| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA, INC | 4880 NEWBERRY RD GAINESVILLE, FL 32607 | BLUE CROSS BLUE SHIELD OF FLORIDA | $33K | — | $33K | 3.64% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR SOUTH SUITE 210 ST. AUGUSTINE, FL 32080 | BLUE CROSS BLUE SHIELD OF FLORIDA | $12K | — | $12K | 1.36% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 4880 W NEWBERRY RD GAINESVILLE, FL 32607 | UNION SECURITY INSURANCE COMPANY | $6K | — | $6K | 8.18% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR SOUTH SUITE 210 ST. AUGUSTINE, FL 32080 | UNION SECURITY INSURANCE COMPANY | $1K | — | $1K | 1.82% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 4880 W NEWBERRY RD GAINESVILLE, FL 32607 | UNION SECURITY INSURANCE COMPANY | $4K | — | $4K | 12.58% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR SOUTH SUITE 210 ST. AUGUSTINE, FL 32080 | UNION SECURITY INSURANCE COMPANY | $782 | — | $782 | 2.55% |
| JEREMY C ALFORD4 | 11628 NW 9TH LN GAINESVILLE, FL 32606 | AFLAC | $861 | $42 | $903 | 4.60% |
| TRACY JOHNSON4 Filed as: TRACY L JOHNSON | 418 22ND AVE OTTOWA, IL 61350 | AFLAC | $393 | — | $393 | 2.00% |
| WILLIS TOWERS WATSON US LLC4 Filed as: WILLIS OF FLORIDA INC | PO BOX 904307 CHARLOTTE, NC 28290 | AFLAC | $295 | — | $295 | 1.50% |
| SHELLEY CHRISTIN GREEN4 | 300 N CORPORATE DRIVE BROOKFIELD, WI 53045 | AFLAC | $205 | — | $205 | 1.04% |
| ANGEL E HILL4 | 4125 SE 23RD TER OCALA, FL 34480 | AFLAC | $166 | $7 | $173 | 0.88% |
| REUEL S DAVIS4 | 9460 W FAIRVIEW AVE BOISE, ID 83704 | AFLAC | $129 | — | $129 | 0.66% |
| CARL FRANKLIN ARNOLD4 Filed as: CARL FRANKLING ARNOLD | 353 MARION OAKS PASS OCALA, FL 34473 | AFLAC | $91 | $7 | $98 | 0.50% |
| ASSURANCE AGENCY LTD4 Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E TALLAHASSEE, FL 32308 | AFLAC | $87 | — | $87 | 0.44% |
| SHERELLE DENISE KENDRICK4 | 12528 NW 109TH LN ALACHUA, FL 32615 | AFLAC | $75 | — | $75 | 0.38% |
| TROY DANIEL DESLATTE4 | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $75 | — | $75 | 0.38% |
| JOEL BARAT TOIGO4 | 1603 CASTELLINA CT EDMOND, OK 73034 | AFLAC | $69 | — | $69 | 0.35% |
| CANDICE RENEE TREVINO4 | 12594 S STATE HIGHWAY 121 TRENTON, TX 75490 | AFLAC | $55 | — | $55 | 0.28% |
| VICKI M DICKERT4 | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $54 | — | $54 | 0.28% |
| MARK R STEWART4 | 1722 DEERFIELD DR LAKE CHARLES, LA 70611 | AFLAC | $52 | — | $52 | 0.27% |
| SHANE ROBERTSON4 | 181 E COPPER RIDGE ST MERIDIAN, ID 83646 | AFLAC | $51 | — | $51 | 0.26% |
| CARSON LEE CHERRY4 | 1425 PIEDMONT DR E TALLAHASSEE, FL 32308 | AFLAC | $48 | — | $48 | 0.24% |
| LYNETTE R STEVENS4 | 203 ASHWOOD DR SYCAMORE, IL 60178 | AFLAC | $38 | — | $38 | 0.19% |
| PAUL MICHAEL HANNANT4 | 7180 SW FIR LOOP STE 250 TIGARD, OR 97223 | AFLAC | $34 | — | $34 | 0.17% |
| CHAD L NELSON4 | 5266 N KUFALK LN BYRON, IL 61010 | AFLAC | $33 | — | $33 | 0.17% |
| J C ADAMS INC4 Filed as: JC ADAMS INC | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $33 | — | $33 | 0.17% |
| PATRICIA M LEACH4 | 4405 HONEYWOOD LN JACKSON, WI 53037 | AFLAC | $32 | — | $32 | 0.16% |
| CHRISTINE LOGSLETT4 | 8318 ANNA AVE WIND LAKE, WI 53185 | AFLAC | $29 | — | $29 | 0.15% |
| JOSHUA T HILL4 | 4125 SE 23RD TER OCALA, FL 34480 | AFLAC | $29 | — | $29 | 0.15% |
| MELISSA STEWART4 Filed as: MELISSA VINCENT STEWART | 800 RYAN ST STE 200 LAKE CHARLES, LA 70601 | AFLAC | $28 | — | $28 | 0.14% |
| PATRICK M PECORARO4 | 8180 SOUTH 700 EAST SUITE 210 SANDY, UT 84070 | AFLAC | $22 | — | $22 | 0.11% |
| DAVID J MCCLELLAN4 Filed as: DAVID JOHN HANNANT | 14830 NE 167TH ST WOODINVILLE, WA 98072 | AFLAC | $19 | — | $19 | 0.10% |
| JIMMY LEON JOHNSON4 | 1005 BELLA VISTA BLVD APT 119 ST. AUGUSTINE, FL 32084 | AFLAC | $18 | — | $18 | 0.09% |
| ANGEL E HILL4 | 520 E FORT KING ST OCALA, FL 34471 | AFLAC | $17 | — | $17 | 0.09% |
| CHAD L NELSON4 | 490 E ROOSEVELT RD STE 203 WEST CHICAGO, IL 60185 | AFLAC | $16 | — | $16 | 0.08% |
| REBECCA PEAVEY BONDS4 | 28823 53RD DR BRANFORD, FL 32008 | AFLAC | $15 | — | $15 | 0.08% |
| CHRISTOPHER WALLACE HOFF4 Filed as: CHRISTOPHER HOFF PROF LLC | 121 ROCKY POINT CT ACWORTH, GA 30101 | AFLAC | $15 | — | $15 | 0.08% |
| THEODORE AUTHEMENT4 | 800 RYAN ST STE 200 LAKE CHARLES, LA 70601 | AFLAC | $13 | — | $13 | 0.07% |
| TRAVIS P LEBLANC4 | 230 DIANE LN STONEWALL, LA 71078 | AFLAC | $13 | — | $13 | 0.07% |
| C H ROBINSON & ASSOCIATES INC4 | 132 NW 76TH DRIVE GAINESVILLE, FL 32607 | AFLAC | $10 | — | $10 | 0.05% |
| BLAZE J FREMIN4 | PO BOX 53871 LAFAYETTE, LA 70505 | AFLAC | $9 | — | $9 | 0.05% |
| KIMBERLY A HOOIE4 | 8807 SW 137TH AVE ARCHER, FL 32618 | AFLAC | $8 | — | $8 | 0.04% |
| JONATHAN SAMUEL KIRKLAND4 | 4245 MILGEN RD COLUMBUS, GA 31907 | AFLAC | $8 | — | $8 | 0.04% |
| GAY M HUNDLEY4 | 620 TAYLOR TRL MURPHY, TX 75094 | AFLAC | $7 | — | $7 | 0.04% |
| LESLIE J BAILEY4 | 4234 N PORTAGE AVE MERIDIAN, ID 83646 | AFLAC | $4 | — | $4 | 0.02% |
| JEFFREY M SINTAY4 | 1972 ALCOVA RIDGE DR LAS VEGAS, NV 89135 | AFLAC | $4 | — | $4 | 0.02% |
| ROBERT PERRY EVANS JR4 | 1031 SADDLEBROOK DR LUCAS, TX 75002 | AFLAC | $2 | — | $2 | 0.01% |
| TINA WAY4 | 155550 E COPPER CREEK LN PARKER, CO 80134 | AFLAC | $2 | — | $2 | 0.01% |
| TERRY JAMES LAPORTE4 | 1007 HUGH DRIVE SAINT MARTINVILLE, LA 70582 | AFLAC | $2 | — | $2 | 0.01% |
| JOSE DE LOS SANTOS III4 | 15550 E COPPER CREEK LN PARKER, CO 80134 | AFLAC | $2 | — | $2 | 0.01% |
| BETH LUANNE KIMBROUGH4 | 6750 N ANDREWS AVE FT LAUDERDALE, FL 33309 | AFLAC | $2 | — | $2 | 0.01% |
| CECIL T SALMON4 | 59 EDWARD DR PALM COAST, FL 32164 | AFLAC | $1 | — | $1 | 0.01% |
| HARVEY EDWARD MCCREARY JR4 | 273 BELLWOOD DR GARLAND, TX 75040 | AFLAC | $1 | — | $1 | 0.01% |
| MICHELLE HASKELL4 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $1 | — | $1 | 0.01% |
| JAMES R MIRABELLI4 | 21426 GOSIER WAY BOCA RATON, FL 33428 | AFLAC | $1 | — | $1 | 0.01% |
| TRAVIS P LEBLANC4 | 349 ANTIETAM DR BOSSIER CITY, LA 71112 | AFLAC | $1 | — | $1 | 0.01% |
| GARY C KLEIN4 | 3211 SAN SEBASTIAN DR CARROLLTON, TX 75006 | AFLAC | $1 | — | $1 | 0.01% |
| ADRIAN S JOHNSON4 | 289 MONTROSE PL BOSSIER CITY, LA 71111 | AFLAC | $1 | — | $1 | 0.01% |
| GAY M HUNDLEY4 | 8796 FOREST CREEK LN ANNA, TX 75409 | AFLAC | $1 | — | $1 | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 4880 W NEWBERRY RD GAINESVILLE, FL 32607 | UNION SECURITY INSURANCE COMPANY | $837 | — | $837 | 8.19% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR SOUTH SUITE 210 ST. AUGUSTINE, FL 32080 | UNION SECURITY INSURANCE COMPANY | $185 | — | $185 | 1.81% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 4880 W NEWBERRY RD GAINESVILLE, FL 32607 | UNION SECURITY INSURANCE COMPANY | $573 | — | $573 | 8.17% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR SOUTH SUITE 210 ST. AUGUSTINE, FL 32080 | UNION SECURITY INSURANCE COMPANY | $129 | — | $129 | 1.84% |
| MARK MINCK4 | 18424 SW 15TH AVE NEWBERRY, FL 32669 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $2K | — | $2K | 32.15% |
| RHONA S UNSELL INC4 Filed as: RHONA S. UNSELL INC. | 6525 GUNPARK DRIVE BOULDER, CO 80301 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $20 | — | $20 | 0.37% |
| EDIE WESLEY4 | PO BOX 1556 NEWBERRY, FL 32669 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $6 | — | $6 | 0.11% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF FLORIDA INC | 4800 W NEWBERRY RD GAINESVILLE, FL 32607 | UNION SECURITY INSURANCE COMPANY | $631 | — | $631 | 11.83% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR SOUTH SUITE 210 ST. AUGUSTINE, FL 32080 | UNION SECURITY INSURANCE COMPANY | $169 | — | $169 | 3.17% |
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 | 142 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 101 | $907K |
| Dental | UNION SECURITY INSURANCE COMPANY | 104 | $70K |
| Vision | UNION SECURITY INSURANCE COMPANY | 111 | $10K |
| Life insurance(2 contracts) | UNION SECURITY INSURANCE COMPANY | 142 | $12K |
| Short-term disability | AFLAC | 26 | $20K |
| Long-term disability | UNION SECURITY INSURANCE COMPANY | 46 | $31K |
| Other | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | 30 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 142 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.