| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT FABRIZIO3 Filed as: ROBERT FABIZIO | 4041 WEST BOY SCOUT BOULEVARD SUITE 700 TAMPA, FL 33607 | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | $132K | $0 | $132K | 1.79% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 7515 NORTHSIDE DRIVE, SUITE 150 NORTH CHARLESTON, SC 29420 | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | $82K | $0 | $82K | 1.11% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 10151 DEERWOOD PARK BOULEVARD BUILDING JACKSONVILLE, FL 32256 | PRINCIPAL LIFE INSURANCE COMPANY | $45K | $0 | $45K | 3.47% |
| ROBERT FABRIZIO3 Filed as: ROBERT BRIAN FABRIZIO | 4830 WEST KENNEDY BOULEVARD SUITE 550 TAMPA, FL 33609 | PRINCIPAL LIFE INSURANCE COMPANY | $37K | $0 | $37K | 2.89% |
| WILLIAM MANNIX3 Filed as: WILLIAM JOEL PATRICK MANNIX | 4830 WEST KENNEDY BOULEVARD SUITE 550 TAMPA, FL 33609 | PRINCIPAL LIFE INSURANCE COMPANY | $37K | $0 | $37K | 2.89% |
| EXCALIBUR FINANCIAL GROUP3 | 4830 WEST KENNEDY BOULEVARD SUITE 550 TAMPA, FL 33609 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $29K | $29K | 2.27% |
| STRATEGIC EMPLOYEE BENEFIT SERVICES3 Filed as: STRATEGIC NON-MEDICAL SOLUTIONS | 1 BEACON STREET, SUITE 17100 BOSTON, MA 02108 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | -$1 | -$1 | -0.00% |
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 | 1,348 | 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) | 1,348 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | 930 | $7.4M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 1,901 | $1.3M |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 1,901 | $1.3M |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 1,901 | $1.3M |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,901 | $1.3M |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,901 | $1.3M |
| Prescription drug | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | 930 | $7.4M |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 1,901 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,901 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.