| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JESSICA GODWIN3 | 16292 SW 64TH AVE STARKE, FL 32091 | AFLAC | $6K | $429 | $7K | 2.96% |
| ANGEL E HILL3 Filed as: ANGEL HILL | 24921 NE 136TH LANE FORT MCCOY, FL 32134 | AFLAC | $6K | $97 | $6K | 2.56% |
| JOSHUA HILL3 | 24921 NE 136TH LANE FORT MCCOY, FL 32134 | AFLAC | $2K | $0 | $2K | 1.04% |
| JEREMY C ALFORD3 Filed as: JEREMY ALFORD | 3700 WINDMEADOWS BLVD APT DD295 GAINESVILLE, FL 32608 | AFLAC | $2K | $0 | $2K | 0.90% |
| MJ INSURANCE3 Filed as: SARA JEAN TYSON | 4125 SE 23RD TERRACE OCALA, FL 34480 | AFLAC | $2K | $37 | $2K | 0.69% |
| SANDRA LEE FOX3 Filed as: SANDRA FOX | 2113 NE 2ND ST OCALA, FL 34470 | AFLAC | $2K | $0 | $2K | 0.67% |
| J C ADAMS INC3 | 5631 NE 31ST TERRACE OCALA, FL 34479 | AFLAC | $1K | $0 | $1K | 0.53% |
| JERRY ALFORD3 | 40374 SW FOREST ROAD 181 BRISTOL, FL 32321 | AFLAC | $1K | $0 | $1K | 0.48% |
| BELINDA STARLING3 | PO BOX 972 STARKE, FL 32091 | AFLAC | $661 | $116 | $777 | 0.34% |
| BARBARA FOWLER3 | 1168 SEBAGO AVE S JACKSONVILLE, FL 32233 | AFLAC | $770 | $0 | $770 | 0.33% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E STE 1018 TALLAHASSEE, FL 32308 | AFLAC | $534 | $0 | $534 | 0.23% |
| CHARLES HARTHUN3 | 105 CASSADY PL CROSSVILLE, TN 38555 | AFLAC | $516 | $0 | $516 | 0.22% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $494 | $0 | $494 | 0.21% |
| WILLIAM BUCKNER3 Filed as: WILLIAM MILLER | 2039 NW 111TH LOOP OCALA, FL 34475 | AFLAC | $486 | $0 | $486 | 0.21% |
| TRAVIS P LEBLANC3 Filed as: TRAVIS LEBLANC | 1413 ODONNEL RD NEW IBERIA, LA 70560 | AFLAC | $398 | $0 | $398 | 0.17% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $381 | $0 | $381 | 0.17% |
| J W GRIMES INC3 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $324 | $0 | $324 | 0.14% |
| JANET GRIFFIN3 | 1906 ABBINGTON ST APOPKA, FL 32712 | AFLAC | $253 | $0 | $253 | 0.11% |
| KIMBERLY A HOOIE3 Filed as: KIMBERLY HOOIE | 8807 SW 137TH AVE ARCHER, FL 32618 | AFLAC | $251 | $0 | $251 | 0.11% |
| WENDY BENNETT3 | 1309 SE 43RD TERRACE OCALA, FL 34471 | AFLAC | $213 | $0 | $213 | 0.09% |
| WAYLON MOCK3 | 6541 WHIPORWILL LANE MILTON, FL 32583 | AFLAC | $213 | $0 | $213 | 0.09% |
| DONALD HUDSON3 | 8010 N CREEK WAY CITRUS SPRINGS, FL 34434 | AFLAC | $196 | $0 | $196 | 0.09% |
| CAROLYN GRAHAM3 | 2073 APALACHEE LANE NOKOMIS, FL 34275 | AFLAC | $171 | $0 | $171 | 0.07% |
| CORRY MANSELL3 | 1702 NW 17TH LANE GAINESVILLE, FL 32605 | AFLAC | $170 | $0 | $170 | 0.07% |
| RICHARD ROBERTS3 | 807 ARBOR GLEN CT ORMOND BEACH, FL 32174 | AFLAC | $168 | $0 | $168 | 0.07% |
| ELAINE COX3 | 3355 DOROTHEA RD JACKSONVILLE, FL 32216 | AFLAC | $158 | $0 | $158 | 0.07% |
| STACEY MARIE FOLSOM3 Filed as: STACEY FOLSOM | 3941 SE 26TH CT RD OCALA, FL 34480 | AFLAC | $157 | $0 | $157 | 0.07% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 1005 BELLA VISTA BLVD APT 119 ST AUGUSTINE, FL 32084 | AFLAC | $124 | $0 | $124 | 0.05% |
| TERRY FAIRCLOTH3 | PO BOX 108 EASTPOINT, FL 32328 | AFLAC | $120 | $0 | $120 | 0.05% |
| VIRGIL BANCIU3 | PO BOX 460 PALATKA, FL 32178 | AFLAC | $105 | $0 | $105 | 0.05% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6740 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $72 | $0 | $72 | 0.03% |
| ROBERT L TRAPNELL JR3 Filed as: ROBERT TRAPNELL JR | 15 N INDIAN RIVER DR APT 705 COCOA, FL 32922 | AFLAC | $56 | $0 | $56 | 0.02% |
| BRITTNEY ALFORD3 | 5600 COLLINSWOOD DR MILTON, FL 32583 | AFLAC | $54 | $0 | $54 | 0.02% |
| BRANDON C ADAMS3 Filed as: BRANDON ADAMS | 74 CROWN COLONY RD ST AUGUSTINE, FL 32092 | AFLAC | $53 | $0 | $53 | 0.02% |
| ROBERT P FERRONE3 Filed as: ROBERT FERRONE | 1701 WILLIAMS CT APT 202 COLUMBUS, GA 31904 | AFLAC | $51 | $0 | $51 | 0.02% |
| NELL MATHIS3 | 111 NE 47TH CT OCALA, FL 34470 | AFLAC | $45 | $0 | $45 | 0.02% |
| TRACI R BATTEN3 Filed as: TRACI BATTEN | 216 W MAITLAND BLVD MAITLAND, FL 32751 | AFLAC | $9 | $0 | $9 | 0.00% |
| OMER S BASS IV0 Filed as: OMER BASS | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $8 | $0 | $8 | 0.00% |
| CHOPPY HODES3 | 1031 NW 6TH ST STE F1 GAINESVILLE, FL 32601 | AFLAC | $7 | $0 | $7 | 0.00% |
| JOHN GALLIPOLI3 | 4385 STATESVILLE RD WATERTOWN, FL 37184 | AFLAC | $5 | $0 | $5 | 0.00% |
| JAMES (JAY) GRIMES3 Filed as: JAMES GRIMES | 554 ROBERT WILLIAMS RD PINE MOUNTAIN, GA 31822 | AFLAC | $2 | $0 | $2 | 0.00% |
| ANGEL E HILL3 Filed as: ANGEL HILL | 4125 SE 23RD TERR OCALA, FL 34480 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 2.91% |
| JESSICA GODWIN3 | 16292 SW 64TH AVE STARKE, FL 32091 | CONTINENTAL AMERICAN INSURANCE COMPANY | $667 | $0 | $667 | 1.29% |
| CAPITAL INSURANCE ADVISORS LLC3 Filed as: CAPITAL INSURANCE AGENCY INC | 1425 EAST PIEDMONT DR STE 301 TALLAHASSEE, FL 32308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $481 | $0 | $481 | 0.93% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | CONTINENTAL AMERICAN INSURANCE COMPANY | $459 | $0 | $459 | 0.89% |
| JEREMY C ALFORD3 Filed as: JEREMY ALFORD | 11628 NW 9TH LANE GAINESVILLE, FL 32606 | CONTINENTAL AMERICAN INSURANCE COMPANY | $426 | $0 | $426 | 0.83% |
| BETH L WALTER3 Filed as: BETH WALTER | 8375 DIX ELLIS TRAIL STE 409 JACKSONVILLE, FL 32256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $309 | $0 | $309 | 0.60% |
| JOSHUA HILL3 | 4125 SE 23 TERRACE OCALA, FL 34480 | CONTINENTAL AMERICAN INSURANCE COMPANY | $247 | $0 | $247 | 0.48% |
| JAMES R MIRABELLI3 Filed as: JAMES MIRABELLI | 8375 DIX ELLIS TRAIL STE 409 JACKSONVILLE, FL 32256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $138 | $0 | $138 | 0.27% |
| WENDY BENNETT3 | 6 CLEAR WAY OCALA, FL 34472 | CONTINENTAL AMERICAN INSURANCE COMPANY | $117 | $0 | $117 | 0.23% |
| JENNA L CARLONE3 Filed as: JENNA COLVIN | 1507 PONCE DE LEON PRADO FT. PIERCE, FL 34982 | CONTINENTAL AMERICAN INSURANCE COMPANY | $82 | $0 | $82 | 0.16% |
| C H ROBINSON & ASSOCIATES INC3 Filed as: C H ROBINSON & ASSOCIATES INC. | 4735 NW 53 AVE STE A GAINESVILLE, FL 32653 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | $0 | $10 | 0.02% |
| RUBICON REGION LLC3 | 1010 LAKE ST STE 430 OAK PARK, IL 60301 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | $0 | $9 | 0.02% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 1477 FRUIT COVE FOREST RD N JACKSONVILLE, FL 32259 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | $0 | $5 | 0.01% |
| CECIL T SALMON3 Filed as: CECIL SALMON | 9802-12 BAYMEADOWS PMB #14 JACKSONVILLE, FL 32256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | $0 | $5 | 0.01% |
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 | 351 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 351 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Other(2 contracts, 2 carriers) | AFLAC | 351 | $282K |
| 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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.