| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURANCE OFFICE OF AMERICA3 | 2056 VISTA PKWY STE 350 WEST PLAN BEACH, FL 334226735 | HEALTH OPTIONS, INC. | $20K | $0 | $20K | 3.00% |
| INSURANCE OFFICE OF AMERICA3 | 2056 VISTA PKWY STE 350 WEST PALM BEACH, FL 334116735 | BLUE CROSS BLUE SHIELD OF FLORIDA | $17K | $0 | $17K | 3.00% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SVCS, LLC | WEST PALM BEACH 2056 VISTA PWY STE 350 WEST PALM BEACH, FL 334116756 | FLORIDA COMBINED LIFE | $7K | $0 | $7K | 11.27% |
| FLORIDA BLUE3 | 4800 DEERWOOD CAMPUS PKWY #DC2/2 JACKSONVILLE, FL 32246 | FLORIDA COMBINED LIFE | $589 | $0 | $589 | 0.93% |
| INSURANCE OFFICE OF AMERICA3 | 2056 VISTA PKWY STE 350 WEST PALM BEACH, FL 334116735 | USABLE LIFE | $1K | $0 | $1K | 2.59% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SRVCS, LLC | WEST PALM BEACH 2056 VISTA PWY STE 350 WEST PALM BEACH, FL 334116756 | USABLE LIFE | $860 | $0 | $860 | 1.83% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY #DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $438 | $0 | $438 | 0.93% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SRVCS, LLC | 2056 VISTA PKWY STE 350 WEST PALM BEACH, FL 334116756 | FLORIDA COMBINED LIFE | $874 | $0 | $874 | 6.12% |
| INSURANCE OFFICE OF AMERICA3 | 2056 VISTA PKWY STE 350 WEST PALM BEACH, FL 334116735 | FLORIDA COMBINED LIFE | $549 | $0 | $549 | 3.85% |
| GROUP INSURANCE SOLUTIONS, INC.3 Filed as: GROUP INSURANCE SOLUTIONS INC. | 18230 RIVER OAKS DR JUPITER, FL 334583304 | FLORIDA COMBINED LIFE | $5 | $0 | $5 | 0.04% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SRVCS, LLC | 2056 VISTA PKWY SUITE 350 WEST PALM BEACH, FL 33411 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | $879 | $0 | $879 | 8.47% |
| INSURANCE OFFICE OF AMERICA3 | 2056 VISTA PWY SUITE 250 WEST PALM BEACH, FL 33411 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | $208 | $0 | $208 | 2.00% |
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 | 293 | 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) | 293 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH OPTIONS, INC. | 88 | $1.2M |
| Dental(2 contracts) | FLORIDA COMBINED LIFE | 86 | $78K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | 201 | $10K |
| Life insurance | USABLE LIFE | 293 | $47K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH OPTIONS, INC. | 88 | $1.2M |
| Other | USABLE LIFE | 293 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 293 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.