| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL INC. | 1200 PLANTATION ISLAND DR. S. STE 210 ST. AUGUSTINE, FL 32080 | GUARDIAN | $14K | — | $14K | 18.34% |
| AGENT ALLIANCE CORPORATION3 Filed as: NO AGENT LISTED | — | GUARDIAN | — | $3K | $3K | 4.09% |
| CTL SERVICES INC3 Filed as: CTL TALLAHASSEE LLC | — | GUARDIAN | $528 | — | $528 | 0.67% |
| MFB FINANCIAL DBA THE BAILEY GROUP3 | 1200 PLANTATION ISLAND DR. S. ST. AUGUSTINE, FL 32080 | HEALTHKEEPERS, INC. | $2K | — | $2K | 7.36% |
| MJ INSURANCE3 Filed as: VARIOUS AGENTS- SEE ATTACHED | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $71 | $1K | 12.04% |
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 | 104 | 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) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN | 104 | $79K |
| Vision | GUARDIAN | 104 | $79K |
| Life insurance | GUARDIAN | 104 | $79K |
| Short-term disability | GUARDIAN | 104 | $79K |
| Long-term disability | GUARDIAN | 104 | $79K |
| Other(2 contracts, 2 carriers) | GUARDIAN | 104 | $91K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 104 | — |
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.