| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ROGER W. BROWN | 355 SCOTT FARM DRIVE POWDER SPRINGS, GA 30127 | AFLAC | $2K | — | $2K | 3.88% |
| MJ INSURANCE3 Filed as: VARIOUS AGENTS | EACH PAID 100 OR LESS COLUMBIA, SC 29223 | AFLAC | $906 | — | $906 | 2.03% |
| TIWAN L. BARNES3 | 41 ADAM DRIVE NEWINGTON, CT 06111 | AFLAC | $866 | — | $866 | 1.94% |
| ASHLEY M MELTON3 Filed as: ASHLEY M. MELTON | 2230 LLOYD DRIVE SUMTER, SC 29154 | AFLAC | $617 | — | $617 | 1.38% |
| LESTER D PARK3 Filed as: LESTER D. PARK | 203 CLEARMEADOW DRIVE COLUMBIA, SC 29229 | AFLAC | $387 | — | $387 | 0.87% |
| HEYWARD RICHARDSON JR3 Filed as: HEYWARD RICHARDSON, JR. | 140 WILDEWOOD PARK DRIVE, SUITE 108 COLUMBIA, SC 29223 | AFLAC | $165 | — | $165 | 0.37% |
| TRECIA J BRADY3 Filed as: TRECIA J. BRADY | 71 NUTMEG CT MIDDLETOWN, CT 06457 | AFLAC | $151 | — | $151 | 0.34% |
| AARON R. RANKINEN3 | 2081 MEADOWVIEW STREET KAUKAUNA, WI 54130 | AFLAC | $107 | — | $107 | 0.24% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ROGER W. BROWN | 1805 GILBERT DRIVE FLORENCE, SC 29506 | CONTINENTAL AMERICAN INSURANCE COMPANY | $175 | — | $175 | 1.91% |
| TIWAN L. BARNES3 | 41 ADAMS DRIVE NEWINGTON, CT 06111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $143 | — | $143 | 1.56% |
| MJ INSURANCE3 Filed as: VARIOUS AGENTS | PAID LESS THAN 24 CLINTON, CT 06413 | CONTINENTAL AMERICAN INSURANCE COMPANY | $98 | — | $98 | 1.07% |
| JOSE A SCHIENEMAN3 Filed as: JOSE SCHIENEMAN | 1881 S CARRAIGE LANE CHANDLER, AZ 85286 | CONTINENTAL AMERICAN INSURANCE COMPANY | $82 | — | $82 | 0.89% |
| TRECIA J BRADY3 Filed as: TRECIA J. BRADY | 2275 SILAS DEANE HIGHWAY ROCKY HILL, CT 06067 | CONTINENTAL AMERICAN INSURANCE COMPANY | $51 | — | $51 | 0.56% |
| ROSE & KIERNAN INC3 Filed as: ROSE & KIERNAN, INC. | 99 TROY ROAD, P.O. BOX 640 EAST GREENBUSH, NY 12061 | FEDERAL INSURANCE COMPANY | $709 | — | $709 | 15.01% |
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 | 299 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 299 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 0 | $73K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 299 | $178K |
| Other(4 contracts, 4 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 299 | $236K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 299 | — |
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.