| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STAHL & ASSOCIATES INSURANCE INC.3 | 3939 TAMPA ROAD OLDSMAR, FL 34677 | HEALTH OPTIONS | $49K | $0 | $49K | 4.47% |
| STAHL & ASSOCIATES INSURANCE INC.3 | 3939 TAMPA ROAD OLDSMAR, FL 34677 | HEALTH OPTIONS | $33K | $0 | $33K | 5.00% |
| STAHL & ASSOCIATES INSURANCE INC.3 | 3939 TAMPA ROAD OLDSMAR, FL 34677 | BLUE CROSS BLUE SHIELD OF FLORIDA | $22K | $0 | $22K | 4.67% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY, INC. | PO BOX 908 FORT WORTH, TX 76101 | HEALTH OPTIONS | $16K | $0 | $16K | 3.67% |
| STAHL & ASSOCIATES INSURANCE INC.3 | 3939 TAMPA ROAD OLDSMAR, FL 34677 | BLUE CROSS BLUE SHIELD OF FLORIDA | $13K | $0 | $13K | 4.81% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY, INC. | PO BOX 908 FORT WORTH, TX 76101 | BLUE CROSS BLUE SHIELD OF FLORIDA | $9K | $0 | $9K | 4.49% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY, INC. | PO BOX 908 FORT WORTH, TX 76101 | PRINCIPAL LIFE INSURANCE COMPANY | $7K | $0 | $7K | 6.42% |
| STAHL & ASSOCIATES INSURANCE INC.3 | 110 CARILLON PKWY ST. PETERSBURG, FL 33716 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $0 | $6K | 5.91% |
| STAHL & ASSOCIATES INSURANCE INC.3 | 110 CARILLON PKWY ST. PETERSBURG, FL 33716 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $296 | $3K | 13.53% |
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 | 216 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 219 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 2 carriers) | HEALTH OPTIONS | 12,876 | $3.1M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 252 | $102K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 252 | $102K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 252 | $102K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 121 | $19K |
| Prescription drug(6 contracts, 2 carriers) | HEALTH OPTIONS | 12,876 | $3.1M |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 252 | $102K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,876 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.