| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ROGER W BROWN | 355 SCOTT FARM DR POWDER SPRINGS, GA 30127 | AFLAC | $850 | — | $850 | 3.95% |
| TIWAN L. BARNES3 Filed as: TIWAN L BARNES | 41 ADAM DR NEWINGTON, CT 06111 | AFLAC | $397 | — | $397 | 1.85% |
| ASHLEY M MELTON3 | 2230 LLOYD DR SUMTER, SC 29154 | AFLAC | $350 | — | $350 | 1.63% |
| LESTER D PARK3 | 440 ARBOR CT DECATUR, IL 62526 | AFLAC | $207 | — | $207 | 0.96% |
| AARON R. RANKINEN3 Filed as: AARON RANDALL RANKINEN | 2081 MEADOWVIEW ST KAUKAUNA, WI 54130 | AFLAC | $64 | — | $64 | 0.30% |
| TRECIA J BRADY3 | 71 NUTMEG CT MIDDLETOWN, CT 06457 | AFLAC | $62 | — | $62 | 0.29% |
| HEYWARD RICHARDSON JR3 | 1163 MCCORDS FERRY RD LUGOFF, SC 29078 | AFLAC | $51 | — | $51 | 0.24% |
| C HARVEY KING3 | 1024 BENNINGTON DR CHARLESTON, SC 29492 | AFLAC | $51 | — | $51 | 0.24% |
| SAMANTHA J LEITERITZ3 | N5265 COUNTY RD E DE PERE, WI 54115 | AFLAC | $47 | — | $47 | 0.22% |
| MATTHEW G BERGER3 | 10 UNION AVE APT 302 BALA CYNWYD, PA 19004 | AFLAC | $44 | — | $44 | 0.20% |
| MICHAEL LANGDON3 | 290 BARBOURTOWN RD CANTON, CT 06019 | AFLAC | $36 | — | $36 | 0.17% |
| MUNCIE ALAN RUSSELL3 | 1829 SENATE ST APT 8D COLUMBIA, SC 29201 | AFLAC | $35 | — | $35 | 0.16% |
| PAUL W DESPIRITO3 | 3051 PROGRESS WAY STE 204 KAUKAUNA, WI 54130 | AFLAC | $28 | — | $28 | 0.13% |
| CHARLES F GREER3 | 9537 PECKY CYPRESS WAY ORLANDO, FL 32836 | AFLAC | $24 | — | $24 | 0.11% |
| ADAM D WICHMANN3 | 780 CAPILANO CT CASTLE ROCK, CO 80108 | AFLAC | $16 | — | $16 | 0.07% |
| RETTENMUND INSURANCE LLC3 | S7991 DENZER RD NORTH FREEDOM, WI 53951 | AFLAC | $14 | — | $14 | 0.07% |
| STEVEN D MARTIN3 | 58 TIMBER LN WILLINGTON, CT 06279 | AFLAC | $13 | — | $13 | 0.06% |
| SCOTT D MAYER3 | 1440 CHATEAU TER MENASHA, WI 54952 | AFLAC | $13 | — | $13 | 0.06% |
| JOHN D TYLER3 | 2131 KILEY WAY EDMOND, OH 73034 | AFLAC | $12 | — | $12 | 0.06% |
| MANDY P RUECHEL3 | 1030 LUM AVE WATERLOO, WI 53594 | AFLAC | $12 | — | $12 | 0.06% |
| JOSE A SCHIENEMAN3 | 1881 S CARRIAGE LN CHANDLER, AZ 85286 | AFLAC | $10 | — | $10 | 0.05% |
| PATRICIA A PARK3 | 18 SHEILA GAIL LN ROSSVILLE, GA 30741 | AFLAC | $8 | — | $8 | 0.04% |
| JASON SCZEPANIAK3 | 1161 HERITAGE CT SUN PRAIRIE, WI 53590 | AFLAC | $8 | — | $8 | 0.04% |
| WILLIAM P FLEMING3 | 184 MEADOWVIEW RD LEXINGTON, NC 27295 | AFLAC | $7 | — | $7 | 0.03% |
| THOMAS P MCKIERNAN3 | 687 E BROADWAY MILFORD, CT 06460 | AFLAC | $6 | — | $6 | 0.03% |
| ANDREW BLANK3 Filed as: ANDREW D BLANK | W7410 EARL LN HORTONVILLE, WI 54944 | AFLAC | $6 | — | $6 | 0.03% |
| GK JOHNSON INC3 Filed as: GK JOHNSON, INC | 326 HOLLOW OAK DR UNIT B SUMMERVILLE, SC 29486 | AFLAC | $4 | — | $4 | 0.02% |
| MICHAEL T REYES3 | 185 PLAINS RD STE 200E MILFORD, CT 06461 | AFLAC | $4 | — | $4 | 0.02% |
| DAYTON LLC3 | 8015 EAGLE RD LARKSPUR, CO 80118 | AFLAC | $4 | — | $4 | 0.02% |
| JEREMY KOOI3 | 855 PANORAMA CT APT 203 RICHLAND CENTER, WI 53581 | AFLAC | $2 | — | $2 | 0.01% |
| CHRISTOPHER S AUSTERMANN3 | 41 NEW LONDON TURNPIKE #B GLASTONBURY, CT 06033 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN K SCHULE3 | 102 BLACKWOOD LN STAMFORD, CT 06903 | AFLAC | $1 | — | $1 | 0.00% |
| CHRISTOPHER J ZELLNER3 | 918 ALDORA LN WAUNAKEE, WI 53597 | AFLAC | $1 | — | $1 | 0.00% |
| LINDA B CAMPBELL3 | 174 PALMETTO GREEN DR LONGS, SC 29568 | AFLAC | $1 | — | $1 | 0.00% |
| ROSS C NELSON3 | 440 REGENCY PARKWAY DR STE 234 OMAHA, NE 68114 | AFLAC | $1 | — | $1 | 0.00% |
| DAVID A COLLISON3 | 46 JOHNSTONE LN GEORGETOWN, SC 29440 | AFLAC | $1 | — | $1 | 0.00% |
| JEREMY KOOI3 | 25073 HALL LN RICHLAND CENTER, WI 53581 | AFLAC | $1 | — | $1 | 0.00% |
| WILLIAM F MURRAY III3 | 1298 SAINT PATRICK WAY SUN PRAIRIE, WI 53590 | AFLAC | $1 | — | $1 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ROGER W BROWN | 355 SCOTT FARM DR POWDER SPRINGS, GA 30127 | AFLAC | $147 | — | $147 | 3.54% |
| TIWAN L. BARNES3 Filed as: TIWAN L BARNES | 41 ADAM DR NEWINGTON, CT 06111 | AFLAC | $91 | — | $91 | 2.19% |
| ASHLEY M MELTON3 | 2230 LLOYD DR SUMTER, SC 29154 | AFLAC | $67 | — | $67 | 1.61% |
| LESTER D PARK3 | 447 ARBOR CT DECATUR, IL 62526 | AFLAC | $40 | — | $40 | 0.96% |
| JOHN W BRADY3 | 71 NUTMEG COURT MIDDLETOWN, CT 06457 | AFLAC | $34 | — | $34 | 0.82% |
| TRECIA J BRADY3 | 71 NUTMEG CT MIDDLETOWN, CT 06457 | AFLAC | $25 | — | $25 | 0.60% |
| MICHAEL LANGDON3 | 290 BARBOURTOWN RD CANTON, CT 06019 | AFLAC | $21 | — | $21 | 0.51% |
| SCOTT W GAGE3 | PO BOX 1 BOUCKVILLE, NY 13310 | AFLAC | $14 | — | $14 | 0.34% |
| MUNCIE ALAN RUSSELL3 | 1829 SENATE ST APT 8D COLUMBIA, SC 29201 | AFLAC | $14 | — | $14 | 0.34% |
| MATTHEW G BERGER3 | 10 UNION AVE APT 302 BALA CYNWYD, PA 19004 | AFLAC | $14 | — | $14 | 0.34% |
| C HARVEY KING3 | 1024 BENNINGTON DR CHARLESTON, SC 29492 | AFLAC | $10 | — | $10 | 0.24% |
| LOUIS R FAIOLA3 | 12 HAAWK CT DELMAR, NY 12054 | AFLAC | $4 | — | $4 | 0.10% |
| PATRICIA A PARK3 | 18 SHEILA GAIL LN ROSSVILLE, GA 30741 | AFLAC | $2 | — | $2 | 0.05% |
| WILLIAM P FLEMING3 | 184 MEADOWVIEW RD LEXINGTON, NC 27295 | AFLAC | $2 | — | $2 | 0.05% |
| NATALIE D RYAN3 | 13 WHITEHALL LNDG MYSTIC, CT 06355 | AFLAC | $1 | — | $1 | 0.02% |
| ROBERT JAMES LAMB3 | 53 RIDGEWOOD DR STOW, MA 01775 | AFLAC | $1 | — | $1 | 0.02% |
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 | 349 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 351 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 338 | $207K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 335 | $211K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 335 | $211K |
| Other(3 contracts, 2 carriers) | AFLAC | 351 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 351 | — |
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.