| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NSI INSURANCE GROUP LLC3 Filed as: NSI INSURANCE GROUP | 5875 NW 163RD ST SUITE 207 MIAMI LAKES, FL 33014 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $138K | $16K | $153K | 17.98% |
| NSI INSURANCE GROUP LLC3 Filed as: NSI INSURANCE GROUP | 5875 NW 163RD ST MIAMI LAKES, FL 33014 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 2.52% |
| NSI INSURANCE GROUP LLC3 Filed as: NSI INSURANCE GROUP | 5875 NW 163RD ST MIAMI LAKES, FL 33014 | LIFE LNSURANCE COMPANY OF NORTH AMERICA | $7K | — | $7K | 10.92% |
| NSI INSURANCE GROUP LLC3 Filed as: NSI INSURANCE GROUP | 5875 NW 163RD ST MIAMI LAKES, FL 33014 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 10.92% |
| NSI INSURANCE GROUP LLC3 Filed as: NSI INSURANCE GROUP | 5875 NW 163RD ST SUITE 207 MIAMI LAKES, FL 33014 | CIGNA DENTAL HEALTHOF FLORIDA INC | $849 | — | $849 | 10.00% |
| NSI INSURANCE GROUP LLC3 | 5875 NW 163RD ST. STE 207 MIAMI LAKES, FL 33014 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $865 | — | $865 | 10.95% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 ADMINISTRATION FEES | Float revenue; Other services; Claims processing; Non-monetary compensation; Direct payment from the plan; Participant communication; Named fiduciary; Contract Administrator Service code 12 | — | $18K |
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 | 442 | 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) | 442 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 277 | $852K |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 277 | $861K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 277 | $852K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 606 | $69K |
| Short-term disability | LIFE LNSURANCE COMPANY OF NORTH AMERICA | 146 | $62K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 84 | $37K |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 608 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 608 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.