| 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. | $30K | — | $30K | 7.00% |
| REBSAMEN INSURANCE INC3 | REGIONS INSURANCE DEPT 268 PO BOX 11407 BIRMINGHAM, AL 35246 | AETNA LIFE INSURANCE CO. | $11K | — | $11K | 15.09% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INS INC | 150 2ND AVE N. STE 520 SAINT PETERSBURG, FL 33701 | STARMOUNT LIFE INSURANCE COMPANY | $9K | — | $9K | 13.03% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INS INC | 150 2ND AVE N. STE 520 SAINT PETERSBURG, FL 33701 | STARMOUNT LIFE INSURANCE COMPANY | $927 | — | $927 | 1.31% |
| RUBY ROBB3 | 3216 THACKERY WAY PLANT CITY, FL 33566 | AFLAC | $2K | $17 | $2K | 10.84% |
| ELEANOR M BREZNAY3 | 919 KEITH LN AUBURNDALE, FL 33823 | AFLAC | $383 | $3 | $386 | 2.68% |
| JMG BUSINESS PARTNERS LLC3 | 102 S EVERS ST STE 101 PLANT CITY, FL 33563 | AFLAC | $138 | $3 | $141 | 0.98% |
| NORMA GARZA3 | PO BOX 89534 TAMPA, FL 33689 | AFLAC | $136 | — | $136 | 0.94% |
| ROBERT THOMAS MONK3 | 14443 86TH AVE SEMINOLE, FL 33776 | AFLAC | $93 | — | $93 | 0.65% |
| TRACEY H BOURDON3 Filed as: TRACEY BOURDON | 4866 MANDOLIN CT WINTER HAVEN, FL 33884 | AFLAC | $86 | — | $86 | 0.60% |
| JMG BUSINESS PARTNERS LLC3 | 3001 VIA PARMA ST PLANT CITY, FL 33566 | AFLAC | $69 | — | $69 | 0.48% |
| JESSICA W MCKENZIE3 | 654 DOYLE ST WESTMINSTER, SC 29693 | AFLAC | $63 | — | $63 | 0.44% |
| VICTORRIO PAUL ZANIOL INC3 | 7511 BURLINGTON AVE N ST. PETERSBURG, FL 33710 | AFLAC | $52 | — | $52 | 0.36% |
| TERESA M CAMPBELL3 | 210 WT WYATT RD EASLEY, SC 29642 | AFLAC | $45 | — | $45 | 0.31% |
| MARK A LINSNER3 | 153 BLANDING BLVD STE 3 ORANGE PARK, FL 32073 | AFLAC | $33 | — | $33 | 0.23% |
| JL & ASSOCIATES INC3 | 8030 W EMERALD ST STE 185 BOISE, ID 83704 | AFLAC | $28 | — | $28 | 0.19% |
| DONALD P KREDENSOR3 | 1112 RIVER WALK DR SIMPSONVILLE, SC 29681 | AFLAC | $23 | — | $23 | 0.16% |
| JOSEPH BAILEY DUCKETT3 | 1000 PARKWOOD CIR SE STE 900 ATLANTA, GA 30039 | AFLAC | $14 | — | $14 | 0.10% |
| JOHN TYLER3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $12 | — | $12 | 0.08% |
| OCIA RICHARDS GUMBS3 Filed as: OCIA D RICHARDS GUMBS | 3802 GASVERKS GADE SUITE 203 PETRAS PLAZA ST ST THOMAS, VI 00802 | AFLAC | $12 | — | $12 | 0.08% |
| HEATHER A HODGEMAN3 | 9715 ESTATE THOMAS ST THOMAS, VI 00802 | AFLAC | $11 | — | $11 | 0.08% |
| SUSAN C BRIMHALL3 | PO BOX 336 SMITHS STATION, AL 36877 | AFLAC | $10 | — | $10 | 0.07% |
| ROGERS BENEFIT GROUP INC3 Filed as: DEBORAH L ROGERS INC | 11124 FOSTER CARRIAGE RD LITHIA, FL 33547 | AFLAC | $8 | — | $8 | 0.06% |
| GARY L RICKETTS INC3 | PO BOX 576 SEFFNER, FL 33583 | AFLAC | $7 | — | $7 | 0.05% |
| RAHIM ALMEIDA3 | 6501 RED HOOK PLZ STE 201 ST THOMAS, VI 00802 | AFLAC | $6 | — | $6 | 0.04% |
| JOSEPH BAILEY DUCKETT3 | 517 PINEWOOD DR OLDSMAR, FL 34677 | AFLAC | $5 | — | $5 | 0.03% |
| GRAVES INC3 | 5659 W HOLIDAY ST HOMOSASSA, FL 34446 | AFLAC | $4 | — | $4 | 0.03% |
| HEARTLAND BENEFITS INC3 | 233 E CENTER AVE SEBRING, FL 33870 | AFLAC | $3 | — | $3 | 0.02% |
| J W GRIMES INC3 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $3 | — | $3 | 0.02% |
| JANINE FOX3 | 18 HAVILAND DR SCHENECTADY, NY 12302 | AFLAC | $3 | — | $3 | 0.02% |
| BARTLEIN AND ASSOC INC3 | 22465 PANTHER LOOP BRADENTON, FL 34202 | AFLAC | $3 | — | $3 | 0.02% |
| GROUP PLANS INC3 | PO BOX 5164 LAKELAND, FL 33807 | AFLAC | $3 | — | $3 | 0.02% |
| FRANCIS V CRUZ3 | 19115 LIVINGSTON AVE LUTZ, FL 33559 | AFLAC | $3 | — | $3 | 0.02% |
| GARY W JOHNSON3 | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $3 | — | $3 | 0.02% |
| DAYTON LLC3 | 324 OLD WOOD DR COLUMBIA, SC 29212 | AFLAC | $3 | — | $3 | 0.02% |
| HORACE R WEAVER III3 | 106 FOUNTAIN DR SLIDELL, LA 70458 | AFLAC | $2 | — | $2 | 0.01% |
| POPPELL INSURANCE, INC.3 Filed as: POPPELL INS INC | 503 W MARTIN LUTHER KING JR BLVD PLANT CITY, FL 33563 | AFLAC | $2 | — | $2 | 0.01% |
| HEARTLAND BENEFITS INC3 | 233 EAST CENTER AVE SEBRING, FL 33870 | AFLAC | $2 | — | $2 | 0.01% |
| ROGERS BENEFIT GROUP INC3 Filed as: DEBORAH L ROGERS | 11032 58TH STREET CIR E PARRISH, FL 34219 | AFLAC | $2 | — | $2 | 0.01% |
| JEFFREY GLENN YARISH3 | 16122 ARMISTEAD LN ODESSA, FL 33556 | AFLAC | $1 | — | $1 | 0.01% |
| MARY REBECCA WEATHERLY3 | 1934 E LEEWYNN DRIVE SARASOTA, FL 34240 | AFLAC | $1 | — | $1 | 0.01% |
| MARK C LEE3 | 1444 SOUTH 17TH ST WILMINGTON, NC 28401 | AFLAC | $0 | — | $0 | 0.00% |
| JENNIFER B MOREHEAD3 | 13412 WHITBY RD HUDSON, FL 34667 | AFLAC | $0 | — | $0 | 0.00% |
| KIMBERLY DIAN CROCKETT3 | 1563 ASHLEY CREEK LN CORDOVA, TN 38016 | AFLAC | $0 | — | $0 | 0.00% |
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 | 164 | 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) | 164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 19 | $14K |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 128 | $71K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 128 | $71K |
| Life insurance | AETNA LIFE INSURANCE CO. | 164 | $75K |
| Short-term disability | AFLAC | 19 | $14K |
| Long-term disability | AETNA LIFE INSURANCE CO. | 164 | $75K |
| Prescription drug | HEALTH OPTIONS, INC. | 68 | $427K |
| Other(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 164 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 164 | — |
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.