| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, SUITE 600 SAN DIEGO, CA 92101 | BLUE CROSS BLUE SHIELD OF FLORIDA | $71K | $0 | $71K | 3.29% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 850 CONCOURSE PARKWAY SOUTH SUITE 200 MAITLAND, FL 32751 | BLUE CROSS BLUE SHIELD OF FLORIDA | $15K | $0 | $15K | 0.71% |
| ALLIANT INSURANCE SERVICES, INC.3 | 101 PARK AVENUE NEW YORK, NY 10178 | PRINCIPAL LIFE INSURANCE COMPANY | $16K | $0 | $16K | 10.67% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 7701 AIRPORT CENTER DRIVE GREENSBORO, NC 27409 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | $775 | $6K | 3.93% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, SUITE 600 SAN DIEGO, CA 92101 | FLORIDA COMBINED LIFE | $9K | $0 | $9K | 6.70% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 333 SOUTH GARLAND AVENUE SUITE 1600 ORLANDO, FL 32801 | FLORIDA COMBINED LIFE | $4K | $0 | $4K | 3.20% |
| US BENTEC WORKPLACE SOLUTIONS3 Filed as: US BENTEC WORKPLACE SOLUTIONS LLC | 99 WOOD AVENUE SOUTH, SUITE 501 ISELIN, NJ 08830 | USABLE LIFE | $4K | $0 | $4K | 3.91% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMEN AVENUE, 10TH FLOOR IRVINE, CA 92612 | USABLE LIFE | $3K | $0 | $3K | 3.45% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 333 SOUTH GARLAND AVENUE SUITE 1600 ORLANDO, FL 32801 | USABLE LIFE | $3K | $111 | $3K | 3.01% |
| ALLIANT INSURANCE SERVICES, INC.3 | 450 COUNTRY CLUB ROAD, SUITE 340 EUGENE, OR 97401 | USABLE LIFE | $1K | $0 | $1K | 1.20% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 7701 AIRPORT CENTER DRIVE SUITE 1800 GREENSBORO, NC 27409 | USABLE LIFE | $474 | $290 | $764 | 0.77% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PARKWAY SUITE DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $0 | $40 | $40 | 0.04% |
| C WALKER SULLIVAN3 | 2859 PACES FERRY ROAD SE SUITE 1200 ATLANTA, GA 30339 | NORTHWESTERN MUTUAL | $2K | $418 | $2K | 7.23% |
| MOE MODJESKI3 | 2201 EAST CAMELBACK ROAD SUITE 400 PHOENIX, AZ 85016 | NORTHWESTERN MUTUAL | $2K | $418 | $2K | 7.23% |
| RPS BENEFITS INC3 Filed as: RPS FINANCIAL GROUP INC | 5251 WEST 116TH PLACE SUITE 300 LEAWOOD, KS 66211 | NORTHWESTERN MUTUAL | $332 | $79 | $411 | 1.43% |
| CALLAWAY BLACK GRP INC3 Filed as: CALLAWAY BLACK GROUP INC | 2859 PACES FERRY ROAD SE SUITE 1200 ATLANTA, GA 30339 | NORTHWESTERN MUTUAL | $332 | $40 | $372 | 1.30% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, SUITE 600 SAN DIEGO, CA 92101 | TELEDOC HEALTH, INC. | $2K | $0 | $2K | 15.00% |
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 | 306 | 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) | 306 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 245 | $2.2M |
| Dental | FLORIDA COMBINED LIFE | 261 | $138K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 460 | $149K |
| Life insurance | USABLE LIFE | 283 | $99K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 460 | $149K |
| Long-term disability(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 460 | $178K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 245 | $2.2M |
| Other(2 contracts, 2 carriers) | USABLE LIFE | 283 | $114K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 460 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.