| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REGIONS INSURANCE INC3 Filed as: REGIONS INSURANCE, INC. | 150 2ND AVE N STE 520 ST. PETERSBURG, FL 337013395 | HEALTH OPTIONS, INC. | $29K | — | $29K | 7.00% |
| REBSAMEN INSURANCE INC3 | REGIONS INSURANCE DEPT 268 PO BOX 11407 BIRMINGHAM, AL 35246 | AETNA LIFE INSURANCE CO. | $12K | — | $12K | 15.27% |
| REGIONS INSURANCE INC3 | 150 2ND AVE N. STE 520 ST. PETERSBURG, FL 33701 | STARMOUNT LIFE INSURANCE COMPANY | $9K | — | $9K | 16.66% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INSURANCE, INC. | 405 SAINT PETER STREET NEW IBERIA, LA 705603752 | STARMOUNT LIFE INSURANCE COMPANY | -$269 | — | -$269 | -0.48% |
| RUBY ROBB3 | 3216 THACKERY WAY PLANT CITY, FL 33566 | AFLAC | $1K | $131 | $1K | 14.08% |
| ELEANOR M BREZNAY3 | 919 KEITH LN AUBURNDALE, FL 33823 | AFLAC | $323 | $26 | $349 | 3.36% |
| JMG BUSINESS PARTNERS LLC3 | 102 S EVERS ST STE 101 PLANT CITY, FL 33563 | AFLAC | $132 | $8 | $140 | 1.35% |
| TRACEY H BOURDON3 Filed as: TRACEY BOURDON | 4866 MANDOLIN CT WINTER HAVEN, FL 33884 | AFLAC | $84 | — | $84 | 0.81% |
| JL & ASSOCIATES INC3 | 8030 EMERALD ST STE 185 BOISE, ID 83704 | AFLAC | $65 | $18 | $83 | 0.80% |
| JESSICA W MCKENZIE3 | 654 DOYLE ST WESTMINSTER, SC 29693 | AFLAC | $63 | — | $63 | 0.61% |
| TERESA M CAMPBELL3 Filed as: TERESA CAMPBELL | 210 WT WYATT RD EASLEY, SC 29642 | AFLAC | $46 | — | $46 | 0.44% |
| MARK A LINSNER3 Filed as: MARK LINSNER | 153 BLANDING BLVD STE 3 ORANGE PARK, FL 32073 | AFLAC | $32 | — | $32 | 0.31% |
| DONALD P KREDENSOR3 Filed as: DONALD KREDENSOR | 1112 RIVER WALK DR SIMPSONVILLE, SC 29681 | AFLAC | $23 | — | $23 | 0.22% |
| JOHN TYLER3 | 18632 WOLF CREEK DR EDMOND, OK 73012 | AFLAC | $12 | — | $12 | 0.12% |
| SUSAN BRIMHALL3 | 3921 CAPE SAN BLAS RD PORT SAINT JOE, FL 32456 | AFLAC | $10 | — | $10 | 0.10% |
| ROGERS BENEFIT GROUP INC3 Filed as: DEBORAH L ROGERS INC | 11124 FOSTER CARRIAGE RD LITHIA, FL 33547 | AFLAC | $9 | — | $9 | 0.09% |
| GARY L RICKETTS INC3 Filed as: GARY RICKETTS INC | PO BOX 576 SEFFNER, FL 33583 | AFLAC | $8 | — | $8 | 0.08% |
| HEARTLAND BENEFITS INC3 | 233 EAST CENTER AVE SEBRING, FL 33870 | AFLAC | $5 | — | $5 | 0.05% |
| GRAVES INC3 | 5659 W HOLIDAY ST HOMOSASSA, FL 34446 | AFLAC | $4 | — | $4 | 0.04% |
| J W GRIMES INC3 Filed as: JW GRIMES INC | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $4 | — | $4 | 0.04% |
| JANINE FOX3 | 18 HAVILAND DR SCHENECTADY, NC 12302 | AFLAC | $3 | — | $3 | 0.03% |
| BARTLEIN AND ASSOC INC3 | 5577 BROADCAST COURT SARASOTA, FL 34240 | AFLAC | $3 | — | $3 | 0.03% |
| GROUP PLANS INC3 | P O BOX 5164 LAKELAND, FL 33807 | AFLAC | $3 | — | $3 | 0.03% |
| FRANCIS V CRUZ3 Filed as: FRANCIS CRUZ | 19115 LIVINGSTON AVE LUTZ, FL 33559 | AFLAC | $3 | — | $3 | 0.03% |
| GARY W JOHNSON3 Filed as: GARY JOHNSON | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $3 | — | $3 | 0.03% |
| DAYTON LLC3 | 324 OLD WOOD DR COLUMBIA, SC 29212 | AFLAC | $3 | — | $3 | 0.03% |
| HORACE R WEAVER III3 Filed as: HORACE WEAVER III | 106 FOUNTAIN DR SLIDELL, LA 70458 | AFLAC | $2 | — | $2 | 0.02% |
| POPPELL INSURANCE, INC.3 Filed as: POPPELL INS INC | 503 W MARTIN LUTHER KING JR BLVD PLANT CITY, FL 33563 | AFLAC | $2 | — | $2 | 0.02% |
| JEFFREY GLENN YARISH3 Filed as: JEFFREY YARISH | 16122 ARMISTEAD LN ODESSA, FL 33556 | AFLAC | $1 | — | $1 | 0.01% |
| MARY REBECCA WEATHERLY3 Filed as: MARY WEATHERLY | 1934 LEEWYNN DRIVE SARASOTA, FL 34240 | AFLAC | $1 | — | $1 | 0.01% |
| MARK C LEE3 Filed as: MARK LEE | 1444 SOUTH 17TH ST WILMINGTON, NC 28401 | AFLAC | $0 | — | $0 | 0.00% |
| JENNIFER B MOREHEAD3 Filed as: JENNIFER MOREHEAD | 13412 WHITBY RD HUDSON, FL 34667 | AFLAC | $0 | — | $0 | 0.00% |
| KIMBERLY DIAN CROCKETT3 Filed as: KIMBERLY CROCKETT | 1563 ASHLEY CREEK LN CORDOVA, TN 38016 | AFLAC | $0 | — | $0 | 0.00% |
| GARY L GAULE3 Filed as: GARY GAULE | 415 S HARVEY AVE APT 2S OAK PARK, IL 60302 | AFLAC | $0 | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| REBSAMEN INSURANCE INC EIN 71-0621654 BROKER | Insurance agents and brokers Service code 22 | REGIONS INSURANCE DEPT 268 PO BOX 11407 BIRMINGHAM, AL 35246 | $975 |
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 | 162 | 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) | 162 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 16 | $10K |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 129 | $56K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 129 | $56K |
| Life insurance | AETNA LIFE INSURANCE CO. | 162 | $77K |
| Short-term disability | AFLAC | 16 | $10K |
| Long-term disability | AETNA LIFE INSURANCE CO. | 162 | $77K |
| Prescription drug | HEALTH OPTIONS, INC. | 67 | $413K |
| Other(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 162 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 162 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.