| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TIMOTHY MURNO3 | 3626 TAMIAMI TRAIL PORT CHARLOTTE, FL 339528243 | BLUE CROSS BLUE SHIELD | $7K | — | $7K | 5.32% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: INTEGRITY RISK MANAGEMENT, INC. | 128 W CHARLOTTE ST PUNTA GORDA, FL 339505502 | BLUE CROSS BLUE SHIELD | $32 | — | $32 | 0.03% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: INTEGRITY RISK MANAGEMENT, INC. | 128 W CHARLOTTE AVE PUNTA GORDA, FL 33950 | BLUE CROSS BLUE SHIELD | $2K | — | $2K | 2.16% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: INTEGRITY RISK MANAGEMENT, INC. | 128 W CHARLOTTE AVE PUNTA GORDA, FL 339508243 | AMERITAS LIFE INSURANCE CORP. | $9K | — | $9K | 10.04% |
| MICHAEL ALAN PHILLIPS3 | 703 N LAKE STREET CRESCENT CITY, FL 321122213 | AMERITAS LIFE INSURANCE CORP. | $2K | — | $2K | 2.52% |
| INTRUST BUSINESS PARTNERS LLC3 | 412 E MADISON ST STE 809 TAMPA, FL 336024616 | UNITEDHEALTHCARE INSURANCE COMPANY | $5K | — | $5K | 7.27% |
| B C D & K BENEFIT SERVICES LLC3 | 412 E MADISON ST #809 TAMPA, FL 33602 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 4.61% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE SOUTH FLORIDA | 6750 N ANDREWS AVE STE 125 FORT LAUDERDALE, FL 333092148 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | — | $2K | 2.26% |
| MATTHEW KIM DINKEL3 | PO BOX 61382 FORT MYERS, FL 339061382 | UNITEDHEALTHCARE INSURANCE COMPANY | -$2K | — | -$2K | -2.28% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: INTEGRITY RISK MANAGEMENT INC | 128 W CHARLOTTE ST PUNTA GORDA, FL 339505502 | BLUE CROSS BLUE SHIELDS | $0 | — | $0 | 0.00% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: INTEGRITY RISK MANAGEMENT, INC. | 128 W CHARLOTTE AVE PUNTA GORDA, FL 33950 | BLUE CROSS BLUE SHIELDS | $0 | — | $0 | 0.00% |
| INTRUST BUSINESS PARTNERS LLC3 | 412 E MADISON ST STE 809 TAMPA, FL 336024616 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 6.10% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE SOUTH FLORIDA | 6750 N ANDREWS AVE STE 125 FORT LAUDERDALE, FL 333092148 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | — | $1K | 2.40% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: INTEGRITY RISK MANAGEMENT | 128 W CHARLOTTE AVENUE PUNTA GORDA, FL 339505502 | UNITED HEALTHCARE INSURANCE COMPANY | $180 | — | $180 | 0.57% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE FLORIDA | 6750 N ANDREWS AVE STE 125 FORT LAUDERDALE, FL 333092148 | UNITED HEALTHCARE INSURANCE COMPANY | $90 | — | $90 | 0.28% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: INTEGRITY RISK MANAGEMENT, INC. | 128 W CHARLOTTE STREET PUNTA GORDA, FL 339505502 | BLUE CROSS BLUE SHIELDS | $72 | — | $72 | 0.25% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: INTEGRITY RISK MANAGEMENT, INC. | 128 W CHARLOTTE AVE PUNTA GORDA, FL 33950 | BLUE CROSS BLUE SHIELDS | $0 | — | $0 | 0.00% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: INTEGRITY RISK MANAGEMENT, INC. | 128 W CHARLOTTE AVE PORT CHARLOTTE, FL 33950 | AETNA | $36 | — | $36 | 0.20% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: INTEGRITY RISK MANAGEMENT, INC. | 128 W CHARLOTTE AVE PUNTA GORDA, FL 33950 | BLUE CROSS BLUE SHIELDS | $0 | — | $0 | 0.00% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: INTEGRITY RISK MANAGEMENT, INC. | 128 W CHARLOTTE AVE PUNTA GORDA, FL 33950 | BLUE CROSS BLUE SHIELDS | $0 | — | $0 | 0.00% |
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 | 197 | 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) | 197 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(12 contracts, 5 carriers) | BLUE CROSS BLUE SHIELD | 32 | $568K |
| Dental | AMERITAS LIFE INSURANCE CORP. | 411 | $92K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 411 | $92K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 411 | — |
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.