| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC | 1780 N KROME AVE HOMESTEAD, FL 33030 | UNITEDHEALTHCARE INSURANCE COMPANY | $50K | $2K | $52K | 5.25% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC | PO BOX 745897 ATLANTA, GA 30374 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | — | $7K | 11.45% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC | 8825 NW 21ST TERRACE DORAL, FL 33172 | TRANSAMERICA INSURANCE COMPANY MEDICARE SUPPLEMENT | $8K | — | $8K | 15.90% |
| AMWINS5 Filed as: AMWINS GROUP BENEFITS LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | TRANSAMERICA INSURANCE COMPANY MEDICARE SUPPLEMENT | $5K | — | $5K | 9.76% |
| WEB TPA3 | 8500 FREEPORT PKWY SOUTH IRVING, TX 75063 | TRANSAMERICA INSURANCE COMPANY MEDICARE SUPPLEMENT | $2K | — | $2K | 4.20% |
| EXCELSIOR BENEFITS LLC3 | 23505 SMITHTOWN ROAD SUITE 200 EXCELSIOR, MN 55331 | TRANSAMERICA INSURANCE COMPANY MEDICARE SUPPLEMENT | $670 | — | $670 | 1.32% |
| IMPACT INTERACTIVE LLC3 | P.O. BOX 603188 CHARLOTTE, NC 28260 | TRANSAMERICA INSURANCE COMPANY MEDICARE SUPPLEMENT | $659 | — | $659 | 1.30% |
| VARIOUS - SEE ATTACHED3 Filed as: VARIOUS SEE ATTACHED COLONIAL SCH A | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $163 | $1K | 27.17% |
| CHRISTOPHER MICHAEL SHEALY3 Filed as: CHRISTOPHER SHEALY | SHEALY BENEFITS SERVICES, INC. 215 HOGAN WAY LEXINGTON, SC 29072 | LEGAL CLUB OF AMERICA | $423 | — | $423 | 9.21% |
| ERIN WIGGINS3 | 1738 MOHAWK AVE CHARLESTON, SC 29412 | LEGAL CLUB OF AMERICA | $395 | — | $395 | 8.60% |
| WILL KRAMER3 | 249 WEST BOWMORE DR BLYTHEWOOD, SC 29016 | LEGAL CLUB OF AMERICA | $395 | — | $395 | 8.60% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC | 8825 NW 21ST TERRACE DORAL, FL 33172 | THE PAUL REVERE LIFE INSURANCE COMPANY | $47 | — | $47 | 17.47% |
| ERIN WIGGINS3 | 1738 MOHAWK AVE CHARLESTON, SC 29412 | THE PAUL REVERE LIFE INSURANCE COMPANY | $18 | $1 | $19 | 7.06% |
| WILLIAM KRAMER3 | 249 WEST BOWMORE DR BLYTHEWOOD, SC 29016 | THE PAUL REVERE LIFE INSURANCE COMPANY | $14 | — | $14 | 5.20% |
| SHEALY BENEFITS SERVICES INC3 | 215 HOGAN WAY LEXINGTON, SC 29072 | THE PAUL REVERE LIFE INSURANCE COMPANY | $9 | — | $9 | 3.35% |
| PAUL STANLEY JR3 | 5264 INTERNATIONAL BLVD NORTH CHARLESTON, SC 29418 | THE PAUL REVERE LIFE INSURANCE COMPANY | $6 | $1 | $7 | 2.60% |
| ESQUEN INSURANCE GROUP CORP3 | 14552 SW 152ND PLACE MIAMI, FL 33196 | THE PAUL REVERE LIFE INSURANCE COMPANY | $6 | — | $6 | 2.23% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3 | — | $3 | 1.12% |
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 | 128 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 218 | $1.0M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 218 | $980K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 218 | $980K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 150 | $61K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 150 | $61K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 150 | $61K |
| Other(5 contracts, 5 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 218 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 218 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.