| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 | 1745 N BROWN RD SUITE 250 LAWRENCEVILLE, GA 30043 | BLUE CROSS OF CALIFORNIA | $258K | — | $258K | 2.66% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES INC | 738 N 1ST ST SAN JOSE, CA 95112 | BLUE CROSS OF CALIFORNIA | -$23 | — | -$23 | -0.00% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST 4TH FLOOR BOSTON, MA 02110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $73K | $4K | $77K | 10.53% |
| ELLIOT RIVERA3 | 3696 N FEDERAL HWY STE 202 FORT LAUDERDALE, FL 33308 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $7K | $7K | 0.92% |
| INTEGRATED ENROLLMENT & TECHNOLOGY3 | 3696 N FEDERAL HWY STE 202 FORT LAUDERDALE, FL 33308 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $7K | $7K | 0.89% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | 3696 N FEDERAL HWY STE 202 FORT LAUDERDALE, FL 33308 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $5K | $5K | 0.68% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST 4TH FLOOR BOSTON, MA 02110 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $52K | $15K | $67K | 19.34% |
| INTEGRATED ENROLLMENT & TECHNOLOGY3 | 3696 N FEDERAL HWY STE 202 FORT LAUDERDALE, FL 33308 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $6K | $6K | 1.82% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST 4TH FLOOR BOSTON, MA 02110 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $8K | $8K | 4.32% |
| INTEGRATED ENROLLMENT & TECHNOLOGY3 | 3696 N FEDERAL HWY STE 202 FORT LAUDERDALE, FL 33308 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $4K | $4K | 1.82% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST 4TH FLOOR BOSTON, MA 02110 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $17K | $6K | $23K | 19.98% |
| INTEGRATED ENROLLMENT & TECHNOLOGY3 | 3696 N FEDERAL HWY STE 202 FORT LAUDERDALE, FL 33308 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 1.81% |
| RSC INSURANCE BROKERAGE INC3 | 3696 N FEDERAL HWY STE 202 FORT LAUDERDALE, FL 33308 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $10K | $2K | $12K | 12.28% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST 4TH FLOOR BOSTON, MA 02110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $17K | $2K | $19K | 22.44% |
| ELLIOT RIVERA3 | 3696 N FEDERAL HWY STE 202 FORT LAUDERDALE, FL 33308 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $770 | $770 | 0.91% |
| INTEGRATED ENROLLMENT & TECHNOLOGY3 | 3696 N FEDERAL HWY STE 202 FORT LAUDERDALE, FL 33308 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $769 | $769 | 0.91% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST SUITE 2021 OVIEDO, MA 32765 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $12K | $1K | $14K | 22.44% |
| ELLIOT RIVERA3 | 3696 N FEDERAL HWY STE 202 SAN JOSE, FL 95112 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $552 | $552 | 0.92% |
| INTEGRATED ENROLLMENT & TECHNOLOGY3 | 3696 N FEDERAL HWY STE 202 ROLLING MEADOWS, FL 60008 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $540 | $540 | 0.90% |
| RSC INSURANCE BROKERAGE INC3 | 3696 N FEDERAL HWY STE 202 SAN JOSE, FL 95112 | TRANSAMERICA LIFE INSURANCE COMPANY | $413 | — | $413 | 4.70% |
| AMWINS3 Filed as: AMWINS GROUP BENEFITS | 8505 FREEPORT PKWY S SUITE 400 IRVING, TX 75063 | TRANSAMERICA | — | $736 | $736 | 13.17% |
| WEB TPA3 Filed as: WEB TPA EMPLOYER SERVICES INC | 85000 FREEPORT PKWY S SUITE 400 IRVING, TX 75063 | TRANSAMERICA | — | $645 | $645 | 11.54% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST 4TH FLOOR BOSTON, MA 02110 | TRANSAMERICA | $263 | — | $263 | 4.71% |
| EXCELSIOR BENEFITS LLC3 | 23505 SMITHTOWN RD STE 200 EXCELSIOR, MN 55331 | TRANSAMERICA | $263 | — | $263 | 4.71% |
| NAVIA BENEFIT SOLUTIONS INC.3 Filed as: NAVIA BENEFIT SOLUTIONS INC | 600 NACHES AVE SW RENTON, WA 98057 | NAVIA BENEFIT SOLUTIONS INC | $9K | — | $9K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| STAFF BENEFITS MANAGEMENT | Plan Administrator Service code 14 | — | $2K |
| STAFF BENEFITS MANAGEMENT, INC. EIN 81-1242192 TPA | Plan Administrator Service code 14 | — | $0 |
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 | 963 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 969 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | BLUE CROSS OF CALIFORNIA | 1,268 | $10.9M |
| Dental(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 792 | $735K |
| Vision | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 748 | $100K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 978 | $348K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 638 | $116K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 978 | $193K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 1,268 | $10.9M |
| Other(4 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 982 | $163K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,268 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.