| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BATEMAN GORDON & SANDS3 | 3050 NORTH FEDERAL HIGHWAY #100 LIGHTHOUSE POINT, FL 33064 | BLUE CROSS BLUE SHIELD OF FLORIDA | $75K | — | $75K | 6.00% |
| BATEMAN GORDON & SANDS3 Filed as: BATEMAN GORDON AND SANDS INC | 3050 N FEDERAL HWY LIGHTHOUSE POINT, FL 33064 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16K | — | $16K | 8.03% |
| JOSEPH A STALTARE3 | 11085 SACCO DR BOCA RATON, FL 33428 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $3K | $6K | 3.26% |
| WALNIECIA NEKISHA RUSSELL3 | 6916 PALMETTO CIR S APT 109 BOCA RATON, FL 33433 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $96 | $2K | 1.11% |
| CREATIVE BENEFIT CONSULTANTS INC3 | 18214 102ND WAY S STE 100 BOCA RATON, FL 33498 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $820 | $578 | $1K | 0.72% |
| KAREN REINA3 | 2044 NW 27TH ST MIAMI, FL 33142 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 0.62% |
| LYNN MARIE BARRY3 | 301 W PARK AVE LANGHORNE, PA 19047 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $895 | $261 | $1K | 0.60% |
| YESENIA HENOHE OSORIO3 | 13611 ISHNALA CIR WELLINGTON, FL 33414 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $523 | $172 | $695 | 0.36% |
| STALTARE BENEFITS INC3 | 2791 LAWRENCE MILL RUN MARIETTA, GA 30068 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $448 | — | $448 | 0.23% |
| GINA MARIE MARTINEZ3 | 2400 NE 36TH ST APT 7 LIGHTHOUSE POINT, FL 33064 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $429 | — | $429 | 0.22% |
| ESQUEN INSURANCE GROUP CORP3 | 14552 SW 152ND PL MIAMI, FL 33196 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $328 | — | $328 | 0.17% |
| ANGEL GABRIEL VELAZQUEZ-DIAZ3 | 2022 ESTANCIA CIR STE 6 KISSIMMEE, FL 34741 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $198 | — | $198 | 0.10% |
| SHEALY BENEFITS SERVICES INC3 | 215 HOGAN WAY LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $191 | — | $191 | 0.10% |
| SUSAN MARIE WEITKAMP3 | 246 FIDDLECREEK RIDGE RD WENTZVILLE, MO 63385 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $168 | — | $168 | 0.09% |
| JANET IBANEZ3 | 5110 NW COVENTRY CIR PORT ST. LUCIE, FL 34986 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $81 | $35 | $116 | 0.06% |
| ROBERT HYLTON3 | 6287 GARRETT ST JUPITER, FL 33458 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $99 | $5 | $104 | 0.05% |
| CLARICE R MIMS3 | 133 HILLCREST DRIVE MARLBORO, NY 12542 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $82 | $9 | $91 | 0.05% |
| NATASHA DELGADO3 | 6800 SW 40TH ST MIAMI, FL 33155 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $80 | — | $80 | 0.04% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: ADAM IRA BROWN | 700 NE 7TH AVE APT 6 FORT LAUDERDALE, FL 33304 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $59 | — | $59 | 0.03% |
| MARIA D KADALA3 Filed as: MARIA DOLORES KADALA | 1830 N UNIVERSITY DR PLANTATION, FL 33322 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $58 | — | $58 | 0.03% |
| PETER MICHAEL FOLEY JR3 | 119 BRADLEY STREET PORTLAND, MA 04102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $52 | — | $52 | 0.03% |
| DAVID J MECCLELLAN3 | 118 ROYAL HORSE WAY REINHOLDS, PA 17569 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $46 | $52 | 0.03% |
| RODNEY J VALDIVIA3 | 801 SW 189TH AVE PEMBROKE PINES, FL 33029 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $38 | — | $38 | 0.02% |
| WE ARE MONDAY PEOPLE INC3 | 13652 GLOSGOW LN DELRAY BEACH, FL 33446 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | — | $37 | 0.02% |
| CHRISTINA BIEBER3 | 1287 WOODMILL DR PALM BEACH GARDENS, FL 33418 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $30 | $1 | $31 | 0.02% |
| CAROLE J CASELLA3 | 106 WATERVIEW DR PALM BEACH GARDENS, FL 33418 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $29 | — | $29 | 0.01% |
| JEFFREY ADRIAN BORG3 | 3665 SAWGRASS DR TITUSVILLE, FL 32780 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $28 | — | $28 | 0.01% |
| WORLD PRIME SOLUTIONS3 | 7000 NOVA DR APT 203 DAVIE, FL 33317 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 0.01% |
| ESTELLE WEINGARDEN3 | 6605 VIA REGINA BOCA RATON, FL 33433 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | — | $17 | 0.01% |
| JUAN PABLO CONTESSE3 | 12120 SW 106TH ST MIAMI, FL 33186 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | — | $16 | 0.01% |
| EM PROPERTY & CASUALTY LLC3 | 13500 SW 88TH ST STE 287 MIAMI, FL 33186 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | — | $15 | 0.01% |
| FIORELLA D CASTILLO3 | 11320 SW 46TH ST MIAMI, FL 33165 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $7 | $8 | 0.00% |
| DANA MARIE MOWATT3 | 23701 S WESTERN AVE SPC 112 TORRANCE, CA 90501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $1 | $7 | 0.00% |
| HOWARD J HOROWITZ3 | 2610 ALCOTT ST CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.00% |
| WORKWELL LLC3 | 11320 SW ST. MIAMI, FL 33165 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $4 | $5 | 0.00% |
| KAREN PICCININI3 | 6609 THE LANDINGS DR BELLE ISLE, FL 32812 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $1 | $3 | 0.00% |
| JOSE H MUNGARRIETA JR3 | 540 SW 78TH PL MIAMI, FL 33144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| EUGENE VILLA3 | 1918 DERBY TRL WELLINGTON, FL 33414 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| BENEFIT COMMUNICATION SPECIALISTS3 | 8 CARETAKERS LANE SAVANNAH, GA 31404 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| CORCORAN & HOYT LLC3 | 3905 TAMPA ROAD OLDSMAR, FL 34677 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| THE MEEHAN AGENCY LLC3 | 1924 DOWN HOLLOW LN WINDERMERE, FL 34786 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| LAWRENCE DAVID FURNISS3 | 9022 SW 123RD CT APT O-402 MIAMI, FL 33186 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| DAVID MASON DOKELL3 | 159 BEACON DR UNIT A MOORESVILLE, NC 28117 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DR UNIT 203 DANIEL ISLAND, SC 29492 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| TIFFANY ANITA MIRANDA3 | 2727 SW 1ST AVE CAPE CORAL, FL 33914 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| ANA ELISA FURNISS3 | 9022 SW 123RD CT APT O-402 MIAMI, FL 33186 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| BATEMAN GORDON & SANDS3 Filed as: BATEMAN, GORDON & SANDS INC | 3050 N FEDERAL HWY LIGHTHOUSE POINT, FL 33064 | TRANSAMERICA LIFE INSURANCE COMPANY | $8K | — | $8K | 8.99% |
| EXCELSIOR BENEFITS LLC3 Filed as: EXCELSIOR BENEFITSLLC | 441 2ND STREET EXCELSIOR, MN 55331 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | — | $4K | 3.99% |
| BATEMAN GORDON & SANDS3 Filed as: BATEMAN GORDON & SANDS INC | 3050 N FEDERAL HWY #100 LIGHTHOUSE POINT, FL 33064 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $9K | $9K | 15.65% |
| BATEMAN GORDON & SANDS3 Filed as: BATEMAN GORDON & SANDS INC | 3050 N FEDERAL HWY #100 LIGHTHOUSE POINT, FL 33064 | UNITEDHEALTHCARE INSURANCE COMPANY | $6K | -$590 | $6K | 10.61% |
| EXCELSIOR BENEFITS LLC3 Filed as: EXCELSIOR INSURANCE BROKERAGE INC | 441 2ND ST EXCELSIOR, MN 55331 | UNITEDHEALTHCARE INSURANCE COMPANY | -$435 | $1K | $968 | 1.77% |
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 | 129 | 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) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 180 | $1.3M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 381 | $55K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 381 | $55K |
| Life insurance | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 129 | $194K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 129 | $194K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 180 | $1.3M |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 148 | $285K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 381 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.