| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REGIONS INSURANCE INC3 Filed as: REGIONS INSURANCE, INC. | 450 E SAINT PETER ST NEW IBERIA, LA 70560 | HEALTH OPTIONS | $32K | — | $32K | 7.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INS SERVICES INC-GREENSBORO | STE 400 3318 WEST FRIENDLY AVE GREENSBORO, NC 27410 | STARMOUNT LIFE INSURANCE COMPANY | $10K | — | $10K | 12.65% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INS INC | 12485 28TH ST N 2ND FL ST. PETERSBURG, FL 33716 | STARMOUNT LIFE INSURANCE COMPANY | $1K | — | $1K | 1.80% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 4951 FORSYTH RD 1ST FL MACON, GA 31210 | HARTFORD LIFE AND ACCIDENT | $11K | — | $11K | 15.99% |
| RUBY ROBB3 | 3216 THACKERY WAY PLANT CITY, FL 33566 | AFLAC | $1K | $130 | $2K | 9.65% |
| ELEANOR M BREZNAY3 | 919 KEITH LN AUBURNDALE, FL 33823 | AFLAC | $414 | $26 | $440 | 2.78% |
| NORMA GARZA3 | PO BOX 89534 TAMPA, FL 33689 | AFLAC | $152 | $25 | $177 | 1.12% |
| JMG BUSINESS PARTNERS LLC3 | 3001 VIA PARMA ST PLANT CITY, FL 33566 | AFLAC | $66 | $26 | $92 | 0.58% |
| MICHELLE K WILLEY3 | 100 S KENTUCKY AVE STE 240 LAKELAND, FL 33801 | AFLAC | $90 | — | $90 | 0.57% |
| ROBERT THOMAS MONK3 | 14443 86TH AVE SEMINOLE, FL 33776 | AFLAC | $90 | — | $90 | 0.57% |
| TRACEY H BOURDON3 | 4866 MANDOLIN CT WINTER HAVEN, FL 33884 | AFLAC | $86 | — | $86 | 0.54% |
| JESSICA W MCKENZIE3 | 654 DOYLE ST WESTMINSTER, SC 29693 | AFLAC | $63 | — | $63 | 0.40% |
| VICTORRIO PAUL ZANIOL INC3 | 7511 BURLINGTON AVE N ST. PETERSBURG, FL 33710 | AFLAC | $52 | — | $52 | 0.33% |
| MICHELE K WILLEY3 | 500 S FLORIDA AVE STE 400-12 LAKELAND, FL 33801 | AFLAC | $50 | — | $50 | 0.32% |
| TERESA M CAMPBELL3 | 210 WT WYATT RD EASLEY, SC 29642 | AFLAC | $45 | — | $45 | 0.28% |
| DONALD P KREDENSOR3 | 1112 RIVER WALK DR SIMPSONVILLE, SC 29681 | AFLAC | $23 | — | $23 | 0.15% |
| MARK A LINSNER3 | 10375 CENTURION PKWY N STE 100 JACKSONVILLE, FL 32256 | AFLAC | $19 | — | $19 | 0.12% |
| MARK A LINSNER3 | 153 BLANDING BLVD STE 3 ORANGE PARK, FL 32073 | AFLAC | $14 | — | $14 | 0.09% |
| JL & ASSOCIATES INC3 | 134 W SOUTH BOUNDARY ST STE A PERRYSBURG, OH 43551 | AFLAC | $14 | — | $14 | 0.09% |
| JOHN D TYLER3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $12 | — | $12 | 0.08% |
| JOSEPH BAILEY DUCKETT3 | 119 NORTHBROOKE TRCE WOODSTOCK, GA 30188 | AFLAC | $11 | — | $11 | 0.07% |
| SUSAN C BRIMHALL3 | PO BOX 336 SMITHS STATION, AL 36877 | AFLAC | $10 | — | $10 | 0.06% |
| JL & ASSOCIATES INC3 | 8030 EMERALD ST STE 185 BOISE, ID 83704 | AFLAC | $10 | — | $10 | 0.06% |
| JOSEPH BAILEY DUCKETT3 | 1000 PARKWOOD CIR SE STE 900 ATLANTA, GA 30339 | AFLAC | $8 | — | $8 | 0.05% |
| ROGERS BENEFIT GROUP INC3 Filed as: DEBORAH L ROGERS | 11032 58TH STREET CIR E PARRISH, FL 34219 | AFLAC | $8 | — | $8 | 0.05% |
| GARY L RICKETTS INC3 | PO BOX 576 SEFFNER, FL 33583 | AFLAC | $8 | — | $8 | 0.05% |
| GRAVES INC3 | 5659 W HOLIDAY ST HOMOSASSA, FL 34446 | AFLAC | $4 | — | $4 | 0.03% |
| J W GRIMES INC3 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $4 | — | $4 | 0.03% |
| 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% |
| HEARTLAND BENEFITS INC3 | 3214 US HIGHWAY 27 S SEBRING, FL 33870 | AFLAC | $3 | — | $3 | 0.02% |
| GROUP PLANS INC3 | PO BOX 5164 LAKELAND, FL 33807 | AFLAC | $3 | — | $3 | 0.02% |
| GARY W JOHNSON3 | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $3 | — | $3 | 0.02% |
| HEARTLAND BENEFITS INC3 | 233 E CENTER AVE SEBRING, FL 33870 | AFLAC | $2 | — | $2 | 0.01% |
| OCIA RICHARDS GUMBS3 Filed as: OCIA D RICHARDS GUMBS | 3802 GASVERKS GADE SUITE 203 PETRAS PLAZA ST. ST THOMAS, VI 00802 | AFLAC | $2 | — | $2 | 0.01% |
| 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 DR MARTIN LUTHER KING JR BLVD PLANT CITY, FL 33563 | AFLAC | $2 | — | $2 | 0.01% |
| DAYTON LLC3 | 5445 OTC PARKWAY SUITE 10236 GREENWOOD VILLAGE, CO 80111 | AFLAC | $2 | — | $2 | 0.01% |
| FRANCIS V CRUZ3 | 150 MAPLE DR WEXFORD, PA 15090 | AFLAC | $1 | — | $1 | 0.01% |
| FRANCIS V CRUZ3 | 19115 LIVINGSTON AVE LUTZ, FL 33559 | AFLAC | $1 | — | $1 | 0.01% |
| JEFFREY GLENN YARISH3 | 16122 ARMISTEAD LN ODESSA, FL 33556 | AFLAC | $1 | — | $1 | 0.01% |
| MARY REBECCA WEATHERLY3 | 1934 E LEEWYNN DR SARASOTA, FL 34240 | AFLAC | $1 | — | $1 | 0.01% |
| DAYTON LLC3 | 324 OLD WOOD DR COLUMBIA, SC 29212 | AFLAC | $1 | — | $1 | 0.01% |
| HEATHER A HODGEMAN3 | 9715 ESTATE THOMAS ST THOMAS, VI 00802 | AFLAC | $1 | — | $1 | 0.01% |
| RAHIM ALMEIDA3 | 6501 RED HOOK PLZ STE 201 ST THOMAS, VI 00802 | AFLAC | $1 | — | $1 | 0.01% |
| ROGERS BENEFIT GROUP INC3 Filed as: DEBORAH L ROGERS INC | 11124 FOSTER CARRIAGE RD LITHIA, FL 33547 | AFLAC | $1 | — | $1 | 0.01% |
| JENNIFER B MOREHEAD3 | 13412 WHITBY RD HUDSON, FL 34667 | AFLAC | $0 | — | $0 | 0.00% |
| MARK C LEE3 | 11500 COUNTY LINE RD MIDLAND, GA 31820 | AFLAC | $0 | — | $0 | 0.00% |
| MARK C LEE3 | 1444 S 17TH ST WILMINGTON, NC 28401 | AFLAC | $0 | — | $0 | 0.00% |
| KIMBERLY DIAN CROCKETT3 | 505 LEE ROAD 214 PHENIX CITY, AL 36870 | 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 | 21 | $16K |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 130 | $77K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 130 | $77K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 164 | $70K |
| Short-term disability | AFLAC | 21 | $16K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 164 | $70K |
| Prescription drug | HEALTH OPTIONS | 64 | $457K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 164 | $85K |
| 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.