| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | PO BOX 350 CONSHOHOCKEN, GA 19428 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $14K | $109K | $123K | 4.28% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SEITLIN | 161 WASHINGTON STREET, SUITE 1200 CONSHOHOCKEN, PA 19428 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $21K | $0 | $21K | 10.00% |
| SHARON BASSOFF INC3 Filed as: SHARON BASSOFF, INC. | 11550 SW 9TH COURT PEMBROKE PINES, FL 33025 | AFLAC | $1K | $93 | $1K | 4.99% |
| D J FISHER & ASSOC INC3 Filed as: D J FISHER & ASSOC & OTHER AGENTS | 4117 FAIRVIEW VISTA PT APARTMENT 202 ORLANDO, FL 32804 | AFLAC | $952 | $0 | $952 | 4.24% |
| RUSSELL SHAYNE FOX3 | 9205 COVE POINT CIRCLE BOYNTON BEACH, FL 33472 | AFLAC | $312 | $15 | $327 | 1.46% |
| KATTY W COHEN3 Filed as: KATTY W. COHEN | 21711 TOWN PLACE DRIVE BOCA RATON, FL 33433 | AFLAC | $275 | $0 | $275 | 1.22% |
| EMILY B WAYMAN3 Filed as: EMILY B. WAYMAN | 1350 SW 12TH TERRACE BOCA RATON, FL 33486 | AFLAC | $265 | $0 | $265 | 1.18% |
| G COOKE3 Filed as: COOKE G. SCOTT | 2832 NE 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $216 | $15 | $231 | 1.03% |
| BRENDA LYNN GARRETT3 | 12475 KENTWOOD AVENUE FORT MYERS, FL 33913 | AFLAC | $174 | $0 | $174 | 0.77% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SEITLIN BENEFITS | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | PAN-AMERICAN LIFE INSURANCE COMPANY | $150 | $0 | $150 | 2.35% |
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 | 213 | 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) | 213 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 213 | $2.9M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 213 | $2.9M |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 213 | $2.9M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 213 | $207K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 213 | $207K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 213 | $207K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 213 | $2.9M |
| Other(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 213 | $236K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 213 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.