| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 2 AQUARIUM DR, SUITE 200 CAMDEN, NJ 08103 | FLORIDA HEALTH CARE PLANS, INC. | $57K | — | $57K | 4.74% |
| HALIFAX INSURANCE PARTNERS, LLC3 | 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 321177144 | BLUE CROSS BLUE SHIELD OF FLORIDA | $16K | — | $16K | 5.00% |
| HALIFAX INSURANCE PARTNERS, LLC3 | 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 321177144 | FLORIDA COMBINED LIFE | $2K | — | $2K | 2.73% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS OF | FLORIDA, LLC 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 321177144 | USABLE LIFE | $2K | — | $2K | 5.12% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY # DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $555 | — | $555 | 1.19% |
| FOUNDATION RISK PARTNERS CORP3 | 2125 YGNACIO VALLEY RD STE 200 WALNUT CREEK, CA 945983357 | HUMANA INSURANCE COMPANY | $1K | $745 | $2K | 13.68% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK CORP DBA PINNACLE | BROKER 2125 YGNACIO VALLEY RD SUITE 200 WALNUT CREEK, CA 945983357 | HUMANA INSURANCE COMPANY | $236 | — | $236 | 1.72% |
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 | 169 | 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) | 169 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 22 | $314K |
| Dental | FLORIDA COMBINED LIFE | 159 | $72K |
| Vision | HUMANA INSURANCE COMPANY | 120 | $14K |
| Life insurance | USABLE LIFE | 105 | $47K |
| Other | USABLE LIFE | 105 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 159 | — |
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."
No prospect flags tripped on this filing.