| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DOUG JOHNSON INSURANCE LLC3 | 3225 NW 13TH STREET GAINESVILLE, FL 32609 | BLUE CROSS BLUE SHIELD OF FLORIDA | $32K | — | $32K | 6.97% |
| DOUG JOHNSON INSURANCE LLC3 | 3225 NW 13TH STREET GAINESVILLE, FL 32609 | HEALTH OPTIONS | $17K | — | $17K | 7.00% |
| DOUG JOHNSON INSURANCE LLC3 Filed as: DOUG JOHNSON INSURANCE, LLC | 4127 NW 27TH LANE, SUITE A GAINESVILLE, FL 32606 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | — | $8K | 10.00% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | 7310 N 16TH STREET, SUITE 226 PHOENIX, AZ 85020 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | — | $6K | 7.37% |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 88 | $452K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 182 | $76K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 182 | $76K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 88 | $694K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 182 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.