| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 | ORLANDO LOCATION 2 AQUARIUM DR STE 200 CAMDEN, NJ 08103 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $85K | — | $85K | 4.08% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DR STE 200 CAMDEN, NJ 08103 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $41K | $39K | $79K | 3.79% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: THE L. WARNER CO., INC. | 9690 DEERECO RD STE 650 TIMONIUM, MD 21093 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $35K | — | $35K | 1.70% |
| CORPORATE SYNERGIES GROUP LLC5 | 2 AQUARIUM DR STE 200 CAMDEN, NJ 08103 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $27K | $27K | 1.27% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, INC. | 2 AQUARIUM DR STE 200 CAMDEN, NJ 081031000 | KAISER FOUNDATION HEALTH PLAN, INC. | $33K | — | $33K | 2.38% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE STE 200 CAMDEN, NJ 081031000 | HUMANA INSURANCE COMPANY | $67K | — | $67K | 4.94% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES - MT. LAUREL, | NJ PO BOX 654118 DALLAS, TX 75265 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $8K | — | $8K | 4.56% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, INC. | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | COUNTRYWIDE ENTERPRISES, INC | $5K | — | $5K | 7.20% |
| FOUNDATION RISK PARTNERS CORP3 | DBA ACENTRIA INSURANCE 4634 GULFSTARR DR DESTIN, FL 32541 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $483 | — | $483 | 3.18% |
| ALEJANDRO VILLASUSO3 | AND VARIOUS AGENTS 412 SW TALQUIN LN PORT ST LUCIE, FL 34986 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $450 | $3 | $453 | 2.98% |
| RICK CARROLL INSURANCE3 Filed as: RICK CARROLL INSURANCE AGENCY | PO BOX 877 JENSEN BEACH, FL 34958 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $281 | — | $281 | 1.85% |
| JOEY MIGUES3 Filed as: JOEY GRUBBS BENEFITS LLC | 525 TAYLOR RD MONTICELLO, FL 32344 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $162 | — | $162 | 1.07% |
| RONALD AUSTIN WIMBERLEY3 | PO BOX 1097 SANTA ROSA BEACH, FL 32459 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $98 | — | $98 | 0.64% |
| THE JORDAN GROUP, LLC3 Filed as: JORDAN AGENCY INC | 1416 OHIO AVE N. LIVE OAK, FL 32064 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $85 | — | $85 | 0.56% |
| MELZER SUPPLEMENTAL BENEFITS INC3 | 4801 1 2 ELM AVE FORT PIERCE, FL 34982 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $63 | $11 | $74 | 0.49% |
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 | 2,042 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 22 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,064 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 111 | $1.4M |
| Dental | HUMANA INSURANCE COMPANY | 1,041 | $1.4M |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | 2,501 | $180K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,055 | $2.1M |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,055 | $2.1M |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,055 | $2.1M |
| Other(4 contracts, 4 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,055 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,501 | — |
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.