| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC. | 4211 W BOY SCOUT BLVD, FL 4 TAMPA, FL 33607 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $54K | $54K | 5.26% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC. | 3000 BAYPORT DR, STE 300 TAMPA, FL 33607 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $2K | $2K | 0.16% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENNESSEE, INC. | PO BOX 904037 CHARLOTTE, NC 28290 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $19K | $2K | $21K | 13.77% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 849 7TH AVE S, STE 201 NAPLES, FL 34102 | ALLSTATE | $10K | — | $10K | 26.48% |
| SARA BENJAMIN3 | 3118 GULF TO BAY BLVD CLEARWATER, FL 33759 | ALLSTATE | $5K | — | $5K | 13.80% |
| GREG L BENJAMIN3 Filed as: GREG BENJAMIN | 3118 GULF TO BAY BLVD, STE 105 CLEARWATER, FL 33759 | ALLSTATE | $1K | — | $1K | 3.49% |
| MAX PETERS3 | 3118 GULF TO BAY BLVD CLEARWATER, FL 33759 | ALLSTATE | $1K | — | $1K | 3.42% |
| NORMA ANN PERUGINO3 | 6768 HICKORY HAMMOCK CIRCLE BRADENTON, FL 34201 | ALLSTATE | $28 | — | $28 | 0.07% |
| TED TODD INSURANCE3 | 5265 UNIVERSITY PARKWAY UNIVERSITY PARK, FL 34201 | ALLSTATE | $17 | — | $17 | 0.04% |
| GREG L BENJAMIN3 Filed as: GREG BENJAMIN | 3118 GULG TO BAY BLVD, STE 105 CLEARWATER, FL 33759 | ALLSTATE WORKPLACE DIVISION | $883 | — | $883 | 6.11% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 849 7TH AVE S, STE 201 NAPLES, FL 34102 | ALLSTATE WORKPLACE DIVISION | $883 | — | $883 | 6.11% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA, INC. | PO BOX 904037 CHARLOTTE, NC 28290 | ADVANTICA REINSURANCE COMPANY | $1K | — | $1K | 10.00% |
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 | 131 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 132 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 229 | $1.1M |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 180 | $155K |
| Vision | ADVANTICA REINSURANCE COMPANY | 176 | $13K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 180 | $194K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 180 | $155K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 180 | $170K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 229 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.