| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH & WILLINGHAM, INC | 300 1ST AVE S STE 500 SAINT PETERSBURG, FL 33701 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $31K | $10K | $42K | 20.00% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH & WILLINGHAM, INC | 300 1ST AVE S STE 500 SAINT PETERSBURG, FL 33701 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $25K | $6K | $31K | 18.39% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH & WILLINGHAM, INC | 300 1ST AVE S STE 500 SAINT PETERSBURG, FL 33701 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $23K | $8K | $30K | 20.21% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH & WILLINGHAM, INC. | 300 FIRST AVENUE SOUTH FIFTH FLOOR SAINT PETERSBURG, FL 33701 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 12.94% |
| WALLACE WELCH & WILLINGHAM INC3 | 300 FIRST AVENUE SOUTH FIFTH FLOOR ST PETERSBURG, FL 33701 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | — | $4K | 6.81% |
| GL BENJAMIN INC3 | 5837 RAVENWOOD DR SARASOTA, FL 34243 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 3.76% |
| SMITH, ALAN R3 | 17113 BEVILL ROAD ODESSA, FL 33556 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $688 | — | $688 | 1.25% |
| ACKERMAN, LANCE3 | 5010 N 9TH ST TAMPA, FL 33603 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $688 | — | $688 | 1.25% |
| GL BENJAMIN INC3 | 5837 RAVENWOOD DR SARASOTA, FL 34243 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $269 | — | $269 | 0.49% |
| DIAZ VICTOR G3 | 12518 EVINGTON POINT DR RIVERVIEW, FL 33579 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $30 | — | $30 | 0.05% |
| WALLACE WELCH & WILLINGHAM INC3 | 300 FIRST AVENUE SOUTH FIFTH FLOOR ST PETERSBURG, FL 33701 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6K | — | $6K | 12.52% |
| GL BENJAMIN INC3 | 5837 RAVENWOOD DR SARASOTA, FL 34243 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5K | — | $5K | 9.07% |
| DIAZ VICTOR G3 Filed as: DIAZ VICTOR | 12518 EVINGTON POINT DR RIVERVIEW, FL 33579 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 1.95% |
| VICTOR DIAZ3 | 12518 EVINGTON POINT DR RIVERVIEW, FL 33579 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $173 | — | $173 | 0.34% |
| ROBERT BURR3 | 3100 MISSION GROVE DRIVE PALM HARBOR, FL 34684 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $122 | — | $122 | 0.24% |
| SARA BENJAMIN3 | 1277 MISSION CIRCLE CLEARWATER, FL 33759 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $122 | — | $122 | 0.24% |
| GL BENJAMIN INC3 | 5837 RAVENWOOD DR SARASOTA, FL 34243 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $98 | — | $98 | 0.19% |
| WALLACE WELCH & WILLINGHAM INC3 | 300 FIRST AVE SOUTH FIFTH FLOOR ST PETERSBURG, FL 33701 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| GL BENJAMIN INC3 | 5837 RAVENWOOD DR SARASOTA, FL 34243 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 7.92% |
| DIAZ VICTOR G3 Filed as: DIAZ VICTOR | 12518 EVINGTON POINT DR RIVERVIEW, FL 33579 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $329 | — | $329 | 0.94% |
| VICTOR DIAZ3 | 12518 EVINGTON POINT DR RIVERVIEW, FL 33579 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $228 | — | $228 | 0.65% |
| GL BENJAMIN INC3 | 5837 RAVENWOOD DR SARASOTA, FL 34243 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $48 | — | $48 | 0.14% |
| ROBERT BURR3 | 3100 MISSION GROVE DRIVE PALM HARBOR, FL 34684 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $35 | — | $35 | 0.10% |
| SARA BENJAMIN3 | 1277 MISSION CIRCLE CLEARWATER, FL 33759 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $35 | — | $35 | 0.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $383K |
| WALLACE, WELCH & WILLINGHAM, INC. BROKER | Other commissions Service code 55 | 300 FIRST ST S 5TH FL SAINT PETERSBURG, FL 33701 | $17K |
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 | 661 | 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) | 661 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 841 | $77K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 370 | $210K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 453 | $151K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 327 | $169K |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE | 661 | $292K |
| Other(6 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 453 | $671K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 841 | — |
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.