| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GLENN HARLAN ROSE3 Filed as: GLENN ROSE | 3930 S NOVA RD STE 203 PORT ORANGE, FL 32127 | AFLAC | $11K | $285 | $11K | 7.90% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES LLC | 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 32117 | AFLAC | $10K | — | $10K | 6.90% |
| MJ INSURANCE3 Filed as: MONIQUE ANTHONY AND VARIOUS AGENTS | 3449 BERKSHIRE WOODS TER DELTONA, FL 32725 | AFLAC | $7K | $235 | $7K | 5.16% |
| NOLAN KING3 | 2273 STANDING ROCK CIR WINTER GARDEN, FL 34787 | AFLAC | $3K | $37 | $3K | 2.40% |
| CARIE HALL3 | 459 BRYANT ST ORMOND BEACH, FL 32174 | AFLAC | $3K | $144 | $3K | 2.26% |
| DANYELLE STALK BURORAN AND VARIOUS3 Filed as: DANYELLE STALK BURORAN | 39 MARJORIE TRL ORMOND BEACH, FL 32174 | AFLAC | $2K | $5 | $2K | 1.21% |
| IAN JOBSON3 | 29 WELLINGTON DR PALM COAST, FL 32164 | AFLAC | $2K | — | $2K | 1.06% |
| GLENN HARLAN ROSE3 Filed as: GLENN ROSE | 3930 S NOVA RD STE 203 PORT ORANGE, FL 32127 | AFLAC | $6K | $81 | $6K | 9.98% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES LLC | 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 32117 | AFLAC | $6K | — | $6K | 9.40% |
| DANYELLE STALK BURORAN AND VARIOUS3 | AGENTS 39 MARJORIE TRL ORMOND BEACH, FL 32174 | AFLAC | $3K | $38 | $3K | 5.20% |
| NOLAN KING3 | 2273 STANDING ROCK CIR WINTER GARDEN, FL 34787 | AFLAC | $2K | $14 | $2K | 3.19% |
| CARIE HALL3 | 459 BRYANT ST ORMOND BEACH, FL 32174 | AFLAC | $1K | $67 | $1K | 1.96% |
| MONIQUE ANTHONY3 | 3449 BERKSHIRE WOODS TER DELTONA, FL 32725 | AFLAC | $948 | — | $948 | 1.59% |
| IAN JOBSON3 | 29 WELLINGTON DR PALM COAST, FL 32164 | AFLAC | $907 | — | $907 | 1.52% |
| GLENN HARLAN ROSE3 Filed as: GLENN ROSE | 3930 S NOVA RD STE 203 PORT ORANGE, FL 32127 | AFLAC | $5K | $107 | $5K | 11.20% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES LLC | 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 32117 | AFLAC | $4K | — | $4K | 8.18% |
| CARIE HALL3 | 459 BRYANT ST ORMOND BEACH, FL 32174 | AFLAC | $2K | $104 | $2K | 5.07% |
| NOLAN KING3 | 2273 STANDING ROCK CIR WINTER GARDEN, FL 34787 | AFLAC | $1K | $15 | $1K | 2.88% |
| CHRISTOPHER E FISCHER3 Filed as: CHRISTOPHER FISCHER AND VARIOUS | AGENTS 3835 CLYDE MORRIS BLVD UNIT 1306 PORT ORANGE, FL 32129 | AFLAC | $1K | — | $1K | 2.46% |
| MONIQUE ANTHONY3 | 3449 BERKSHIRE WOODS TER DELTONA, FL 32725 | AFLAC | $471 | — | $471 | 1.01% |
| JEFFREY B HAWKINS3 Filed as: JEFFREY HAWKINS | 3930 S NOVA RD STE 203B PORT ORANGE, FL 32127 | AFLAC | $325 | $28 | $353 | 0.76% |
| GLENN HARLAN ROSE3 Filed as: GLENN ROSE | 3930 S NOVA RD STE 203 PORT ORANGE, FL 32127 | AFLAC | $2K | $10 | $2K | 6.86% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES LLC | 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 32117 | AFLAC | $2K | — | $2K | 5.37% |
| DANYELLE STALK BURORAN AND VARIOUS3 | AGENTS 39 MARJORIE TRL ORMOND BEACH, FL 32174 | AFLAC | $1K | $15 | $1K | 3.88% |
| NOLAN KING3 | 2273 STANDING ROCK CIR WINTER GARDEN, FL 34787 | AFLAC | $542 | — | $542 | 1.55% |
| JEFFREY B HAWKINS3 Filed as: JEFFREY HAWKINS | 3930 S NOVA RD STE 203B PORT ORANGE, FL 32127 | AFLAC | $296 | $5 | $301 | 0.86% |
| MONIQUE ANTHONY3 | 3449 BERKSHIRE WOODS TER DELTONA, FL 32725 | AFLAC | $274 | — | $274 | 0.78% |
| IAN JOBSON3 | 29 WELLINGTON DR PALM COAST, FL 32164 | AFLAC | $244 | — | $244 | 0.70% |
| GLENN HARLAN ROSE3 Filed as: GLENN ROSE | 3930 S NOVA RD STE 203 PORT ORANGE, FL 32127 | AFLAC | $2K | $65 | $2K | 7.73% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES LLC | 1540 CORNERSTONE BLVD STE 200 DAYTONA BEACH, FL 32117 | AFLAC | $1K | — | $1K | 4.92% |
| MONIQUE ANTHONY3 | 3449 BERKSHIRE WOODS TER DELTONA, FL 32725 | AFLAC | $344 | — | $344 | 1.56% |
| CARIE HALL3 | 459 BRYANT ST ORMOND BEACH, FL 32174 | AFLAC | $295 | $37 | $332 | 1.50% |
| NOLAN KING3 | 2273 STANDING ROCK CIR WINTER GARDEN, FL 34787 | AFLAC | $294 | $9 | $303 | 1.37% |
| JEFFREY B HAWKINS3 Filed as: JEFFREY HAWKINS | 3930 S NOVA RD STE 203B PORT ORANGE, FL 32127 | AFLAC | $229 | $17 | $246 | 1.11% |
| MJ INSURANCE3 Filed as: LISA BROOKS AND VARIOUS AGENTS | 203 S ORCHARD ST APT 4D ORMOND BEACH, FL 32174 | AFLAC | $235 | — | $235 | 1.06% |
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 | 159 | 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) | 159 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(5 contracts) | AFLAC | 114 | $304K |
| Other(5 contracts) | AFLAC | 114 | $304K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 114 | — |
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.