| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DT BURGHER ENTERPRISES3 | 18582 CORTEZ BLVD BROOKSVILE, FL 34601 | BLUE CROSS BLUE SHIELD OF FLORIDA | $25K | — | $25K | 4.00% |
| DT BURGHER ENTERPRISES3 | 18582 CORTEZ BLVD BROOKSVILLE, FL 346019011 | FLORIDA COMBINED LIFE | $5K | — | $5K | 12.34% |
| DT BURGHER ENTERPRISES3 | DON BURGHER 18582 CORTEZ BLVD. BROOKSVILLE, FL 346019011 | HEALTH OPTIONS, INC. | $1K | — | $1K | 4.00% |
| SEE ATTACHED3 Filed as: SEE ATTACHED LISTING | — | AFLAC | $2K | $31 | $3K | 10.70% |
| DT BURGHER ENTERPRISES3 Filed as: DT BURGHER ENTERPRISES INC. | 18582 CORTEZ BLVD. BROOKSVILLE, FL 34601 | USABLE LIFE | $2K | — | $2K | 14.74% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PARKWAY DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $422 | — | $422 | 2.63% |
| DT BURGHER ENTERPRISES3 | 18582 CORTEZ BLVD BROOKSVILLE, FL 34601 | USABLE LIFE | $2K | — | $2K | 12.53% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PARKWAY # DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $331 | — | $331 | 2.63% |
| DT BURGHER ENTERPRISES3 Filed as: DT BURGHER ENTERPRISES, INC. | 18582 CORTEZ BLVD. BROOKSVILLE, FL 34601 | VISION SERVICE PLAN | $691 | — | $691 | 6.35% |
| DT BURGHER ENTERPRISES3 Filed as: DT BURGHER ENTERRISES | 18582 CORTEZ BLVD BROOKSVILE, FL 34601 | USABLE LIFE | $1K | — | $1K | 12.81% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY #DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $248 | — | $248 | 2.64% |
| DT BURGHER ENTERPRISES3 Filed as: DT BURGHER ENTERPRISES INC. | 18582 CORTEZ BLVD. BROOKSVILLE, FL 34601 | USABLE LIFE | $981 | — | $981 | 13.65% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY #DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $189 | — | $189 | 2.63% |
| DT BURGHER ENTERPRISES3 | 18582 CORTEZ BLVD BROOKSVILLE, FL 346019011 | USABLE LIFE | $292 | — | $292 | 14.11% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY # DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $54 | — | $54 | 2.61% |
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 | 166 | 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) | 166 | 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 | 84 | $648K |
| Dental | FLORIDA COMBINED LIFE | 104 | $40K |
| Vision | VISION SERVICE PLAN | 83 | $11K |
| Life insurance | USABLE LIFE | 69 | $16K |
| Short-term disability | USABLE LIFE | 41 | $13K |
| Long-term disability | USABLE LIFE | 32 | $9K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 84 | $648K |
| Other(4 contracts, 2 carriers) | AFLAC | 166 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 166 | — |
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.