| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHN M KENNEDY3 | 6726 ENGLE LAKE DR LAKELAND, FL 33813 | CIGNA | $35K | — | $35K | 8.60% |
| DAVID SHORE3 | 1300 CONCORD TERRACE 5TH FLOOR SUNRISE, FL 33323 | CIGNA | $35K | — | $35K | 8.53% |
| JOHN M KENNEDY3 | 6726 ENGLE LAKE DR LAKELAND, FL 33813 | CIGNA | $982 | $0 | $982 | 3.55% |
| DAVID SHORE3 | 1300 CONCORD TERRACE 5TH FLOOR SUNRISE, FL 33323 | CIGNA | $956 | $0 | $956 | 3.45% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA EIN 59-1031071 TPA | Non-monetary compensation; Claims processing; Other services; Float revenue; Named fiduciary; Participant communication; Contract Administrator; Direct payment from the plan Service code 12 | — | $69K |
| JOHN M KENNEDY AGENT | Insurance agents and brokers Service code 22 | 6726 ENGLE LAKE DR LAKELAND, FL 33813 | $35K |
| DAVID SHORES AGENT | Insurance agents and brokers Service code 22 | 1300 CONCORD TERRACE 5TH FLOOR SUNRISE, FL 33323 | $35K |
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 | 165 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 165 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA | 160 | $412K |
| Life insurance | CIGNA | 15 | $28K |
| Other | CIGNA | 15 | $28K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 160 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.