| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GLENN ROSE3 | 3930 S NOVA RD STE 203 PORT ORANGE, FL 32127 | AFLAC | $6K | $486 | $7K | 5.26% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES LLC | 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 32117 | AFLAC | $5K | — | $5K | 3.84% |
| MJ INSURANCE3 Filed as: AMANDA VANNATTA AND VARIOUS AGENTS | 23 PERSHING LN PALM COAST, FL 32164 | AFLAC | $3K | $429 | $4K | 2.87% |
| CARIE HALL3 | 459 BRYANT ST ORMOND BEACH, FL 32174 | AFLAC | $711 | $244 | $955 | 0.74% |
| NOLAN KING3 | 2273 STANDING ROCK CIR WINTER GARDEN, FL 34787 | AFLAC | $663 | $234 | $897 | 0.69% |
| JEFFREY B HAWKINS3 Filed as: JEFFREY HAWKINS | 3930 S NOVA RD STE 203B PORT ORANGE, FL 32127 | AFLAC | $661 | — | $661 | 0.51% |
| CHRISTOPHER E FISCHER3 Filed as: CHRISTOPHER FISCHER | 3835 CLYDE MORRIS BLVD UNIT 1306 PORT ORANGE, FL 32129 | AFLAC | $640 | $7 | $647 | 0.50% |
| GLENN ROSE3 | 3930 S NOVA RD STE 203 PORT ORANGE, FL 32127 | AFLAC | $3K | $307 | $4K | 6.25% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES LLC | 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 32117 | AFLAC | $3K | — | $3K | 4.78% |
| LISA BROOKS THOMPSON AND VARIOUS3 | AGENTS 203 S ORCHARD ST APT 4D ORMOND BEACH, FL 32174 | AFLAC | $1K | $288 | $1K | 2.35% |
| NOLAN KING3 | 2273 STANDING ROCK CIR WINTER GARDEN, FL 34787 | AFLAC | $457 | $134 | $591 | 1.02% |
| JEFFREY B HAWKINS3 Filed as: JEFFREY HAWKINS | 3930 S NOVA RD STE 203B PORT ORANGE, FL 32127 | AFLAC | $389 | — | $389 | 0.67% |
| CHRISTOPHER E FISCHER3 Filed as: CHRISTOPHER FISCHER | 3835 CLYDE MORRIS BLVD UNIT 1306 PORT ORANGE, FL 32129 | AFLAC | $372 | $9 | $381 | 0.66% |
| CARIE HALL3 | 459 BRYANT ST ORMOND BEACH, FL 32174 | AFLAC | $243 | $52 | $295 | 0.51% |
| GLENN ROSE3 | 3930 S NOVA RD STE 203 PORT ORANGE, FL 32127 | AFLAC | $6K | $533 | $7K | 12.56% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES LLC | 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 32117 | AFLAC | $6K | — | $6K | 11.57% |
| CARIE HALL3 | 459 BRYANT ST ORMOND BEACH, FL 32174 | AFLAC | $2K | $226 | $2K | 3.36% |
| CHRISTOPHER E FISCHER3 Filed as: CHRISTOPHER FISCHER | 3835 CLYDE MORRIS BLVD UNIT 1306 PORT ORANGE, FL 32129 | AFLAC | $1K | $84 | $1K | 2.46% |
| NOLAN KING3 | 2273 STANDING ROCK CIR WINTER GARDEN, FL 34787 | AFLAC | $826 | $169 | $995 | 1.90% |
| LISA BROOKS THOMPSON AND VARIOUS3 | AGENTS 203 S ORCHARD ST APT 4D ORMOND BEACH, FL 32174 | AFLAC | $619 | $28 | $647 | 1.24% |
| JEFFREY B HAWKINS3 Filed as: JEFFREY HAWKINS | 3930 S NOVA RD STE 203B PORT ORANGE, FL 32127 | AFLAC | $236 | — | $236 | 0.45% |
| GLENN ROSE3 | 3930 S NOVA RD STE 203 PORT ORANGE, FL 32127 | AFLAC | $2K | $101 | $2K | 8.90% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES LLC | 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 32117 | AFLAC | $1K | — | $1K | 5.42% |
| MJ INSURANCE3 Filed as: CARIE HALL AND VARIOUS AGENTS | 459 BRYANT ST ORMOND BEACH, FL 32174 | AFLAC | $405 | $55 | $460 | 1.80% |
| CHRISTOPHER E FISCHER3 Filed as: CHRISTOPHER FISCHER | 3835 CLYDE MORRIS BLVD UNIT 1306 PORT ORANGE, FL 32129 | AFLAC | $269 | — | $269 | 1.05% |
| NOLAN KING3 | 2273 STANDING ROCK CIR WINTER GARDEN, FL 34787 | AFLAC | $229 | $37 | $266 | 1.04% |
| JEFFREY B HAWKINS3 Filed as: JEFFREY HAWKINS | 3930 S NOVA RD STE 203B PORT ORANGE, FL 32127 | AFLAC | $134 | — | $134 | 0.52% |
| AMANDA VANNATTA3 | 23 PERSHING LN PALM COAST, FL 32164 | AFLAC | $128 | — | $128 | 0.50% |
| GLENN ROSE3 | 3930 S NOVA RD STE 203 PORT ORANGE, FL 32127 | AFLAC | $1K | $95 | $1K | 7.01% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES LLC | 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 32117 | AFLAC | $1K | — | $1K | 5.09% |
| MJ INSURANCE3 Filed as: CARIE HALL AND VARIOUS AGENTS | 459 BRYANT ST ORMOND BEACH, FL 32174 | AFLAC | $282 | $7 | $289 | 1.39% |
| MONIQUE ANTHONY3 | 3449 BERKSHIRE WOODS TER DELTONA, FL 32725 | AFLAC | $242 | $42 | $284 | 1.37% |
| NOLAN KING3 | 2273 STANDING ROCK CIR WINTER GARDEN, FL 34787 | AFLAC | $185 | $31 | $216 | 1.04% |
| JEFFREY B HAWKINS3 Filed as: JEFFREY HAWKINS | 3930 S NOVA RD STE 203B PORT ORANGE, FL 32127 | AFLAC | $147 | — | $147 | 0.71% |
| CHRISTOPHER E FISCHER3 Filed as: CHRISTOPHER FISCHER | 3835 CLYDE MORRIS BLVD UNIT 1306 PORT ORANGE, FL 32129 | AFLAC | $124 | $15 | $139 | 0.67% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(5 contracts) | AFLAC | 128 | $286K |
| Other(5 contracts) | AFLAC | 128 | $286K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 128 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.