| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS OF ARIZONA INC | PO BOX 2800 PHOENIX, AZ 85002 | BLUE CROSS BLUE SHIELD OF NEW MEXICO | $105K | $3K | $108K | 2.57% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE OF ARIZONA | 2800 N. CENTRAL AVE #2800 PHOENIX, AZ 85004 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $42K | — | $42K | 4.87% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE OF TENN | — | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $23K | $23K | 2.73% |
| THE BRELLA GROUP3 | 5642 E. EDGEMONT AVE SCOTTSDALE, AZ 85257 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $14K | — | $14K | 1.69% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE OF ARIZONA | PO BOX 2800 PHOENIX, AZ 85002 | VISION SERVICE PLAN | $1K | — | $1K | 2.83% |
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 | 700 | 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) | 700 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NEW MEXICO | 486 | $4.2M |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 700 | $855K |
| Vision | VISION SERVICE PLAN | 377 | $47K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 700 | $855K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 700 | $855K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 700 | $855K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF NEW MEXICO | 486 | $4.2M |
| Other | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 700 | $855K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 700 | — |
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."
No prospect flags tripped on this filing.