| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: DIGITAL BENFIT ADVISORS | 400 GALLERIA PARKWAY SE, SUITE 300 ATLANTA, GA 30339 | BLUE CROSS BLUE SHIELD OF FLORIDA | $33K | — | $33K | 4.50% |
| ENROLLEASE3 Filed as: DIGITAL BENEFIT ADVISORS | 400 GALLERIA PARKWAY SE, SUITE 300 ATLANTA, GA 30339 | BLUE CROSS BLUE SHIELD OF FLORIDA | $14K | — | $14K | 4.50% |
| ENROLLEASE3 Filed as: DIGITAL BENEFIT ADVISORS | 400 GALLERIA PARKWAY SE, SUITE 300 ATLANTA, GA 30339 | FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. | — | $3K | $3K | 5.69% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SVCS. | 951 YAMATO ROAD, SUITE 200W BOCA RATON, FL 33431 | FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. | — | $295 | $295 | 0.60% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SVCS. | PO BOX 632886 CINCINNATI, OH 45263 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $25 | $1K | 7.59% |
| ENROLLEASE3 Filed as: DIGITAL BENEFIT ADVISORS | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | METROPOLITAN LIFE INSURANCE COMPANY | $864 | $167 | $1K | 6.45% |
| ENROLLEASE3 Filed as: DIGITAL BENEFIT ADVISORS | 9499 NE 2ND AVENUE, SUITE 204 MIAMI SHORES, FL 33138 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | — | $1K | 11.02% |
| ENROLLEASE3 Filed as: DIGITAL BENEFIT ADVISORS | 400 GALLERIA PARKWAY SE, SUITE 300 ATLANTA, GA 30339 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $99 | $99 | 0.97% |
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 | 102 | 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) | 102 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 78 | $1.0M |
| Dental | FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. | 111 | $49K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 130 | $10K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 96 | $16K |
| Prescription drug(2 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 78 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.