| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHN D OREBAUGH3 | 100 S ASHLEY DR STE 250 TAMPA, FL 33602 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $52K | — | $52K | 4.11% |
| ROBERT A HEALY3 Filed as: ROBERT H MORING | 1200 DELMAHOY DR. CHARLOTTE, NC 28277 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $22K | — | $22K | 1.70% |
| FIRST FLORIDA INSURANCE BROKERS3 | 100 S ASHLEY DR STE 250 TAMPA, FL 336025348 | AMERITAS LIFE INSURANCE CORPORATION | $38K | — | $38K | 10.00% |
| DIANA LEWIS3 Filed as: DIANA N LEWIS | 28059 US HWY 19 #201 CLEARWATER, FL 33761 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $30K | — | $30K | 14.00% |
| FIRST FLORIDA INSURANCE BROKERS3 | 100 S ASHLEY DR STE 250 TAMPA, FL 33602 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $13K | — | $13K | 6.00% |
| DIANA LEWIS3 | 28059 US HWY 19 #201 CLEARWATER, FL 33761 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $10K | — | $10K | 8.66% |
| FIRST FLORIDA INSURANCE BROKERS3 | 100 S ASHLEY DR STE 250 TAMPA, FL 33602 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 3.72% |
| DIANA LEWIS3 | 28059 US HWY 19 #201 CLEARWATER, FL 33761 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $11K | — | $11K | 11.92% |
| FIRST FLORIDA INSURANCE BROKERS3 | 100 S ASHLEY DR STE 250 TAMPA, FL 33602 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 5.11% |
| FIRST FLORIDA INSURANCE BROKERS3 | 100 S ASHLEY DR STE 250 TAMPA, FL 33602 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | — | $7K | 10.00% |
| FIRST FLORIDA INSURANCE BROKERS3 | 100 S ASHLEY DR STE 250 TAMPA, FL 33602 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 5.00% |
| BENEPORT LLC3 Filed as: BENEPORT, LLC | 28059 US HWY 19 #201 CLEARWATER, FL 33761 | METROPOLITAN LIFE INSURANCE COMPANY | $22K | $15 | $22K | 38.23% |
| FIRST FLORIDA INSURANCE BROKERS3 | 100 S ASHLEY DR STE 250 TAMPA, FL 33602 | METROPOLITAN LIFE INSURANCE COMPANY | $19K | — | $19K | 33.31% |
| FIRST FLORIDA INSURANCE BROKERS3 Filed as: FIRST FLORIDA INSURANCE BROKERS LLC | 100 S ASHLEY DR STE 250 TAMPA, FL 33602 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $2K | — | $2K | 4.95% |
| FIRST FLORIDA INSURANCE BROKERS3 Filed as: FIRST FLORIDA INSURANCE BROKERS LLC | 100 S ASHLEY DR STE 250 TAMPA, FL 33602 | CIGNA HEALTHCARE OF CONNECTICUT, INC. | $424 | — | $424 | 5.00% |
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 | 2,585 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,589 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 192 | $1.6M |
| Dental(3 contracts, 3 carriers) | AMERITAS LIFE INSURANCE CORPORATION | 1,885 | $428K |
| Vision | AMERITAS LIFE INSURANCE CORPORATION | 1,885 | $383K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,639 | $136K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 333 | $212K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 35 | $240K |
| Other(5 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 2,639 | $564K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,639 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.