| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CIC HOTALING INSURANCE SERVICES, LL3 | 2103 CORAL WAY SUITE 603 MIAMI, FL 33145 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | — | — | $0 | 0.00% |
| AMG BRICKELL INC3 | 1111 PARK CENTRE BLVD MIAMI, FL 33145 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | — | — | $0 | 0.00% |
| CIC HOTALING INSURANCE SERVICES, LL3 Filed as: CIC HOTALING INSURANCE SERVICES | 2301 NW 87TH AVE STE 401 DORAL, FL 33172 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | — | $7K | 9.44% |
| CIC HOTALING INSURANCE SERVICES, LL3 Filed as: CIC HOTALING INSURANCE SERVICES LLC | 2301 NW 87TH AVE STE 401 DORAL, FL 33182 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | — | $7K | 11.17% |
| CIC HOTALING INSURANCE SERVICES, LL3 | 2301 NW 87TH AVE SUITE 401 DORAL, FL 33172 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 7.85% |
| CIC HOTALING INSURANCE SERVICES, LL3 Filed as: CIC HOTALING INSURANCE SERVICE | 2301 NW 87TH AVE STE 401 DORAL, FL 33172 | RELIANCE STANDARD INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| WEB TPA5 | 8500 FREEPORT PKWY SOUTH IRVING, TX 75063 | TRANSAMERICA INSURANCE CO. | — | $3K | $3K | 15.77% |
| FLOWERS INSURANCE AGENCY LLC3 Filed as: FLOWERS INSURANCE AGENCY | 2501 W MAIN STREET STE 500 DOTHAN, AL 36301 | TRANSAMERICA INSURANCE CO. | $2K | — | $2K | 10.53% |
| LAKESHORE BENEFIT ALLIANCE LLC3 Filed as: LAKESHORE BENEFIT ALLIANCE | 700 37TH STREET SOUTH BIRMINGHAM, AL 35222 | TRANSAMERICA INSURANCE CO. | $2K | — | $2K | 9.02% |
| ABE SMITH, INC.3 Filed as: ABE SMITH INC | 700 37TH STREET SOUTH BIRMINGHAM, AL 35222 | TRANSAMERICA INSURANCE CO. | $932 | — | $932 | 5.26% |
| CARTER CONSULTING GROUP3 | 700 37TH STREET SOUTH BIRMINGHAM, AL 35222 | TRANSAMERICA INSURANCE CO. | $932 | — | $932 | 5.26% |
| LBA SERVICE LLC3 | 700 37TH STREET SOUTH BIRMINGHAM, AL 35222 | TRANSAMERICA INSURANCE CO. | $533 | — | $533 | 3.01% |
| AMWINS5 Filed as: AMWINS GROUP BENEFITS LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | TRANSAMERICA INSURANCE CO. | — | $271 | $271 | 1.53% |
| CIC HOTALING INSURANCE SERVICES, LL3 | 2301 NW 87TH AVE SUITE 401 DORAL, FL 33172 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| CIC HOTALING INSURANCE SERVICES, LL3 | 2301 NW 87TH AVE SUITE 401 DORAL, FL 33172 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| CIC HOTALING INSURANCE SERVICES, LL3 Filed as: CIC HOTAILING INSURANCE SERVICES | 2301 NW 87TH AVE STE 401 DORAL, FL 33172 | RELIANCE STANDARS LIFE INSURANCE COMPANY | $439 | — | $439 | 7.51% |
| CIC HOTALING INSURANCE SERVICES, LL3 | 2301 NW 87TH AVE SUITE 401 DORAL, FL 33172 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $412 | — | $412 | 7.50% |
| CIC HOTALING INSURANCE SERVICES, LL3 | 2103 CORAL WAY SUITE 603 MIAMI, FL 33145 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $142 | — | $142 | 7.52% |
| CIC HOTALING INSURANCE SERVICES, LL3 Filed as: CIC HOTALING INSURANCE SERVICES | 2301 NW 87TH AVE STE 401 DORAL, FL 33172 | RELIANCE STANDARD INSURANCE COMPANY | $98 | — | $98 | 6.53% |
| AMWINS5 Filed as: AMWINS GROUP BENEFITS LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | MC MEDICAL LLC | — | $283 | $283 | 115.51% |
| LBA SERVICE LLC3 | 700 37TH STREET SOUTH BIRMINGHAM, AL 35222 | MC MEDICAL LLC | $177 | — | $177 | 72.24% |
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 | 282 | 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) | 282 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 129 | $841K |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 163 | $63K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 163 | $63K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 210 | $99K |
| Short-term disability(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 52 | $34K |
| Long-term disability(2 contracts, 2 carriers) | RELIANCE STANDARD INSURANCE COMPANY | 37 | $38K |
| Other(7 contracts, 4 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 210 | $131K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 210 | — |
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.