| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA, INC. | P.O. BOX 2412 DAYTONA BEACH, FL 32115 | CIGNA HEALTH AND LIFE INS COMP | $0 | $9K | $9K | 1.29% |
| SHARON LYNN SMITH3 | 3139 CONRAD CT KISSIMMEE, FL 34744 | AFLAC | $8K | $458 | $9K | 6.05% |
| THE PERRY GROUP INC3 | 1650 SAND LAKE RD STE 201D ORLANDO, FL 32809 | AFLAC | $2K | $137 | $2K | 1.60% |
| BARBARA S HERMES3 | 156 PRAIRIE DUNE WAY ORLANDO, FL 32828 | AFLAC | $2K | $70 | $2K | 1.19% |
| BARRY BEVERLY3 | 1888 E 6400 S HOLLADAY, UT 84121 | AFLAC | $1K | $0 | $1K | 0.90% |
| GEORGE EIDSON AGENCY INC3 | PO BOX 540209 ORLANDO, FL 32854 | AFLAC | $1K | $0 | $1K | 0.73% |
| DIXON & DIXON ENTERPRISES INC3 | 113 STANTON ESTATES CIR WINTER GARDEN, FL 34787 | AFLAC | $910 | $51 | $961 | 0.66% |
| NEENA W BEVERLY3 | 1888 E 6400 S HOLLADAY, UT 84121 | AFLAC | $924 | $0 | $924 | 0.63% |
| LARA CARLSON3 Filed as: LARA K CARLSON | 106 LAUREL VIEW DR ST SIMONS ISLAND, GA 31522 | AFLAC | $852 | $0 | $852 | 0.58% |
| MEGAN TARPEY3 | 7737 CASASIA CT ORLANDO, FL 32835 | AFLAC | $598 | $0 | $598 | 0.41% |
| ROBERT L TRAPNELL JR3 | 15 N INDIAN RIVER DR, APT 705 COCOA, FL 32922 | AFLAC | $553 | $0 | $553 | 0.38% |
| MKF & ASSOCIATES INC3 | 300 CAHABA PARK CIR, STE 133 BIRMINGHAM, AL 35242 | AFLAC | $419 | $0 | $419 | 0.29% |
| PATRICIA ANNE REILLY3 | 269 E LONG CREEK CV LONGWOOD, FL 32750 | AFLAC | $250 | $0 | $250 | 0.17% |
| LISA D ALLEN3 | 750 LEE ROAD 236 PHENIX CITY, AL 36870 | AFLAC | $241 | $0 | $241 | 0.17% |
| CAROL H GILLEY3 | 566 WALDEN WAY WINTER SPRINGS, FL 32708 | AFLAC | $239 | $0 | $239 | 0.16% |
| J W GRIMES INC3 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $199 | $0 | $199 | 0.14% |
| ROBYN STROBL3 | 776 N ORANGE AVE, APT 5304 ORLANDO, FL 32801 | AFLAC | $34 | $146 | $180 | 0.12% |
| TALLON AND ASSOCIATES INC3 | PO BOX 30668 PALM BEACH GARDENS, FL 33420 | AFLAC | $173 | $0 | $173 | 0.12% |
| SUSAN R MAYER3 | 644 LONGMEADOW CIR LONGWOOD, FL 32779 | AFLAC | $159 | $0 | $159 | 0.11% |
| SHANNON SPRADLING3 | 1875 CARROLL DR SAINT CLOUD, FL 34771 | AFLAC | $148 | $0 | $148 | 0.10% |
| DONALD G WORTHINGTON3 | 14426 STAMFORD CIR ORLANDO, FL 32826 | AFLAC | $147 | $1 | $148 | 0.10% |
| JEWELL A CURRY3 | 2097 LAS PALMAS CIR ORLANDO, FL 32822 | AFLAC | $100 | $44 | $144 | 0.10% |
| DAWN T SUCHECKI3 | 225 S WATER ST WILMINGTON, NC 28401 | AFLAC | $107 | $0 | $107 | 0.07% |
| JAMES R YOUNG3 | 5330 CLARK RD SARASOTA, FL 34233 | AFLAC | $97 | $0 | $97 | 0.07% |
| JEANNE L COKER3 | 734 CHEROKEE RD LAGRANGE, GA 30240 | AFLAC | $89 | $0 | $89 | 0.06% |
| ISABEL RODRIGUEZ3 | 2821 LATTER DAY CT SAINT CLOUD, FL 34772 | AFLAC | $66 | $22 | $88 | 0.06% |
| DIXON & DIXON ENTERPRISES INC3 | 9950 SHADOW CREEK DR ORLANDO, FL 32832 | AFLAC | $84 | $0 | $84 | 0.06% |
| KHUSHBOO DARYANANI3 | 12227 KINGS KNIGHT WAY, BLDG 19 ORLANDO, FL 32817 | AFLAC | $79 | $0 | $79 | 0.05% |
| GQ FLORIDA GROUP INC3 | PO BOX 95 SHARPES, FL 32959 | AFLAC | $67 | $0 | $67 | 0.05% |
| THE MASTERS AGENCY INC3 | 4192 PENINSULA PT SANFORD, FL 32771 | AFLAC | $63 | $0 | $63 | 0.04% |
| MARIA V. LANZA3 Filed as: MARIA C LEGARDA | 974 HARBOR INN TER CORAL SPRINGS, FL 33071 | AFLAC | $61 | $0 | $61 | 0.04% |
| CHARLES F GREER3 | 9537 PECKY CYPRESS WAY ORLANDO, FL 32836 | AFLAC | $58 | $0 | $58 | 0.04% |
| SUZETTE SOSSONG3 | 9828 MORNINGSIDE DR LEESBURG, FL 34788 | AFLAC | $50 | $0 | $50 | 0.03% |
| DAVIDSON WALLACE3 | 707 SUNBURST COVE LN WINTER GARDEN, FL 34787 | AFLAC | $48 | $0 | $48 | 0.03% |
| MICHAEL W THOMPSON3 | 30010 DONNINGTON LOOP MOUNT DORA, FL 32757 | AFLAC | $45 | $0 | $45 | 0.03% |
| PATRICK B SILVA3 | 3131 WHISPER LAKE LN, APT C WINTER PARK, FL 32792 | AFLAC | $44 | $0 | $44 | 0.03% |
| DONALD E ROBINSON3 | 16107 E SHIRLEY SHORES RD TAVARES, FL 32778 | AFLAC | $43 | $0 | $43 | 0.03% |
| AMY C JANTZER3 | 1401 CATALINA LEANDER, TX 78641 | AFLAC | $39 | $0 | $39 | 0.03% |
| LEE L EURE3 | 724 E 49TH ST, APT C SAVANNAH, GA 31405 | AFLAC | $34 | $0 | $34 | 0.02% |
| LESLIE K KIMBROUGH3 | PO BOX 273488 BOCA RATON, FL 33427 | AFLAC | $32 | $0 | $32 | 0.02% |
| DOUGLAS J SUCHECKI3 | 1224 PEACOCK AVE, STE 205 COLUMBUS, GA 31906 | AFLAC | $26 | $0 | $26 | 0.02% |
| DEBRA L DENNIS3 | 502 ORANGE DR, APT 12 ALTAMONTE SPRINGS, FL 32701 | AFLAC | $23 | $0 | $23 | 0.02% |
| DEREK DEVANE3 | 3205 JERRY SMITH RD DOVER, FL 33527 | AFLAC | $19 | $0 | $19 | 0.01% |
| LINDA SAURI3 Filed as: LINDA I SAURI | PO BOX 520914 LONGWOOD, FL 32752 | AFLAC | $19 | $0 | $19 | 0.01% |
| SCOTT D HAWKINS INC3 | 3216 MEDICI BLVD NEW SMYRNA, FL 32168 | AFLAC | $16 | $0 | $16 | 0.01% |
| BLAINE BATES3 | 15523 LAKE BURNETT SHORE CT WINTER GARDEN, FL 34787 | AFLAC | $16 | $0 | $16 | 0.01% |
| SPECIALIZED BENEFIT ADVISORS LLC3 | PO BOX 772108 ORLANDO, FL 32877 | AFLAC | $15 | $0 | $15 | 0.01% |
| MORRIS P HUNT3 | 2620 RED SKY CT BURLINGTON, KY 41005 | AFLAC | $15 | $0 | $15 | 0.01% |
| CATHERINE L LEE3 | 10 NUN ST WILMINGTON, NC 28401 | AFLAC | $15 | $0 | $15 | 0.01% |
| NANCY CLIFTON3 | 184 VILLA DI ESTE TER, UNIT 112 LAKE MARY, FL 32746 | AFLAC | $10 | $0 | $10 | 0.01% |
| LINDA B CAMPBELL3 | 174 PALMETTO GREEN DR LONGS, SC 29568 | AFLAC | $9 | $0 | $9 | 0.01% |
| ROBERT P FERRONE3 | 262 AUTUMN TRAIL WAY WAVERLY HALL, GA 31831 | AFLAC | $9 | $0 | $9 | 0.01% |
| MANOEL GOUVEIA3 Filed as: MANOEL E GOUVEIA | 475 ROCHESTER ST OVIEDO, FL 32765 | AFLAC | $9 | $0 | $9 | 0.01% |
| A & M BONURA & ASSOCIATES INC3 | 1882 LAUREL BROOK LOOP CASSELBERRY, FL 32707 | AFLAC | $8 | $0 | $8 | 0.01% |
| SPECIALIZED BENEFIT ADVISORS LLC3 | 5224 W STATE ROAD 46 PMB 317 SANFORD, FL 32771 | AFLAC | $7 | $0 | $7 | 0.00% |
| MARK C LEE3 | 11500 COUNTY LINE RD MIDLAND, GA 31820 | AFLAC | $7 | $0 | $7 | 0.00% |
| MARIA V. LANZA3 Filed as: MARIA C LEGARDA | 4785 TARFLOWER LN ORLANDO, FL 32829 | AFLAC | $7 | $0 | $7 | 0.00% |
| JENNIE MOORE HAWKINS3 Filed as: JENNIE M HAWKINS INC | 3216 MEDICI BLVD NEW SMYRNA BEACH, FL 32168 | AFLAC | $7 | $0 | $7 | 0.00% |
| ASHLEY CROOK3 Filed as: ASHLEY L CROOK | 3187 ESSEX PLACE DR MOBILE, AL 36695 | AFLAC | $6 | $0 | $6 | 0.00% |
| DANA BROOKS SMITH3 | 310 E 5TH ST SAINT CLOUD, FL 34769 | AFLAC | $6 | $0 | $6 | 0.00% |
| RUBICON REGION LLC3 | 360 W HUBBARD ST APT 2008 CHICAGO, IL 60654 | AFLAC | $5 | $0 | $5 | 0.00% |
| LAWRENCE GANSER3 | 1056 DISHMAN LOOP OVIEDO, FL 32765 | AFLAC | $5 | $0 | $5 | 0.00% |
| DEBORAH M DECHER3 | 255 GARY DR WINTER GARDEN, FL 34787 | AFLAC | $5 | $0 | $5 | 0.00% |
| ELAINE COX3 | 3355 DOROTHEA RD JACKSONVILLE, FL 32216 | AFLAC | $4 | $0 | $4 | 0.00% |
| RUBICON REGION LLC3 | 1010 LAKE ST STE 430 OAK PARK, IL 60301 | AFLAC | $4 | $0 | $4 | 0.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 1001 BRICKELL BAY DR, STE 1210 MIAMI, FL 33131 | AFLAC | $4 | $0 | $4 | 0.00% |
| DENA JORDAN3 | 9300 HARRIS CORNERS PKWY STE 100 CHARLOTTE, NC 28269 | AFLAC | $3 | $0 | $3 | 0.00% |
| JONATHAN CROSS3 | 7773 COUNTRY PL WINTER PARK, FL 32792 | AFLAC | $3 | $0 | $3 | 0.00% |
| BERNARD FALCO3 Filed as: BERNARD JOSEPH FALCO | 657 SHADOWMOSS CIR LAKE MARY, FL 32746 | AFLAC | $3 | $0 | $3 | 0.00% |
| JOYCE WEBER ENTERPRISES INC3 | 13313 FALCON POINTE DR ORLANDO, FL 32837 | AFLAC | $2 | $0 | $2 | 0.00% |
| OMER S BASS IV3 | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $2 | $0 | $2 | 0.00% |
| MARK C LEE3 | 1444 S 17TH ST WILMINGTON, NC 28401 | AFLAC | $1 | $0 | $1 | 0.00% |
| JENNIE MOORE HAWKINS3 Filed as: JENNIE M HAWKINS INC | 3930 S NOVA RD STE 201 PORT ORANGE, FL 32127 | AFLAC | $1 | $0 | $1 | 0.00% |
| ASHLEY CROOK3 Filed as: ASHLEY L CROOK | 10167 SUMMERLAKE DR MOBILE, AL 36608 | AFLAC | $1 | $0 | $1 | 0.00% |
| JENNIE MOORE HAWKINS3 | 3930 S NOVA RD STE 201 PORT ORANGE, FL 32127 | AFLAC | $0 | $0 | $0 | 0.00% |
| SARAH CADY3 | 123 STONE GABLE CIR WINTER SPRINGS, FL 32708 | AFLAC | $0 | $0 | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INS COMPANY EIN 59-1031071 CONTRACT ADMINISTRATOR | Contract Administrator; Direct payment from the plan; Claims processing; Other services; Participant communication; Named fiduciary; Non-monetary compensation; Float revenue Service code 12 | — | $17K |
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 | 294 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 296 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INS COMP | 335 | $701K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 317 | $60K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 317 | $26K |
| Other(2 contracts, 2 carriers) | AFLAC | 317 | $151K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 335 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.