| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RICHARD ALAN SELIGSON3 | PO BOX 970922 BOCA RATON, FL 33497 | AFLAC | $7K | $470 | $8K | 8.89% |
| ROLANDO DARIO RICCIO3 | 101 W CAMINO REAL APT 713 BOCA RATON, FL 33432 | AFLAC | $5K | $393 | $5K | 6.31% |
| CHRISTOPHER W GRAHAM3 Filed as: CHRISTOPHER D LEE | 759 SW FEDERAL HWY STE 218 STUART, FL 34994 | AFLAC | $1K | — | $1K | 1.22% |
| HYATT T HADLEY3 | 240 COSTELLO RD WEST PALM BEACH, FL 33405 | AFLAC | $980 | — | $980 | 1.14% |
| FREDRIC SCOTT SIEGEL3 | 11127 CLOVER LEAF CIR BOCA RATON, FL 33428 | AFLAC | $635 | $36 | $671 | 0.78% |
| MICHAEL K PORTER3 | 4000 HOLLYWOOD BLVD STE 555S HOLLYWOOD, FL 33021 | AFLAC | $363 | $152 | $515 | 0.60% |
| G SCOTT COOKE3 | 2832 NE 17TH AVE WILTON MANORS, FL 33334 | AFLAC | $468 | — | $468 | 0.54% |
| BRENDA LYNN GARRETT3 | 1350 FRONT PL UNIT 5102 NORTH PORT, FL 34287 | AFLAC | $82 | — | $82 | 0.10% |
| JOSHUA BUZZARD3 | 6848 HENDRY DR LAKE WORTH, FL 33463 | AFLAC | $66 | — | $66 | 0.08% |
| REBEKAH L FUSSELL3 | 11007 CREIGHTON DR ORLANDO, FL 32817 | AFLAC | $52 | — | $52 | 0.06% |
| MEGAN MARIE MCCARRELL3 | 2360 W COUNTY ROAD 44 EUSTIS, FL 32726 | AFLAC | $17 | — | $17 | 0.02% |
| CINDY DEBRA WEISS3 | PO BOX 149505 ORLANDO, FL 32814 | AFLAC | $16 | — | $16 | 0.02% |
| ALFRED RIETKERK3 | 438 PISGAH PIKE PULASKI, TN 38478 | AFLAC | $14 | — | $14 | 0.02% |
| FRANK ROBERT SOBOCINSKI3 | 528 SWEET BAY CIR STE 4440 JUPITER, FL 33458 | AFLAC | $3 | — | $3 | 0.00% |
| JUAN C FERLINI3 | 891 MAYBERRY ML NEW BRAUNFELS, TX 78130 | AFLAC | $3 | — | $3 | 0.00% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAMPTON WOOD DR BOCA RATON, FL 33433 | AFLAC | $3 | — | $3 | 0.00% |
| DEBORAH L JONGES3 | PO BOX 5432 BELLA VISTA, AR 72714 | AFLAC | $3 | — | $3 | 0.00% |
| BATEMAN GORDON & SANDS3 Filed as: BATEMAN, GORDON & SANDS INC | 3050 N FEDERAL HWY LIGHTHOUSE POINT, FL 33064 | MERITAIN HEALTH | — | $38K | $38K | 55.63% |
| BATEMAN GORDON & SANDS3 Filed as: BATEMAN, GORDON & SANDS | 3050 NORTH FEDERAL HIGHWAY STE 100 LIGHTHOUSE POINT, FL 33064 | GUARDIAN | $6K | — | $6K | 10.00% |
| BATEMAN GORDON & SANDS3 Filed as: BATEMAN, GORDON & SANDS INC | 3050 N FEDERAL HWY LIGHTHOUSE POINT, FL 33064 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 9.00% |
| EXCELSIOR BENEFITS LLC3 | 441 2ND STREET EXCELSIOR, MN 55331 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 3.99% |
| BATEMAN GORDON & SANDS3 Filed as: BATEMAN GORDON & SANDS, INC. | 3050 N FEDERAL HWY LIGHTHOUSE POINT, FL 33064 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 6.66% |
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 | 174 | 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) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MERITAIN HEALTH | 79 | $69K |
| Dental | GUARDIAN | 102 | $61K |
| Vision | GUARDIAN | 102 | $61K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 180 | $16K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 79 | $367K |
| Other(3 contracts, 3 carriers) | AFLAC | 180 | $129K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 180 | — |
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.