| 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 | $58K | $0 | $58K | 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, INC. | $7K | $0 | $7K | 6.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 | 2290 LUCIEN WAY, SUITE 400 MAITLAND, FL 32751 | FLORIDA COMBINED LIFE | $4K | $0 | $4K | 7.04% |
| THE INS & PAYROLL RESOURCE3 Filed as: THE INS. AND PAYROLL RESOURCE GROUP | 1101 NORTH LAKE DESTINY ROAD SUITE 100 MAITLAND, FL 32751 | FLORIDA COMBINED LIFE | $1K | $0 | $1K | 2.42% |
| PAUL C BLACK3 Filed as: PAUL C. BLACK | 7623 LODGE POLE TRAIL WINTER PARK, FL 32792 | AFLAC | $2K | $80 | $2K | 6.81% |
| ROBIN PONCE3 Filed as: ROBIN W. PONCE | 2849 ROXBURY ROAD WINTER PARK, FL 32789 | AFLAC | $2K | $67 | $2K | 6.33% |
| CINDY DEBRA WEISS3 Filed as: CINDY DERBA WEISS | PO BOX 149505 ORLANDO, FL 32814 | AFLAC | $726 | $41 | $767 | 2.16% |
| A & M BONURA & ASSOCIATES INC3 Filed as: A & M BONURA & ASSOCIATES, INC. | 1882 LAURL BROOK LOOP CASSELBERRY, FL 32707 | AFLAC | $624 | $41 | $665 | 1.87% |
| SCOTT KENNETH MASON3 Filed as: SCOTT KENNETH MASON & OTHER AGENTS | 5303 MATCH POINT PLACE LITHIA, FL 33547 | AFLAC | $536 | $9 | $545 | 1.53% |
| JASMINE DORITY3 Filed as: JASMINE KAY DORITY | 221 ASTERBROOKE DRIVE DELAND, FL 32724 | AFLAC | $430 | $0 | $430 | 1.21% |
| RUBEN ROSA3 | 933 LEE ROAD, SUITE 200 ORLANDO, FL 32810 | AFLAC | $310 | $0 | $310 | 0.87% |
| THE INS & PAYROLL RESOURCE3 Filed as: THE INS. AND PAYROLL RESOURCE GROUP | 4301 VINELAND ROAD, SUITE E5 ORLANDO, FL 32811 | USABLE LIFE | $4K | $0 | $4K | 12.39% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PARKWAY SUITE DC/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $195 | $0 | $195 | 0.65% |
| 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, INC. | $510 | $0 | $510 | 4.54% |
| BROWN AND BROWN OF FLORIDA, INC.3 | 2290 LUCIEN WAY, SUITE 400 MAITLAND, FL 32751 | BLUE CROSS BLUE SHIELD OF FLORIDA, INC. | $401 | $0 | $401 | 3.57% |
| PAUL C BLACK3 Filed as: PAUL C. BLACK | 7623 LODGE POLE TRAIL WINTER PARK, FL 32792 | AFLAC | $315 | $62 | $377 | 4.10% |
| ROBIN PONCE3 Filed as: ROBIN W. PONCE | 2849 ROXBURY ROAD WINTER PARK, FL 32789 | AFLAC | $315 | $62 | $377 | 4.10% |
| CINDY DEBRA WEISS3 Filed as: CINDY DERBA WEISS | PO BOX 149505 ORLANDO, FL 32814 | AFLAC | $151 | $52 | $203 | 2.21% |
| A & M BONURA & ASSOCIATES INC3 Filed as: A & M BONURA & ASSOCIATES, INC. | 1882 LAURL BROOK LOOP CASSELBERRY, FL 32707 | AFLAC | $123 | $64 | $187 | 2.03% |
| SCOTT KENNETH MASON3 | 5303 MATCH POINT PLACE LITHIA, FL 33547 | AFLAC | $52 | $82 | $134 | 1.46% |
| JASMINE DORITY3 Filed as: JASMINE KAY DORITY | 221 ASTERBROOKE DRIVE DELAND, FL 32724 | AFLAC | $113 | $0 | $113 | 1.23% |
| RUBEN ROSA3 | 933 LEE ROAD, SUITE 200 ORLANDO, FL 32810 | AFLAC | $74 | $0 | $74 | 0.80% |
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 | 100 | 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) | 100 | 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 | 83 | $1.1M |
| Dental | FLORIDA COMBINED LIFE | 77 | $50K |
| Vision | BLUE CROSS BLUE SHIELD OF FLORIDA, INC. | 66 | $11K |
| Life insurance | USABLE LIFE | 100 | $30K |
| Short-term disability(2 contracts) | AFLAC | 23 | $45K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 83 | $971K |
| Other(3 contracts, 2 carriers) | AFLAC | 100 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 100 | — |
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.