| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MAYVILLE & ASSOCIATES3 | 270 LOCHA DRIVE JUPITER, FL 33458 | HEALTH OPTIONS, INC. | $81K | — | $81K | 4.00% |
| MAYVILLE & ASSOCIATES3 | 270 LOCHA DRIVE JUPITER, FL 33458 | BLUE CROSS BLUE SHIELD OF FLORIDA | $42K | — | $42K | 4.00% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: BLUE CROSS BLUE SHIELD FLORIDA | 4800 DEERWOOD CAMPUS PKWY #DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $105 | — | $105 | 0.15% |
| MAYVILLE & ASSOCIATES3 | 270 LOCHA DR JUPITER, FL 33458 | USABLE LIFE | $0 | — | $0 | 0.00% |
| WILLIAM MAYVILLE3 | 270 LOCHA DR JUPITER, FL 33458 | GUARDIAN | $5K | — | $5K | 7.10% |
| MAYVILLE & ASSOCIATES3 | 270 LOCHA DR JUPITER, FL 33458 | USABLE LIFE | $4K | — | $4K | 10.00% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY #DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $99 | — | $99 | 0.22% |
| MAYVILLE & ASSOCIATES3 Filed as: MAYVILLE, WILLIAM EDWIN | 270 LOCHA DR JUPITER, FL 33458 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $7K | — | $7K | 20.00% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY #DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $55 | — | $55 | 0.21% |
| US BENTEC WORKPLACE SOLUTIONS3 Filed as: US BENTEC WORKPLACE SOLUTIONS LLC | 99 WOOD AVENUE SOUTH ISELIN, NJ 08830 | USABLE LIFE | $586 | $3 | $589 | 2.98% |
| MAYVILLE & ASSOCIATES3 Filed as: MAYVILLE, WILLIAM | 270 LOCHA DRIVE JUPITER, FL 33458 | USABLE LIFE | $246 | — | $246 | 1.25% |
| US BENTEC WORKPLACE SOLUTIONS3 Filed as: US BENTEC WORKPLACE SOLUTIONS LLC | 99 OOD AVENUE S SUITE 501 ISELIN, NJ 08830 | USABLE LIFE | $1K | $5 | $1K | 9.55% |
| MAYVILLE & ASSOCIATES3 Filed as: MAYVILLE, WILLIAM | 270 LOCHA DRIVE JUPITER, FL 33458 | USABLE LIFE | $480 | — | $480 | 4.07% |
| US BENTEC WORKPLACE SOLUTIONS3 Filed as: US BENTEC WORKPLACE SOLUTIONS LLC | 99 WOOD AVENUE S SUITE 501 ISELIN, NJ 08830 | USABLE LIFE | $612 | $7 | $619 | 5.45% |
| MAYVILLE & ASSOCIATES3 Filed as: MAYVILLE, WILLIAM | 270 LOCHA DRIVE JUPITER, FL 33458 | USABLE LIFE | $263 | — | $263 | 2.32% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TRUSTMARK HEALTH BENEFITS, INC. EIN 35-1846036 NONE | Other services; Claims processing; Plan Administrator Service code 12 | PO BOX 2310 MT. CLEMENS, MI 48046 | $46K |
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 | 387 | 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) | 387 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH OPTIONS, INC. | 321 | $3.1M |
| Life insurance(2 contracts, 2 carriers) | GUARDIAN | 387 | $109K |
| Short-term disability | USABLE LIFE | 32 | $27K |
| Long-term disability | USABLE LIFE | 30 | $71K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH OPTIONS, INC. | 321 | $3.1M |
| Other(6 contracts, 3 carriers) | GUARDIAN | 387 | $186K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 387 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.