| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BLACK, GOULD & ASSOCIATES, INC. | 3800 N CENTRAL AVE FL 9 PHOENIX, AZ 85012 | BLUE CROSS BLUE SHIELD OF FLORIDA | $72K | $0 | $72K | 5.03% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BLACK GOULD & ASSOCIATES | 3800 N CENTRAL AVE FL 9 PHOENIX, AZ 850121979 | PRINCIPAL LIFE INSURANCE COMPANY | $32K | $0 | $32K | 12.38% |
| ASHLEY INSURANCE GROUP Filed as: ASHLEY M BOEHLER | 8325 E ANGUS DR SCOTTSDALE, AZ 85251 | AFLAC | $769 | $7 | $776 | 4.78% |
| SHERI KENNARD GAUL | 426 MYRTLEWOOD RD MELBOURNE, FL 32940 | AFLAC | $483 | $0 | $483 | 2.98% |
| FILIPE A COELHO | 4515 S MCCLINTOCK DR STE 212 TEMPE, AZ 85282 | AFLAC | $459 | $0 | $459 | 2.83% |
| MICHAEL S WITHROW | 4801 GLENWOOD AVE STE 200 RALEIGH, NC 27612 | AFLAC | $104 | $0 | $104 | 0.64% |
| KENNARD-PERRI | 3703 DRIFTWOOD DR MELBOURNE, FL 32935 | AFLAC | $74 | $0 | $74 | 0.46% |
| SHERI KENNARD GAUL Filed as: SHERI K GAUL PA | 426 MYRTLEWOOD RD MELBOURNE, FL 32940 | AFLAC | $71 | $0 | $71 | 0.44% |
| CARRIE DIANE ROBERTS | PO BOX 560772 ROCKLEDGE, FL 32956 | AFLAC | $65 | $0 | $65 | 0.40% |
| JOSEPH R GUNTHER | 327 N TIAGO DR GILBERT, AZ 85233 | AFLAC | $59 | $1 | $60 | 0.37% |
| D VICKERS & ASSOCIATES INC | 1037 PATHFINDER WAY STE 130 ROCKLEDGE, FL 32955 | AFLAC | $48 | $0 | $48 | 0.30% |
| RICHARD R KIMBROUGH | 6380 N PARK MEADOW WAY APT 203 BOISE, ID 83713 | AFLAC | $38 | $0 | $38 | 0.23% |
| NOLAN KING | 15690 W COLONIAL DR WINTER GARDEN, FL 34787 | AFLAC | $36 | $0 | $36 | 0.22% |
| JOSE A SCHIENEMAN | 1881 S CARRIAGE LN CHANDLER, AZ 85286 | AFLAC | $13 | $0 | $13 | 0.08% |
| MKF & ASSOCIATES INC | 4222 MARDEN WAY VESTAVIA, AL 35242 | AFLAC | $6 | $0 | $6 | 0.04% |
| CAPITAL INS AGCY INC | PO BOX 15949 TALLAHASSEE, FL 32317 | AFLAC | $5 | $0 | $5 | 0.03% |
| LESLIE K KIMBROUGH | PO BOX 273488 BOCA RATON, FL 33427 | AFLAC | $4 | $0 | $4 | 0.02% |
| DEREK B VICKERS | 1365 BLUE STEM LN WINTER PARK, FL 32792 | AFLAC | $4 | $0 | $4 | 0.02% |
| DOUGLAS J SUCHECKI | 21 HEARTWOOD DR CATAULA, GA 31804 | AFLAC | $4 | $0 | $4 | 0.02% |
| MARIAM APOIA SPAULDING | 8861 NW 57TH CT CORAL SPRINGS, FL 33067 | AFLAC | $2 | $0 | $2 | 0.01% |
| DEREK DEVANE | 3205 JERRY SMITH RD DOVER, FL 33527 | AFLAC | $2 | $0 | $2 | 0.01% |
| DENA JORDAN | 9300 HARRIS CORNERS PKWY STE 100 APT 208 CHARLOTTE, NC 28269 | AFLAC | $1 | $0 | $1 | 0.01% |
| ASSURANCE AGENCY LTD Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E STE 101B TALLAHASSEE, FL 32308 | AFLAC | $1 | $0 | $1 | 0.01% |
| BERNARD FALCO Filed as: BERNARD JOSEPH FALCO | 657 SHADOWMOSS CIR LAKE MARY, FL 32746 | AFLAC | $1 | $0 | $1 | 0.01% |
| DAWN T SUCHECKI | 225 S WATER ST WILMINGTON, NC 28401 | AFLAC | $1 | $0 | $1 | 0.01% |
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 | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 160 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 127 | $1.4M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 305 | $257K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 305 | $257K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 305 | $257K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 305 | $257K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 305 | $257K |
| Other | AFLAC | 16 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 305 | — |
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.