| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF FL INC. | 3520 THOMASVILLE RD SUITE 500 TALLAHASSEE, FL 32309 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 9.31% |
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFITS GROUP OF WI LLC | 1200 N. MAYFAIR RD. SUITE 100 MILWAUKEE, WI 53226 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $431 | $431 | 1.11% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF FL- TALLAHASSEE | 3520 THOMASVILLE RD SUITE 500 TALLAHASSEE, FL 32309 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 10.08% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $182K |
| BROWN AND BROWN OF FL INC. EIN 59-0691921 BROKER | Other commissions Service code 55 | 3520 THOMASVILLE RD SUITE 500 TALLAHASSEE, FL 32309 | $32K |
| BROWN AND BROWN INSURANCE EIN 59-0691921 BROKER | Other commissions Service code 55 | 300 NORTH BEACH STREET DAYTONA BEACH, FL 32114 | $3K |
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 | 102 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 96 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 198 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 437 | $33K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 101 | $39K |
| Stop-loss / reinsurancereinsurance | SWISS RE-SWISS RE | 0 | $264K |
| Other | EMPLOYEE NETWORK, INC. | 110 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 437 | — |
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.