS, FL 33334 | AFLAC | $26 | — | $26 | 0.15% |
| J W GRIMES INC3 Filed as: JW GRIMES INC | 8033 SPLENDOR WAY COLUMBUS, GA 31904 | AFLAC | $18 | — | $18 | 0.10% |
| ALFRED RIETKERK3 | 438 PISGAH PIKE PULASKI, TN 38478 | AFLAC | $14 | — | $14 | 0.08% |
| JAVIER L ORTIZ3 | 9620 NE 2ND AVE STE 203 MIAMI SHORES, FL 33138 | AFLAC | $12 | — | $12 | 0.07% |
| SUSAN P WATLEY3 | 6366 INDEPENDENCE DR COLUMBUS, GA 31909 | AFLAC | $11 | — | $11 | 0.06% |
| HAROLD L STAFFORD3 Filed as: HAROLD STAFFORD | 4930 VILLAGE GREEN DRIVE EL DORADO HILLS, CA 95762 | AFLAC | $11 | — | $11 | 0.06% |
| MATTHEW PINER3 | 13633 WAVERTON LN HUNTERSVILLE, NC 28078 | AFLAC | $10 | — | $10 | 0.06% |
| EMILY E INTOPPA3 Filed as: EMILY INTOPPA | PO BOX 66 BOLINGBROKE, GA 31004 | AFLAC | $7 | — | $7 | 0.04% |
| FRANK ROBERT SOBOCINSKI3 Filed as: FRANK SOBOCINSKI | 528 SWEET BAY CIRCLE JUPITER, FL 33458 | AFLAC | $5 | — | $5 | 0.03% |
| EMILY B WAYMAN3 Filed as: EMILY WAYMAN | 1350 SW 12TH TER BOCA RATON, FL 33486 | AFLAC | $5 | — | $5 | 0.03% |
| JAMES W BENCIN3 | 11 SHELDRAKE LN WEST PALM BEACH, FL 33418 | AFLAC | $4 | — | $4 | 0.02% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAMPTON WOOD DRIVE BOCA RATON, FL 33433 | AFLAC | $4 | — | $4 | 0.02% |
| NADIA DIAZ NORRIS3 Filed as: NADIA NORRIS | 4572 CONCORDIA LN BOYNTON BEACH, FL 33436 | AFLAC | $4 | — | $4 | 0.02% |
| MICHAEL A ORTIZ3 | 740 CHEYENNE LN ELGIN, IL 60123 | AFLAC | $3 | — | $3 | 0.02% |
| THOMAS R BAILEY3 | 142 MAPLE CT NW CHARLESTON, TN 37310 | AFLAC | $3 | — | $3 | 0.02% |
| JUAN C FERLINI3 Filed as: JUAN FERLINI | 891 MAYBERRY ML NEW BRAUNFELS, TX 78130 | AFLAC | $2 | — | $2 | 0.01% |
| DAVID MORRIS3 | 950 PENINSULA CORPORATE CIRCLE STE 1005 BOCA RATON, FL 33487 | AFLAC | $2 | — | $2 | 0.01% |
| DEBORAH L JONGES3 Filed as: DEBORAH JONGES | PO BOX 5432 BELLA VISTA, AR 72714 | AFLAC | $2 | — | $2 | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH WILLIS JR | 1431 NE 55TH STREET FORT LAUDERDALE, FL 33334 | AFLAC | $1 | — | $1 | 0.01% |
| MARK C LEE3 Filed as: MARK LEE | 8229 FRANK HOUSER AVE COLUMBUS, GA 31909 | AFLAC | $1 | — | $1 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 220 S RIDGEWOOD AVENUE DAYTONA BEACH, FL 32114 | COMPBENEFITS COMPANY | $616 | — | $616 | 6.10% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 300 NORTH BEACH STREET DAYTONA BEACH, FL 32114 | COMPBENEFITS COMPANY | — | $145 | $145 | 1.44% |
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 | 104 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH OPTIONS | 60 | $812K |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 92 | $54K |
| Vision | HUMANA INSURANCE COMPANY | 92 | $44K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 98 | $49K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 98 | $49K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 9 | $142K |
| Other(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 98 | $120K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 98 | — |
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.