| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ADAMS BENEFIT CORPORATION3 | 301 YAMATO ROAD SUITE 1200 BOCA RATON, FL 33431 | CONTINENTAL AMERICAN INSURANCE COMPANY | $133K | $0 | $133K | 14.62% |
| ANNA ELIZABETH INC3 Filed as: ANNA ELIZABETH RECCHIA | 2821 N OCEAN BLVD APT 305 FORT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $113K | $0 | $113K | 12.35% |
| JV FLORIDA INSURANCE CORP3 | 2821 NORTH OCEAN BLVD UNIT 305 FORT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38K | $0 | $38K | 4.15% |
| ANNA ELIZABETH INC3 Filed as: ANNA ELIZABETH VRATSINAS | 2821 N OCEAN BLVD APT 305 FORT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $28K | $0 | $28K | 3.02% |
| BRIAN GEORGE JAEGGI3 | 2875 NW 28TH ST BOCA RATON, FL 33434 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14K | $0 | $14K | 1.51% |
| ANNA ELIZABETH INC3 Filed as: ANNA ELIZABETH INC. | 2821 N OCEAN BLVD APT 305 FORT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11K | $0 | $11K | 1.23% |
| SYLVIA ROSSI-MONTERO3 | 3109 GRAND AVENUE #412 COCONUT GROVE, FL 33133 | CONTINENTAL AMERICAN INSURANCE COMPANY | $647 | $0 | $647 | 0.07% |
| KELLY A DUNN3 | 2471 NE 27 STREET FORT LAUDERDALE, FL 33306 | CONTINENTAL AMERICAN INSURANCE COMPANY | $617 | $0 | $617 | 0.07% |
| KENIA ELIZABET STURGIS3 | 4398 FINCH LANE KISSIMMEE, FL 34746 | CONTINENTAL AMERICAN INSURANCE COMPANY | $515 | $0 | $515 | 0.06% |
| JEFFREY PAUL SHOEMAKER3 | 712 N 7TH ST SUNBURY, PA 17801 | CONTINENTAL AMERICAN INSURANCE COMPANY | $367 | $0 | $367 | 0.04% |
| JENNIFER L DANN3 Filed as: JENNIFER LOU DANN | 24233 RACETRACK STREET FORESTHILL, CA 95631 | CONTINENTAL AMERICAN INSURANCE COMPANY | $301 | $0 | $301 | 0.03% |
| MIDICI INSURANCE SERVICES LLC3 | 655 LOVEJOY LANE LINCOLN, CA 95648 | CONTINENTAL AMERICAN INSURANCE COMPANY | $301 | $0 | $301 | 0.03% |
| JOHN H VRATSINAS3 Filed as: JOHN HARRY VRATSINAS | 2821 NORTH OCEAN BLVD UNIT 305 FORT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $292 | $0 | $292 | 0.03% |
| ELVA E. ESCOBAR3 Filed as: ELVA ELISA ESCOBAR | 16242 CALAHAN ST NORTH HILLS, CA 91343 | CONTINENTAL AMERICAN INSURANCE COMPANY | $269 | $0 | $269 | 0.03% |
| MICHELLE TIFFANY DUBE3 | 104 WISCONSIN ST LAKE WORTH, FL 33461 | CONTINENTAL AMERICAN INSURANCE COMPANY | $264 | $0 | $264 | 0.03% |
| MEGAN HOPE BOOTHE3 | 270 CR 356 LUKA, MS 38852 | CONTINENTAL AMERICAN INSURANCE COMPANY | $225 | $0 | $225 | 0.02% |
| LOURDES G LEVINSON3 | 931 SANTIAGO STREET CORAL GABLES, FL 33134 | CONTINENTAL AMERICAN INSURANCE COMPANY | $211 | $0 | $211 | 0.02% |
| STEPHANIE MARIE INSABELLA3 | 1113 MONTAUK LN VENTURA, CA 93001 | CONTINENTAL AMERICAN INSURANCE COMPANY | $151 | $0 | $151 | 0.02% |
| CHRISTINA M SEXTON3 | 9280 W 100TH WAY BROOMFIELD, CO 80021 | CONTINENTAL AMERICAN INSURANCE COMPANY | $122 | $0 | $122 | 0.01% |
| DEVITA BETHINA MCKENZIE3 Filed as: DEVITA BETHINA MCKENZI | 289 S BURTON AVE SAN GABRIEL, CA 91776 | CONTINENTAL AMERICAN INSURANCE COMPANY | $94 | $0 | $94 | 0.01% |
| JAMES M GARNER3 | 640 GOOSEBERRY DR UNIT 303 LONGMONT, CO 80503 | CONTINENTAL AMERICAN INSURANCE COMPANY | $71 | $0 | $71 | 0.01% |
| MICHAEL K PORTER3 Filed as: MICHAEL KELLEY PORTER | 897 BRIAR RIDGE RD WESTON, FL 33327 | CONTINENTAL AMERICAN INSURANCE COMPANY | $71 | $0 | $71 | 0.01% |
| LILY YAN3 | 3122 DONA MARTA DRIVE STUDIO CITY, CA 91604 | CONTINENTAL AMERICAN INSURANCE COMPANY | $64 | $0 | $64 | 0.01% |
| CECILIA N KOLSTAD3 | 8581 NW 12TH ST PEMBROKE PINES, FL 33024 | CONTINENTAL AMERICAN INSURANCE COMPANY | $61 | $0 | $61 | 0.01% |
| ANTHONY S ALMODOVAR3 | 438 MYER TERRACE LEOLA, PA 17540 | CONTINENTAL AMERICAN INSURANCE COMPANY | $57 | $0 | $57 | 0.01% |
| ELAINE KOLSTAD DUBE3 | 8581 NW 12TH ST PEMBROKE PINES, FL 33024 | CONTINENTAL AMERICAN INSURANCE COMPANY | $46 | $0 | $46 | 0.01% |
| RENEE SUZANNE CORSO3 | 2206 N LAMER STREET BURBANK, CA 91504 | CONTINENTAL AMERICAN INSURANCE COMPANY | $44 | $0 | $44 | 0.00% |
| CHARLES H HENRI3 | 20105 DOLPHIN AVE LYNWOOD, IL 60411 | CONTINENTAL AMERICAN INSURANCE COMPANY | $41 | $0 | $41 | 0.00% |
| JAMES SMITH3 Filed as: JAMES B SMITH | 615 ELINOR ST CHATTANOOGA, TN 37405 | CONTINENTAL AMERICAN INSURANCE COMPANY | $41 | $0 | $41 | 0.00% |
| CHRISTY W FISHER3 Filed as: CHRISTY WREN FISHER | 124 CR 2768 BALDWYN, MS 38824 | CONTINENTAL AMERICAN INSURANCE COMPANY | $28 | $0 | $28 | 0.00% |
| LON R KOLSTAD3 | 8591 NW 12TH ST PEMBROKE PINES, FL 33024 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | $0 | $27 | 0.00% |
| ERIC HIRSCHKORN3 Filed as: ERIC WAYNE HIRSCHKORN | 718 SE ABLETT LANE PORT ST LUCIE, FL 34984 | CONTINENTAL AMERICAN INSURANCE COMPANY | $15 | $0 | $15 | 0.00% |
| MICHELE BARBARA COSTA3 | 8117 W 4TH ST LOS ANGELES, CA 90048 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | $0 | $12 | 0.00% |
| ANNA ELIZABETH INC3 | 2821 N OCEAN BLVD APT 305 FORT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11 | $0 | $11 | 0.00% |
| JV FLORIDA INSURANCE CORP3 | 2821 NORTH OCEAN BLVD UNIT 305 FORT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | $0 | $10 | 0.00% |
| MARK A HARRELL3 | 11121 S EMERALD CHICAGO, IL 60628 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | $0 | $10 | 0.00% |
| LAURIE A. HENNESSY3 Filed as: LAURIE ANN HENNESSY | 276 MELROSE DR OXNARD, CA 93035 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | $0 | $6 | 0.00% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN SANCHEZ-MEDINA | 6100 SW 44 TERR MIAMI, FL 33155 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| ADAMS BENEFIT CORPORATION3 Filed as: ADAMS BENEFIT CORP | 301 E YAMATO ROAD SUITE 1200 BOCA RATON, FL 33431 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $56K | $0 | $56K | 14.70% |
| ADAMS BENEFIT CORPORATION3 | 600 CORPORATE DRIVE SUITE 305 FORT LAUDERDALE, FL 33334 | BANKERS FIDELITY LIFE INSURANCE COMPANY | $100K | $0 | $100K | 28.83% |
| ADAMS BENEFIT CORPORATION3 | 301 E YAMATO RD STE 1200 BOCA RATON, FL 33431 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $31K | $13K | $44K | 14.45% |
| ADAMS BENEFIT CORPORATION3 | 301 E YAMATO RD STE 1200 BOCA RATON, FL 33431 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $15K | $7K | $22K | 14.54% |
| ADAMS BENEFIT CORPORATION3 | 301 E YAMATO RD STE 1200 BOCA RATON, FL 33431 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $10K | $17K | 11.12% |
| ADAMS BENEFIT CORPORATION3 | 301 E YAMATO RD STE 1200 BOCA RATON, FL 33431 | MUTUAL OF OMAHA INSURANCE COMPANY | $3K | $739 | $4K | 16.76% |
| ADAMS BENEFIT CORPORATION3 | 301 E YAMATO RD STE 1200 BOCA RATON, FL 33431 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $890 | $160 | $1K | 11.85% |
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 | 6,381 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,387 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 2,815 | $381K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 3,685 | $150K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 5 | $9K |
| Other(8 contracts, 6 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 6,651 | $2.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,651 | — |
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.