| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRINITY BENEFIT ADVISORS, INC.3 Filed as: TRINITY BENEFIT ADVISORS | 660 AMERICAN AVE SUITE 101 KINGO FO PRUSSIA, PA 19406 | THE GUARDIAN LIFE INSURANCE COMPANY | $17K | $0 | $17K | 7.53% |
| MARK S METTILLE3 | 107 CANDLELIGHT LANE MORRIS, IL 60450 | THE GUARDIAN LIFE INSURANCE COMPANY | $17K | $0 | $17K | 7.29% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FL | 2290 LAKE LUCIEN WAY ST 400 MAITLAND, FL 32751 | THE GUARDIAN LIFE INSURANCE COMPANY | $4K | $0 | $4K | 1.66% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA | 220 SO RIDGEWOOD VE DAYTONA BEACH, FL 32114 | THE GUARDIAN LIFE INSURANCE COMPANY | $255 | $0 | $255 | 0.11% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FL | 665 N FRANKLIN ST STE 1900 TAMPA, FL 33602 | AFLAC | $431 | $0 | $431 | 4.10% |
| DARRELL STANLEY BRANDIMORE3 Filed as: DARRELL BRANDIMORE | 1720 BRIGHTWATERS BLVD NE ST PETERSBURG, FL 33704 | AFLAC | $354 | $0 | $354 | 3.37% |
| GREG L BENJAMIN3 Filed as: GREG BENJAMIN | 3118 GULF TO BAY BLVD STE 100 CLEARWATER, FL 33759 | AFLAC | $262 | $0 | $262 | 2.50% |
| SARA BENJAMIN3 | 3118 GULF TO BAY BLVD STE 100 CLEARWATER, FL 33759 | AFLAC | $233 | $0 | $233 | 2.22% |
| BRANDY ANN HARTIN3 Filed as: BRANDY HARTIN | 500 KNIGHTS RUN AVE UNIT 1801 TAMPL, FL 33602 | AFLAC | $116 | $0 | $116 | 1.10% |
| KATNRYN AXENTE3 | 500 N WEST SHORE BLVD STE 1015 TAMPA, FL 33609 | AFLAC | $100 | $0 | $100 | 0.95% |
| DARRELL D SCHWABE3 Filed as: DARRELL SCHWABE FINANCIAL SRVC | 1369 OAKFIELD DR BRANDON, FL 33511 | AFLAC | $51 | $0 | $51 | 0.49% |
| DANIEL E TORRES3 Filed as: DANIEL TORRES | 1750 FARMINGTON CIRCLE WELLINGTON, FL 33414 | AFLAC | $41 | $0 | $41 | 0.39% |
| JEO INSURANCE INC3 Filed as: JEO INSURANCE | 2823 HICKORY RIDGE DR LAKELAND, FL 33813 | AFLAC | $35 | $0 | $35 | 0.33% |
| SUSAN BRIMHALL3 | 3921 CAP SAN BLAS RD PORT SAINT JOE, FL 32456 | AFLAC | $24 | $0 | $24 | 0.23% |
| CARLA LOOPER3 | 23363 JACOBSON RD BROOKSVILLE, FL 34601 | AFLAC | $23 | $0 | $23 | 0.22% |
| JEFFREY NELSON3 | 8512 WESTERLAND DR LAND O LAKES, FL 34637 | AFLAC | $18 | $0 | $18 | 0.17% |
| THE HORTON GROUP3 Filed as: R HORTON GRIFFIN JR | 166 N DAWSON ST THOMASVILLE, GA 31792 | AFLAC | $14 | $0 | $14 | 0.13% |
| JIMMY D BOONE3 Filed as: JIMMY BOONE | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC | $13 | $0 | $13 | 0.12% |
| CHRISTOPHER GRAHAM3 | 4200 MCFARLAND BLVD UNIT 432 NORTH PORT, AL 35476 | AFLAC | $12 | $0 | $12 | 0.11% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6570 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $10 | $0 | $10 | 0.10% |
| DAVID K MOBLEY3 Filed as: DAVID MOBLEY | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $10 | $0 | $10 | 0.10% |
| AMEEN AL AMEEN3 | 20430 CAROLINA CHERRY CT TAMPA, FL 33647 | AFLAC | $9 | $0 | $9 | 0.09% |
| J W GRIMES INC3 Filed as: JW GRIMES INC. | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $8 | $0 | $8 | 0.08% |
| FRED CHARLES SCHWABE & ASSOC3 | 310 LATTITUDE PL APOLLO BEACH, FL 33572 | AFLAC | $6 | $0 | $6 | 0.06% |
| MARK MACKO3 | 1203 MADERLEE PL TRINITY, FL 34655 | AFLAC | $6 | $0 | $6 | 0.06% |
| THE TORRES GROUP LLC3 | 1750 FARMINGTON CIR WELLINGTON, FL 33414 | AFLAC | $5 | $0 | $5 | 0.05% |
| CHRIS GUZEWICH3 | 1007 DRAKE FEATHER DR ORANGE PARK, FL 32065 | AFLAC | $5 | $0 | $5 | 0.05% |
| JEFFREY GLENN YARISH3 Filed as: JEFFREY YARISH | 16122 ARMISTEAD LN ODESSA, FL 33556 | AFLAC | $5 | $0 | $5 | 0.05% |
| GREGORY MEYER3 | 1582 RUNNING DEER DR KERNERSVILLE, NC 27284 | AFLAC | $4 | $0 | $4 | 0.04% |
| FRANCIS V CRUZ3 Filed as: FRANCIS CRUZ | 19115 LIVINGSTON AVE LUTZ, FL 33559 | AFLAC | $4 | $0 | $4 | 0.04% |
| JEANNINE MACKO3 | 1203 MANDERLEE PL TRINITY, FL 34655 | AFLAC | $3 | $0 | $3 | 0.03% |
| JANINE FOX3 | 5303 HARMONY MILLS WEST COHOES, NY 12047 | AFLAC | $3 | $0 | $3 | 0.03% |
| HORACE R WEAVER III3 Filed as: HORACE WEAVER III | 106 FOUNTAIN DR SLIDELL, LA 33626 | AFLAC | $3 | $0 | $3 | 0.03% |
| MARY REBECCA WEATHERLY3 Filed as: MARY WEATHERLY | 1934 E LEEWYNN DR SARASOTA, FL 34240 | AFLAC | $3 | $0 | $3 | 0.03% |
| JESSICA ESKEW3 | 10426 SPRINGROSE DR TAMPA, FL 34240 | AFLAC | $2 | $0 | $2 | 0.02% |
| BARTLEIN AND ASSOC INC3 Filed as: BARTLEIN & ASSOC | 5577 BRAODCAST CT SARASOTA, FL 34240 | AFLAC | $2 | $0 | $2 | 0.02% |
| MARK C LEE3 Filed as: MARK LEE | 1444 SOUTH 17TH ST WILMINGTON, NC 28401 | AFLAC | $1 | $0 | $1 | 0.01% |
| RANDALL BARTLEIN3 | 5577 BROADCAST COURT SARASOTA, FL 34240 | AFLAC | $1 | $0 | $1 | 0.01% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $1 | $0 | $1 | 0.01% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $1 | $0 | $1 | 0.01% |
| JENNIFER B MOREHEAD3 Filed as: JENNIFER MOREHEAD | 13412 WHITBY RD HUDSON, FL 34667 | AFLAC | $1 | $0 | $1 | 0.01% |
| OMER S BASS IV3 Filed as: OMER BASS IV | 656 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $1 | $0 | $1 | 0.01% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHSNON | 28 MAGNOLIA AVE ST AUGUSTINE, FL 32084 | AFLAC | $1 | $0 | $1 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TRINITY BENEFIT ADVISORS BROKER | Insurance agents and brokers Service code 22 | 660 AMERICAN AVE. SUITE 101 KING OF PRUSSIA, PA 19406 | $45K |
| AETNA EIN 06-6033492 ADMIN | Claims processing Service code 12 | — | $41K |
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $20K |
| TELEMEDICINE MANAGEMENT, INC. EIN 26-1306606 ADMIN | Other fees; Other services Service code 49 | — | $10K |
| CONNECTCARE 3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $7K |
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 | 347 | 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) | 349 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY | 279 | $229K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY | 279 | $229K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY | 279 | $229K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY | 279 | $229K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY | 279 | $229K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 349 | $310K |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY | 279 | $239K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 349 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.