| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STRATEGIC BENEFITS3 Filed as: THE STRATEGIC GROUP, INC. | 16029 N FLORIDA AVE LUTZ, FL 335496128 | BLUE CROSS BLUE SHIELD OF FLORIDA | $66K | — | $66K | 4.00% |
| STRATEGIC BENEFITS3 Filed as: THE STRATEGIC GROUP INC | 16029 N FLORIDA AVE LUTZ, FL 33549 | PRINCIPAL LIFE INSURANCE COMPANY | $35K | $14K | $49K | 18.22% |
| US BENTEC WORKPLACE SOLUTIONS3 Filed as: US BENTEC WORKPLACE SOLUTIONS LLC | 99 WOOD AVENUE SOUTH SUITE 501 ISELIN, NJ 08830 | USABLE LIFE | $1K | — | $1K | 2.92% |
| STRATEGIC GROUP INC, THE3 | 16029 N FLORIDA AVE LUTZ, FL 33549 | USABLE LIFE | $910 | — | $910 | 2.37% |
| BENEFITS TECHNOLOGIES DIVISION 33 Filed as: BENEFITS TECHNOLOGIES LLC DIVISION | 2300 NW CORPORATE BLVD SUITE 215 BOCA RATON, FL 33431 | USABLE LIFE | $593 | — | $593 | 1.55% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY JACKSONVILLE, FL 32246 | USABLE LIFE | $4 | — | $4 | 0.01% |
| C WALKER SULLIVAN3 Filed as: C. WALKER SULLIVAN | 2859 PACES FERRY RD. SE STE 1200 ATLANTA, GA 30339 | NORTHWESTERN MUTUAL | $1K | $332 | $2K | 6.39% |
| MOE MODJESKI3 | 2201 E. CAMELBACK RD. STE. 400 PHOENIX, AZ 85016 | NORTHWESTERN MUTUAL | $1K | $332 | $2K | 6.39% |
| TYLER A WRAGE3 | 16029 N. FLORIDA AVE. LUTZ, FL 33549 | NORTHWESTERN MUTUAL | $658 | $166 | $824 | 3.19% |
| CALLAWAY BLACK GRP INC3 Filed as: CALLAWAY BLACK GROUP INC. | 2859 PACES FERRY RD. SE STE. 1200 ATLANTA, GA 30339 | NORTHWESTERN MUTUAL | $526 | $63 | $589 | 2.28% |
| O'CONNELL FINANCIAL GROUP, INC.3 Filed as: O'CONNELL FINANCIAL GROUP INC. | 1511 N. WEST SHORE BLVD. STE 800 TAMPA, FL 33607 | NORTHWESTERN MUTUAL | $132 | $16 | $148 | 0.57% |
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 | 294 | 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) | 294 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 250 | $1.6M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 522 | $269K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 522 | $269K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 522 | $269K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 522 | $269K |
| Long-term disability | NORTHWESTERN MUTUAL | 41 | $26K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 250 | $1.6M |
| Other(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 522 | $322K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 522 | — |
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.