| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MFB FINANCIAL INC3 | DBA THE BAILEY GROUP 1200 PLANTATION ISLAND DR S STE 210 ST AUGUSTINE, FL 320803115 | BLUE CROSS BLUE SHIELD OF FLORIDA | $43K | — | $43K | 3.00% |
| MFB FINANCIAL INC3 | DBA THE BAILEY GROUP 1200 PLANTATION ISLAND DR S STE 210 ST AUGUSTINE, FL 320803115 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 5.64% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 322024941 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $2K | $8K | 5.57% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INS SERVICES INC | 1250 S CAPITAL OF TEXAS HWY BLDG 2 SUITE 125 AUSTIN, TX 787466446 | METROPOLITAN LIFE INSURANCE COMPANY | $626 | — | $626 | 0.43% |
| MFB FINANCIAL INC3 | DBA THE BAILEY GROUP 1200 PLANTATION ISLAND DR S STE 210 ST AGUSTINE, FL 320803115 | BLUE CROSS BLUE SHIELD OF FLORIDA | $3K | — | $3K | 3.00% |
| SALLY L PITTMAN3 | 9372 COXWELL LANE JACKSONVILLE, FL 32221 | AFLAC | $4K | $72 | $5K | 5.07% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOC INC | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | AFLAC | $2K | — | $2K | 2.26% |
| DAVID C SWEIGARD3 Filed as: DAVID SWEIGARD | 283 VENETIAN BLVD ST AUGUSTINE, FL 32095 | AFLAC | $1K | $14 | $1K | 1.19% |
| DENNIS PITTMAN3 | 9372 COXWELL LANE JACKSONVILLE, FL 32221 | AFLAC | $1K | — | $1K | 1.19% |
| THOMAS JAMES OLLER3 Filed as: THOMAS OLLER | 2010 COPPER CREEK DR UNIT C FLEMING ISLAND, FL 32003 | AFLAC | $925 | — | $925 | 1.04% |
| DAVID MARKS3 | 4021 W E HECK CT BLDG J BATON ROUGE, LA 70816 | AFLAC | $823 | $14 | $837 | 0.94% |
| JIMMY D BOONE3 | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC | $620 | — | $620 | 0.70% |
| GLORIA MEARES3 | 2734 HOLLY POINT RD E ORANGE PARK, FL 32073 | AFLAC | $290 | — | $290 | 0.33% |
| J C ADAMS INC3 | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $232 | — | $232 | 0.26% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $203 | — | $203 | 0.23% |
| MILLER MILLER BRADWISH & MILLER PA3 Filed as: MILLER MILLER BRADWISH MILLER | PO BOX 10099 JACKSONVILLE, FL 32247 | AFLAC | $178 | — | $178 | 0.20% |
| SHELLIE GASKINS3 | 510 22ND ST ST AUGUSTINE, FL 32084 | AFLAC | $177 | — | $177 | 0.20% |
| VERA I CRUICE3 Filed as: VERA CRUICE | 7121 TARPON COURT FLEMING ISLAND, FL 32003 | AFLAC | $150 | — | $150 | 0.17% |
| TRAVIS P LEBLANC3 Filed as: TRAVIS LEBLANC | 230 DIANE LANE STONEWALL, LA 71078 | AFLAC | $119 | — | $119 | 0.13% |
| DAVID ABOULAFIA3 | 235 ALERTO STREET ST AUGUSTINE, FL 32080 | AFLAC | $116 | — | $116 | 0.13% |
| MICHAEL ZEIDMAN3 | 207 9TH STREET APT G ST AUGUSTINE, FL 32080 | AFLAC | $106 | — | $106 | 0.12% |
| ROBERT VICTOR WOERNER II3 Filed as: ROBERT WOERNER II | 1548 WATERBRIDGE CT FLEMING ISLAND, FL 32003 | AFLAC | $83 | — | $83 | 0.09% |
| ELAINE COX3 | 3355 DOROTHEA ROAD JACKSONVILLE, FL 32216 | AFLAC | $71 | — | $71 | 0.08% |
| JEREMY M HASKELL3 Filed as: JEREMY HASKELL | PO BOX 3274 OCALA, FL 34478 | AFLAC | $67 | — | $67 | 0.08% |
| FRANK P ANDERSON & ASSOC INC3 | PMB 348 14286-19 BEACH BLVD JACKSONVILLE, FL 32250 | AFLAC | $57 | — | $57 | 0.06% |
| DEBORAH L RANSDELL3 Filed as: DEBORAH RANSDELL | 8512 SELWAY DRIVE AUSTIN, TX 78736 | AFLAC | $56 | — | $56 | 0.06% |
| WAYNE MEARES3 | 2734 HOLLY POINT RD E ORANGE PARK, FL 32073 | AFLAC | $55 | — | $55 | 0.06% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $33 | $14 | $47 | 0.05% |
| MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $38 | — | $38 | 0.04% |
| LAURA HEILIG3 | 13768 OAK TREE TERRACE JACKSONVILLE, FL 32224 | AFLAC | $32 | — | $32 | 0.04% |
| JERRY WORLEY3 | 245 WILDWOOD DR #144 ST AUGUSTINE, FL 32086 | AFLAC | $30 | — | $30 | 0.03% |
| ALGERINE COX3 | 3355 DOROTHEA RD JACKSONVILLE, FL 32216 | AFLAC | $28 | — | $28 | 0.03% |
| JAMES L. LEFTWICH3 Filed as: JAMES LEFTWICH | 1465 RIVER LANE GREEN COVE SPRINGS, FL 32043 | AFLAC | $27 | — | $27 | 0.03% |
| STEPHEN RICHARD3 | 2831 TUSCARORA TRAIL MIDDLEBURG, FL 32068 | AFLAC | $27 | — | $27 | 0.03% |
| WILLIAM M KNOTT3 | 35606 GREEN FOREST DRIVE EUSTIS, FL 32736 | AFLAC | $26 | — | $26 | 0.03% |
| BILLY WAYNE OCONNOR3 Filed as: BILLY OCONNOR | 1309 N PRINCE EDWARD S OLATHE, KS 66061 | AFLAC | $20 | — | $20 | 0.02% |
| DAVID K MOBLEY3 Filed as: DAVID MOBLEY | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $19 | — | $19 | 0.02% |
| J W GRIMES INC3 | 7659 HERITAGE CROSSING WAY REUNION, FL 34747 | AFLAC | $18 | — | $18 | 0.02% |
| HAUGHT FINANCIAL GRP INC3 | PO BOX 3158 PONTE VEDRA BEACH, FL 32204 | AFLAC | $18 | — | $18 | 0.02% |
| JAMES GODWIN3 | 1667 SEA OATS DR ATLANTIC BEACH, FL 32233 | AFLAC | $15 | — | $15 | 0.02% |
| JOEY C ADAMS3 | 5631 NE 31ST TERRACE OCALA, FL 34479 | AFLAC | $11 | — | $11 | 0.01% |
| JENNIFER LOWE3 | 502 MOONLIGHT CIR NEW BRAUNFELS, TX 78132 | AFLAC | $8 | — | $8 | 0.01% |
| ASHLEY CROOK3 | 3436 PALM ISLAND RD JACKSONVILLE, FL 32250 | AFLAC | $8 | — | $8 | 0.01% |
| FIRST COMMUNITY FINANCIAL SVCS INC3 | 505 HAINES AVENUE WAYCROSS, GA 31501 | AFLAC | $6 | — | $6 | 0.01% |
| LINDA M PETSCH3 | 3098 PRESCOTT FALLS DR JACKSONVILLE, FL 32224 | AFLAC | $6 | — | $6 | 0.01% |
| BRANDON C ADAMS3 | 321 SOUTHLAKE DR SAINT AUGUSTINE, FL 32092 | AFLAC | $4 | — | $4 | 0.00% |
| JUDY LAFEMINA3 | PO BOX 2129 FRISCO, TX 75034 | AFLAC | $4 | — | $4 | 0.00% |
| KYMBERLY G KNOTT3 Filed as: KYMBERLY KNOTT | 35606 GREEN FOREST DRIVE EUSTIS, FL 32736 | AFLAC | $3 | — | $3 | 0.00% |
| ROBERT L TRAPNELL JR3 Filed as: ROBERT TRAPNELL JR | 15 N INDIAN RIVER DR APT 705 COCOA, FL 32922 | AFLAC | $3 | — | $3 | 0.00% |
| THE PERRY GROUP INC3 | 1650 SAND LAKE RD STE 201D ORLANDO, FL 32809 | AFLAC | $2 | — | $2 | 0.00% |
| JULIE TRULUCK3 | 1934 PANTHEON DRIVE WINTER GARDEN, FL 34787 | AFLAC | $1 | — | $1 | 0.00% |
| GRAVES INC3 | 5336 CAPTAINS CT NEW PORT RICHEY, FL 34652 | AFLAC | $1 | — | $1 | 0.00% |
| JOAN DANNELLY3 | 20110 AMBERVINE CIRCLE KATY, TX 77450 | AFLAC | $1 | — | $1 | 0.00% |
| MFB FINANCIAL INC3 | DBA THE BAILEY GROUP 1200 PLANTATION ISLAND DR STE 210 ST AUGUSTINE, FL 32080 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 6.07% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $607 | — | $607 | 1.92% |
| MFB FINANCIAL INC3 | DBA THE BAILEY GROUP 1200 PLANTATION ISLAND DR S STE 210 ST AUGUSTINE, FL 32080 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 5.87% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $576 | — | $576 | 2.13% |
| MFB FINANCIAL INC3 | DBA THE BAILEY GROUP 1200 PLANTATION ISLAND DR S STE 210 ST AUGUSTINE, FL 32080 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 6.07% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $409 | — | $409 | 1.92% |
| MFB FINANCIAL INC3 | DBA THE BAILEY GROUP 1200 PLANTATION ISLAND DR S #210 ST AUGUSTINE, FL 32080 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $805 | — | $805 | 6.08% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $254 | — | $254 | 1.92% |
| MFB FINANCIAL INC3 | DBA THE BAILEY GROUP 1200 PLANTATION ISLAND DR S STE 210 ST AGUSTINE, FL 320803115 | HUMANA INSURANCE COMPANY OF NE | $648 | — | $648 | 5.47% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN AND ASSOCIATES INC | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 322024941 | HUMANA INSURANCE COMPANY OF NE | $520 | — | $520 | 4.39% |
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 | 224 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 229 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 418 | $145K |
| Vision | HUMANA INSURANCE COMPANY OF NE | 155 | $12K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 255 | $48K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 60 | $13K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 267 | $32K |
| Prescription drug(2 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 201 | $1.5M |
| Other(5 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 255 | $239K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 418 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.