| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | PO BOX 350 CONSHOHOCKEN, PA 19428 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $13K | $110K | $123K | 4.27% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SEITLIN | 161 WASHINGTON STREET, SUITE 1200 CONSHOHOCKEN, PA 19428 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $17K | $0 | $17K | 9.14% |
| THE NIA GROUP3 | 161 WASHINGTON STREET, SUITE 1200 CONSHOHOCKEN, PA 19428 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $2K | $2K | 1.26% |
| G SCOTT COOKE3 Filed as: G. SCOTT COOKE AND OTHER AGENTS | 2832 NE 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $821 | $4 | $825 | 4.46% |
| SHARON BASSOFF INC3 Filed as: SHARON BASSOFF, INC. | 11550 SW 9TH COURT PEMBROKE PINES, FL 33025 | AFLAC | $273 | $32 | $305 | 1.65% |
| KATTY W COHEN3 Filed as: KATTY WEST COHEN | 21711 TOWN PLACE DRIVE BOCA RATON, FL 33433 | AFLAC | $245 | $0 | $245 | 1.32% |
| EMILY B WAYMAN3 Filed as: EMILY B. WAYMAN | 1350 SW 12TH TERRACE BOCA RATON, FL 33486 | AFLAC | $221 | $0 | $221 | 1.20% |
| RUSSELL SHAYNE FOX3 | 9205 COVE POINT CIRCLE BOYNTON BEACH, FL 33472 | AFLAC | $137 | $4 | $141 | 0.76% |
| BRENDA LYNN GARRETT3 | 1350 FRONT PLACE, UNIT 5102 NORTH PORT, FL 34287 | AFLAC | $113 | $0 | $113 | 0.61% |
| MARIA C ORTIZ3 Filed as: MARIA C. ORTIZ | 7400 SW 50TH TERRACE, SUITE 300 MIAMI, FL 33155 | AFLAC | $104 | $0 | $104 | 0.56% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 223 | $2.9M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 223 | $2.9M |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 367 | $0 |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 0 | $191K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 0 | $191K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 0 | $191K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 223 | $2.9M |
| Other(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 23 | $209K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 367 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.