| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SANDY WASSON & ASSOCIATES INS, INC.3 | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $54K | — | $54K | 16.70% |
| THERESA STONER ANNUNZIATA3 | 700 CENTRAL AVE STE 300 ST. PETERSBURG, FL 33701 | NORTHWESTERN MEDICAL | $5K | $1K | $6K | 8.06% |
| KACEE ELIZABETH HOWES3 | 700 CENTRAL AVE STE 300 ST. PETERSBURG, FL 33701 | NORTHWESTERN MEDICAL | $592 | $213 | $805 | 1.09% |
| DAVID HOOD3 | 700 CENTRAL AVE STE 300 ST. PETERSBURG, FL 33701 | NORTHWESTERN MEDICAL | $599 | $149 | $748 | 1.01% |
| DAVID HOOD3 Filed as: DAVID JAMES CONDRON | 700 CENTRAL AVE STE 300 ST. PETERSBURG, FL 33701 | NORTHWESTERN MEDICAL | $552 | $138 | $690 | 0.93% |
| OCONNELL FNCL GRP INC3 Filed as: OCONNELL FNCL GRP INC STE 800 | 1511 N WEST SHORE BLVD TAMPA, FL 33607 | NORTHWESTERN MEDICAL | $592 | $71 | $663 | 0.90% |
| KIMBERLY FERGUSON3 Filed as: KIMBERLY ECKELBARGER | 2118 LARISSA COURT, TRINITY TRINITY, FL 34655 | RELIANCE STANDARD LIFE INSURANCE | $3K | — | $3K | 15.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE | $1K | — | $1K | 6.18% |
| KIMBERLY FERGUSON3 Filed as: KIMBERLY ECKELBARGER | 2118 LARISSA COURT, TRINITY TRINITY, FL 34655 | RELIANCE STANDARD LIFE INSURANCE | $2K | — | $2K | 20.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE | $583 | — | $583 | 6.00% |
| KIMBERLY FERGUSON3 Filed as: KIMBERLY ECKELBARGER | 2118 LARISSA COURT, TRINITY TRINITY, FL 34655 | RELIANCE STANDARD LIFE INSURANCE | $2K | — | $2K | 20.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE | $612 | — | $612 | 7.43% |
| KIMBERLY FERGUSON3 Filed as: KIMBERLY ECKELBARGER | 2118 LARISSA COURT, TRINITY TRINITY, FL 34655 | RELIANCE STANDARD LIFE INSURANCE | $1K | — | $1K | 20.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE | $428 | — | $428 | 6.12% |
| KIMBERLY FERGUSON3 Filed as: KIMBERLY ECKELBARGER | 2118 LARISSA COURT, TRINITY TRINITY, FL 34655 | RELIANCE STANDARD LIFE INSURANCE | $442 | — | $442 | 15.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE | $170 | — | $170 | 5.77% |
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 | 135 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 135 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 99 | $321K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 99 | $321K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 99 | $321K |
| Short-term disability | NORTHWESTERN MEDICAL | 145 | $74K |
| Long-term disability | NORTHWESTERN MEDICAL | 145 | $74K |
| Other(5 contracts) | RELIANCE STANDARD LIFE INSURANCE | 135 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 145 | — |
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.