| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | METROPOLITAN LIFE INSURANCE COMPANY | $40K | $298 | $40K | 9.18% |
| HYLANT GROUP INC3 Filed as: THE HYLANT GROUP | 811 MADISON AVE TOLEDO, OH 43604 | NATIONWIDE LIFE INSURANCE COMPANY | $34K | $0 | $34K | 10.00% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $23K | $0 | $23K | 10.00% |
| JESSICA GODWIN3 | 16292 SW 64TH AVE STARKE, FL 32091 | AFLAC | $9K | $562 | $9K | 4.10% |
| ANGEL E HILL3 Filed as: ANGEL HILL | 100 NE 97TH ST RD ANTHONY, FL 32617 | AFLAC | $5K | $152 | $5K | 2.24% |
| JOSHUA HILL3 | 100 NE 97TH ST RD ANTHONY, FL 32617 | AFLAC | $2K | $0 | $2K | 0.95% |
| JEREMY C ALFORD3 Filed as: JEREMY ALFORD | 3700 WINDMEADOWS BLVD APT DD295 GAINESVILLE, FL 32608 | AFLAC | $2K | $0 | $2K | 0.73% |
| SANDRA LEE FOX3 Filed as: SANDRA FOX | 2113 NE 2ND ST OCALA, FL 34470 | AFLAC | $1K | $0 | $1K | 0.54% |
| AMANDA SAPP3 | 1232 SE COUNTY ROAD 475 BRANFORD, FL 32008 | AFLAC | $1K | $0 | $1K | 0.49% |
| BELINDA STARLING3 | PO BOX 972 STARKE, FL 32091 | AFLAC | $1K | $0 | $1K | 0.46% |
| SANDRA ADAMS3 | 1817 CYPRESS POINT RD OCALA, FL 34472 | AFLAC | $972 | $0 | $972 | 0.44% |
| MJ INSURANCE3 Filed as: SARA JEAN TYSON | 1030 SW 1ST TERR LAKE BUTLER, FL 32054 | AFLAC | $875 | $77 | $952 | 0.43% |
| JERRY ALFORD3 | 40374 SW FOREST ROAD 181 BRISTOL, FL 32321 | AFLAC | $893 | $0 | $893 | 0.40% |
| C H ROBINSON & ASSOCIATES INC3 Filed as: CH ROBINSON & ASSOCIATES INC | 9969 NW 16TH RD GAINESVILLE, FL 32606 | AFLAC | $796 | $0 | $796 | 0.36% |
| BARBARA FOWLER3 | 1168 SEBAGO AVE S JACKSONVILLE, FL 32233 | AFLAC | $682 | $0 | $682 | 0.31% |
| RUBICON REGION LLC3 | 360 W HUBBARD ST APT 2008 CHICAGO, IL 60654 | AFLAC | $349 | $134 | $483 | 0.22% |
| CHARLES HARTHUN3 | 10396 SW 65TH TERR OCALA, FL 34476 | AFLAC | $436 | $0 | $436 | 0.20% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E STE 101B TALLAHASSEE, FL 32308 | AFLAC | $421 | $0 | $421 | 0.19% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 103 LAUGHING GULL LN CARRABELLE, FL 32322 | AFLAC | $378 | $0 | $378 | 0.17% |
| WILLIAM BUCKNER3 Filed as: WILLIAM MILLER | 2039 NW 111TH LOOP OCALA, FL 34475 | AFLAC | $357 | $0 | $357 | 0.16% |
| TRAVIS P LEBLANC3 Filed as: TRAVIS LEBLANC | 1413 ODONNELL RD NEW IBERIA, LA 70560 | AFLAC | $340 | $0 | $340 | 0.15% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $297 | $0 | $297 | 0.13% |
| J W GRIMES INC3 Filed as: JW GRIMES INC | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $259 | $0 | $259 | 0.12% |
| JANET GRIFFIN3 | 1906 ABBINGTON ST APOPKA, FL 32712 | AFLAC | $217 | $0 | $217 | 0.10% |
| WAYLON MOCK3 | 6541 WHIPORWILL LN MILTON, FL 32583 | AFLAC | $204 | $0 | $204 | 0.09% |
| CORRY MANSELL3 | 1702 NW 17TH LN GAINESVILLE, FL 32605 | AFLAC | $174 | $0 | $174 | 0.08% |
| STACY FOLSOM3 | 3941 SE 26TH CT RD OCALA, FL 34480 | AFLAC | $146 | $0 | $146 | 0.07% |
| RICHARD ROBERTS3 | 807 ARBOR GLEN CT ORMOND BEACH, FL 32174 | AFLAC | $144 | $0 | $144 | 0.07% |
| CAROLYN GRAHAM3 | 2073 APALACHEE LN NOKOMIS, FL 34275 | AFLAC | $142 | $0 | $142 | 0.06% |
| ELAINE COX3 | 3355 DOROTHEA RD JACKSONVILLE, FL 32216 | AFLAC | $135 | $0 | $135 | 0.06% |
| KIMBERLY A HOOIE3 Filed as: KIMBERLY HOOIE | 8807 SW 137TH AVE ARCHER, FL 32618 | AFLAC | $126 | $0 | $126 | 0.06% |
| TERRY FAIRCLOTH3 | 345 PARADISE LN APALACHICOLA, FL 32320 | AFLAC | $123 | $0 | $123 | 0.06% |
| WENDY BENNETT3 | 24841 NE 135TH ST FORT MCCOY, FL 32134 | AFLAC | $118 | $0 | $118 | 0.05% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 40 AVERY ST ST AUGUSTINE, FL 32084 | AFLAC | $97 | $0 | $97 | 0.04% |
| VIRGIL BANCIU3 | PO BOX 460 PALATKA, FL 32178 | AFLAC | $84 | $0 | $84 | 0.04% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $58 | $0 | $58 | 0.03% |
| BRITTNEY ALFORD3 | 5600 COLLINSWOOD DR MILTON, FL 32583 | AFLAC | $54 | $0 | $54 | 0.02% |
| ROBERT L TRAPNELL JR3 Filed as: ROBERT TRAPNELL JR | 5 N INDIAN RIVER DR APT 705 COCOA, FL 32922 | AFLAC | $48 | $0 | $48 | 0.02% |
| ROBERT P FERRONE3 Filed as: ROBERT FERRONE | 262 AUTUMN TRAIL WAY WAVERLY HALL, GA 31831 | AFLAC | $46 | $0 | $46 | 0.02% |
| BRANDON C ADAMS3 Filed as: BRANDON ADAMS | 268 SW SHOREWOOD DR DUNNELLON, FL 34481 | AFLAC | $46 | $0 | $46 | 0.02% |
| SHANNON ELIXSON3 | 7195 NW 215TH WAY STARKE, FL 32091 | AFLAC | $38 | $0 | $38 | 0.02% |
| MELISSA LYNAN PRICE3 Filed as: MELISSA PRICE | 909 ANGLE RD FORT PIERCE, FL 34947 | AFLAC | $29 | $0 | $29 | 0.01% |
| JAMES R MIRABELLI3 Filed as: JAMES MIRABELLI | 801 BRINY AVE APT 1403 POMPANO BEACH, FL 33062 | AFLAC | $28 | $0 | $28 | 0.01% |
| JEFFREY M SINTAY3 Filed as: JEFFREY SINTAY | 5300 OAKBROOK PKWY STE 300 STE 350 NORCROSS, GA 30093 | AFLAC | $28 | $0 | $28 | 0.01% |
| MARIE MICHELE HASKELL3 Filed as: MARIE HASKELL | 5023 EAGLE POINT DR JACKSONVILLE, FL 32244 | AFLAC | $25 | $0 | $25 | 0.01% |
| AARON ANTHONY3 | 1700 FOUNTAIN CT APT 1303 COLUMBUS, GA 31904 | AFLAC | $20 | $0 | $20 | 0.01% |
| DONALD HUDSON3 | 8010 N CREEK WAY CITRUS SPRINGS, FL 34434 | AFLAC | $19 | $0 | $19 | 0.01% |
| NELL MATHIS3 | 111 NE 47TH CT OCALA, FL 34470 | AFLAC | $18 | $0 | $18 | 0.01% |
| JAMEY MILLER INC3 | 2202 57TH ST SE AUBURN, WA 98092 | AFLAC | $18 | $0 | $18 | 0.01% |
| CECIL T SALMON3 Filed as: CECIL SALMON | 27 RAMBLEWOOD DR PALM COAST, FL 32164 | AFLAC | $17 | $0 | $17 | 0.01% |
| JOHNNY C DINGESS3 Filed as: JOHNNY DINGESS | 122 SW MUSKET PL LAKE CITY, FL 32025 | AFLAC | $14 | $0 | $14 | 0.01% |
| ELLIOT RIVERA3 | 700 CAMELLIA CT PLANTATION, FL 33317 | AFLAC | $13 | $0 | $13 | 0.01% |
| TRACI R BATTEN3 Filed as: TRACI BATTEN | 375 HARBOUR COVE DR APT 323 SPARKS, NV 89434 | AFLAC | $9 | $0 | $9 | 0.00% |
| MARK C LEE3 Filed as: MARK LEE | 11500 COUNTY LINE RD MIDLAND, GA 31820 | AFLAC | $8 | $0 | $8 | 0.00% |
| OMER S BASS IV3 Filed as: OMER BASS | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $7 | $0 | $7 | 0.00% |
| JAMES HARRIS3 | 6329 RIVERMONT CT COLUMBUS, GA 31904 | AFLAC | $1 | $0 | $1 | 0.00% |
| JOHN GALLIPOLI3 | 4385 STATESVILLE RD WATERTOWN, FL 37184 | AFLAC | $1 | $0 | $1 | 0.00% |
| JAMES (JAY) GRIMES3 Filed as: JAMES GRIMES | 554 ROBERT WILLIAMS RD PINE MOUNTAIN, GA 31822 | AFLAC | $1 | $0 | $1 | 0.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 811 MADISON AVE TOLEDO, OH 43603 | EYEMED VISION CARE | $5K | $0 | $5K | 10.02% |
| ANGEL E HILL3 Filed as: ANGEL HILL | 4125 SE 23RD TERR OCALA, FL 34480 | AFLAC | $1K | $0 | $1K | 2.43% |
| JESSICA GODWIN3 | 16292 SW 64TH AVE STARKE, FL 32091 | AFLAC | $470 | $0 | $470 | 1.09% |
| CAPITAL INSURANCE ADVISORS LLC3 Filed as: CAPITAL INSURANCE AGENCY INC | 1425 EAST PIEDMONT DR STE 301 TALLAHASSEE, FL 32308 | AFLAC | $340 | $0 | $340 | 0.79% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $318 | $0 | $318 | 0.74% |
| JEREMY C ALFORD3 Filed as: JEREMY ALFORD | 3700 WINDMEADOWS BLVD APT DD295 GAINESVILLE, FL 32608 | AFLAC | $300 | $0 | $300 | 0.70% |
| BETH L WALTER3 Filed as: BETH WALTER | 8375 DIX ELLIS TRAIL STE 409 JACKSONVILLE, FL 32256 | AFLAC | $216 | $0 | $216 | 0.50% |
| JOSHUA HILL3 | 4125 SE 23 TERR OCALA, FL 34480 | AFLAC | $168 | $0 | $168 | 0.39% |
| JAMES R MIRABELLI3 Filed as: JAMES MIRABELLI | 8375 DIX ELLIS TRAIL STE 409 JACKSONVILLE, FL 32256 | AFLAC | $96 | $0 | $96 | 0.22% |
| WENDY BENNETT3 | 6 CLEAR WAY OCALA, FL 34472 | AFLAC | $86 | $0 | $86 | 0.20% |
| JENNA L CARLONE3 Filed as: JENNA COLVIN | 250 W INDIANTOWN RD STE 106 JUPITER, FL 33458 | AFLAC | $57 | $0 | $57 | 0.13% |
| C H ROBINSON & ASSOCIATES INC3 Filed as: CH ROBINSON & ASSOCIATES INC. | 55 PORTER ALLEY MECHANICSBURG, PA 17050 | AFLAC | $10 | $0 | $10 | 0.02% |
| GSL MARKETING INC3 | PO BOX 358198 GAINESVILLE, FL 32635 | AFLAC | $6 | $0 | $6 | 0.01% |
| CECIL T SALMON3 Filed as: CECIL SALMON | 9802-12 BAYMEADOWS RD JACKSONVILLE, FL 32256 | AFLAC | $5 | $0 | $5 | 0.01% |
| CHARLES HARTHUN3 | 10396 SW 65TH TERR OCALA, FL 34476 | AFLAC | $4 | $0 | $4 | 0.01% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 411 WALNUT ST #16846 GREEN COVE SPRINGS, FL 32043 | AFLAC | $3 | $0 | $3 | 0.01% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | METLIFE LEGAL PLANS OF FLORIDA | $3K | $0 | $3K | 10.04% |
| HYLANT GROUP INC3 | 8 CADILLAC DR STE 230 BRENTWOOD, TN 37027 | METLIFE LEGAL PLANS OF FLORIDA | $0 | $263 | $263 | 0.85% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 57-0287419 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $338K |
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 | 458 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 458 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,474 | $439K |
| Vision | EYEMED VISION CARE | 657 | $47K |
| Life insurance(2 contracts, 2 carriers) | AMERITAS LIFE INSURANCE CORP | 458 | $759K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 458 | $234K |
| Stop-loss / reinsurancereinsurance | NATIONWIDE LIFE INSURANCE COMPANY | 512 | $338K |
| Other(4 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 458 | $529K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,474 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.