| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FLORIDA BLUE3 | 4800 DEERWOOD CAMPUS PKWY # DC2/2 JACKSONVILLE, FL 32246 | FLORIDA COMBINED LIFE | $3K | — | $3K | 0.44% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA EIN 59-2015694 NONE KNOWN | Contract Administrator; Direct payment from the plan Service code 13 | — | $599K |
| MCASF LOCAL 725 SERVICE CORPORATION EIN 81-2757635 CAPTIVE SERVICE PROVIDER | Contract Administrator; Direct payment from the plan Service code 13 | — | $290K |
| HORIZON ACTUARIAL SERVICES, LLC EIN 26-1370698 NONE KNOWN | Direct payment from the plan; Consulting (general); Actuarial Service code 11 | — | $154K |
| HESSIAN & MCKASY, PA EIN 20-1551306 NONE KNOWN | Legal; Direct payment from the plan Service code 29 | — | $78K |
| SAV-RX PRESCRIPTION SERVICES NONE KNOWN | Contract Administrator; Direct payment from the plan Service code 13 | 224 NORTH PARK AVENUE FREMONT, NE 68025 | $70K |
| PLANTE & MORAN, PLLC EIN 33-1498605 NONE KNOWN | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $59K |
| KARPUS MANAGEMENT, INC. EIN 16-1290558 NONE KNWON | Investment management fees paid directly by plan; Investment management; Direct payment from the plan; Soft dollars commissions Service code 28 | — | $48K |
| CHARTWELL INVESTMENT PARTNERS, LLC EIN 36-4776242 NONE KNOWN | Direct payment from the plan; Investment management; Named fiduciary; Investment management fees paid directly by plan Service code 28 | — | $27K |
| ULLIANCE, INC. NONE KNOWN | Other services; Direct payment from the plan Service code 49 | 900 TOWER DRIVE, SUITE 600 TROY, MI 48098 | $22K |
| NEPC, LLC EIN 26-1429809 NONE KNOWN | Consulting (pension); Direct payment from the plan Service code 17 | — | $9K |
| AMERICAN GRAPHICS PRINTING CO. NONE KNOWN | Direct payment from the plan; Copying and duplicating Service code 36 | 34895 GROESBECK HWY CLINTON TWP, MI 48035 | $8K |
| SAWGRASS ASSET MANAGEMENT LLC EIN 59-3488505 NONE KNOWN | Investment management fees paid directly by plan; Soft dollars commissions; Direct payment from the plan; Investment management Service code 28 | — | $8K |
| U.S. BANK NATIONAL ASSOCIATION EIN 31-0841368 NONE KNOWN | Float revenue; Soft dollars commissions; Custodial (securities); Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 19 | — | $6K |
| STATE STREET GLOBAL ADVISORS TRUST EIN 81-4017137 NONE KNOWN | Investment management fees paid directly by plan; Custodial (securities); Direct payment from the plan Service code 19 | — | $416 |
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 | 966 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 972 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | FLORIDA COMBINED LIFE | 973 | $755K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 961 | $602K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 973 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.