| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE INS & PAYROLL RESOURCE3 Filed as: THE INS. AND PAYROLL RESOURCE GROUP | 1101 NORTH LAKE DESTINY ROAD SUITE 100 MAITLAND, FL 32751 | BLUE CROSS BLUE SHIELD OF FLORIDA | $56K | $0 | $56K | 6.00% |
| THE INS & PAYROLL RESOURCE3 Filed as: THE INS. AND PAYROLL RESOURCE GROUP | 1101 NORTH LAKE DESTINY ROAD SUITE 100 MAITLAND, FL 32751 | HEALTH OPTIONS | $6K | $0 | $6K | 6.00% |
| THE INS & PAYROLL RESOURCE3 Filed as: THE INS. AND PAYROLL RESOURCE GROUP | 4301 VINELAND ROAD, SUITE E5 ORLANDO, FL 32811 | USABLE LIFE | $3K | $0 | $3K | 11.90% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PARKWAY SUITE DC/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $1K | $0 | $1K | 4.78% |
| SCOTT KENNETH MASON3 | 5303 MATCH POINT PLACE LITHIA, FL 33547 | AFLAC | $3K | $153 | $3K | 9.49% |
| PAUL C BLACK3 Filed as: PAUL C. BLACK | 7623 LODGE POLE TRAIL WINTER PARK, FL 32789 | AFLAC | $3K | $0 | $3K | 9.25% |
| ROBIN PONCE3 Filed as: ROBIN W. PONCE | 2849 ROXBURY ROAD WINTER PARK, FL 32789 | AFLAC | $3K | $0 | $3K | 9.14% |
| TEAM WEISS AND ASSOC LLC3 Filed as: TEAM WEISS AND ASSOCIACTES LLC | PO BOX 149505 ORLANDO, FL 32814 | AFLAC | $1K | $0 | $1K | 4.16% |
| A & M BONURA & ASSOCIATES INC3 Filed as: A & M BONURA AND ASSOCIATES, INC. | 1882 LAUREL BROOK LOOP CASSELBERRY, FL 32707 | AFLAC | $1K | $0 | $1K | 3.84% |
| CINDY DEBRA WEISS3 | PO BOX 149505 ORLANDO, FL 32814 | AFLAC | $836 | $0 | $836 | 2.93% |
| LYDIA MEDINA DEVIA AND OTHER AGENTS3 | 521 OAKCREST STREET ALTAMONETE SPRINGS, FL 32714 | AFLAC | $612 | $0 | $612 | 2.15% |
| SCOTT KENNETH MASON3 | 5303 MATCH POINT PLACE LITHIA, FL 33547 | AFLAC | $3K | $0 | $3K | 12.41% |
| ROBIN PONCE3 Filed as: ROBIN W. PONCE | 2849 ROXBURY ROAD WINTER PARK, FL 32789 | AFLAC | $2K | $0 | $2K | 8.49% |
| PAUL C BLACK3 Filed as: PAUL C. BLACK | 7623 LODGE POLE TRAIL WINTER PARK, FL 32789 | AFLAC | $2K | $0 | $2K | 8.33% |
| TEAM WEISS AND ASSOC LLC3 Filed as: TEAM WEISS AND ASSOCIATES LLC | PO BOX 149505 ORLANDO, FL 32814 | AFLAC | $1K | $0 | $1K | 6.73% |
| A & M BONURA & ASSOCIATES INC3 Filed as: A & M BONURA AND ASSOCIATES, INC. | 1882 LAUREL BROOK LOOP CASSELBERRY, FL 32707 | AFLAC | $1K | $0 | $1K | 4.99% |
| LYDIA MEDINA DEVIA AND OTHER AGENTS3 | 521 OAKCREST STREET ALTAMONETE SPRINGS, FL 32714 | AFLAC | $350 | $0 | $350 | 1.71% |
| CINDY DEBRA WEISS3 | PO BOX 149505 ORLANDO, FL 32814 | AFLAC | $309 | $0 | $309 | 1.51% |
| THE INS & PAYROLL RESOURCE3 Filed as: THE INS. AND PAYROLL RESOURCE GROUP | 1101 NORTH LAKE DESTINY ROAD SUITE 100 MAITLAND, FL 32751 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $337 | $0 | $337 | 15.02% |
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 | 133 | 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) | 133 | 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 | 93 | $1.0M |
| Dental | BLUE CROSS BLUE SHIELD OF FLORIDA | 93 | $934K |
| Vision | BLUE CROSS BLUE SHIELD OF FLORIDA | 93 | $934K |
| Life insurance | USABLE LIFE | 133 | $29K |
| Short-term disability(2 contracts) | AFLAC | 40 | $49K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 7 | $2K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 93 | $1.0M |
| Other(3 contracts, 2 carriers) | USABLE LIFE | 133 | $78K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 133 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.