| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA | 10151 DEERWOOD PARK BOULVARD BLDG 100 STE 100 JACKSONVILLE, FL 32256 | BLUE CROSS BLUE SHIELD OF FLORIDA | — | $40K | $40K | 4.00% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATION INC | 501 RIVERSIDE AVENUE STE 1000 JACKSONVILLE, FL 32202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $0 | $6K | 10.73% |
| ANNALIESE CLARK3 | 1336 HIDEAWAY DRIVE S SAINT JOHNS, FL 32259 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $417 | $4K | 7.16% |
| NORTH FLORIDA BROKER SOLUTIONS LLC3 | 1550 HARRINGTON PARK DRIVE JACKSONVILLE, FL 32225 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $723 | $429 | $1K | 2.11% |
| PNC FINANCIAL ENTERPRISES INC3 | 1841 N SHERRY DRIVE ATLANTIC BEACH, FL 32233 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.86% |
| DOROTHY RING3 | 8300 PLAZA GATE LANE JACKSONVILLE, FL 32217 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $901 | $100 | $1K | 1.84% |
| ALYSON MARIE MCMAHON3 | 2127 GRASSY BASIN COURT JACKSONVILLE, FL 32224 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $525 | $135 | $660 | 1.21% |
| TANYA MIRIAM KAKON3 Filed as: TANYA MARIE CALZONE AMOYAL | 101-3 VILLA DEL MAR DRIVE G PONTE VEDRA, FL 32082 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $546 | $64 | $610 | 1.12% |
| ALICIA MARCUM3 | 1122 GRAND STREET APT 505 HOBOKEN, NJ 07030 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $371 | $58 | $429 | 0.79% |
| PATRICIA A DUNCAN3 | 520 WHEATFIELD ROAD FRANKLIN, NC 28734 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $302 | $49 | $351 | 0.64% |
| JUDITH ANN ALLEY3 | 677 S PENDLETON AVE PENDLETON, IN 46064 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $288 | $0 | $288 | 0.53% |
| GREGORY ALLEN BATTEN3 | 2619 ELWICK STREET OCOEE, FL 34761 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $110 | $40 | $150 | 0.27% |
| JACOB LUCAS3 | 200 15 STREET S JACKSONVILLE BEACH, FL 32250 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $112 | $0 | $112 | 0.21% |
| ESTATE OF DIANNA L. CHAMBERS3 | 3022 MORNING SUN DRIVE MIDDLEBURG, FL 32068 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $79 | $0 | $79 | 0.14% |
| NORTH FLORIDA BENEFIT SOLUTIONS INC3 | 12659-1 PLUMMER GRANT ROAD JACKSONVILLE, FL 32258 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $71 | $0 | $71 | 0.13% |
| VERONICA A SOTO3 | 404 E ANDERSON STREET ORLANDO, FL 32801 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $53 | $0 | $53 | 0.10% |
| NOEL CLARK3 | 1336 HIDEAWAY DRIVE S SAINT JOHNS, FL 32259 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $51 | $0 | $51 | 0.09% |
| JESSE DUANE DAVIS3 | 2164 UNITY TRAIL NW MARIETTA, GA 30064 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $39 | $0 | $39 | 0.07% |
| EMPLOYEE BENEFITS GROUP OF FLORIDA3 | 13750 W. COLONIAL DRIVE WINTER GARDEN, FL 34787 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $17 | $34 | 0.06% |
| SUZANNE MCLEOD3 | 1513 CANTERBURY LANE FERNADINA BEACH, FL 32034 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $28 | $0 | $28 | 0.05% |
| ASSUREDPARTNERS3 Filed as: JENNIFER ROSE SMITH | 4920 W SAN RAFAEL STREET TAMPA, FL 33629 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $23 | $0 | $23 | 0.04% |
| VB SOLUTIONS LLC3 Filed as: VB SOLUTIONS | 7111 NE 222ND STREET MELROSE, FL 32666 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $20 | $0 | $20 | 0.04% |
| RITA MARIE REITER3 | 239 S. HULL AVE DELAND, FL 32720 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | $0 | $15 | 0.03% |
| HOWARD HOROWITZ3 | 2610 ALCOTT STREET CARMELL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | $1 | $10 | 0.02% |
| COMPASS CONSULTING GROUP INC3 | 4348 SOUTHPOINT BLOUVARD STE 400 JACKSONVILLE, FL 32216 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $0 | $4 | 0.01% |
| PARRISH J PEACHEE3 | 201 W 103RD STREET INDIANAPOLIS, IN 46290 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATION INC | 501 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 | FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. | — | $2K | $2K | 5.62% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATION INC | 501 RIVERSIDE AVENUE STE 1000 JACKSONVILLE, FL 32202 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $0 | $4K | 11.29% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATION INC | 501 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $0 | $3K | 8.48% |
| ANNALIESE CLARK | 1336 HIDEAWAY DRIVE S SAINT JOHNS, FL 32259 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $183 | $2K | 5.46% |
| DOROTHY RING | 8300 PLAZA GATE LANE JACKSONVILLE, FL 32217 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $524 | $53 | $577 | 1.70% |
| NORTH FLORIDA BROKER SOLUTIONS LLC3 | 1550 HARRINGTON PARK DRIVE JACKSONVILLE, FL 32225 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $342 | $195 | $537 | 1.59% |
| ALYSON MARIE MCMAHON3 | 2127 GRASSY BASIN COURT JACKSONVILLE, FL 32224 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $296 | $0 | $296 | 0.87% |
| JUDITH ANN ALLEY | 677 S PENDLETON AVE PENDLETON, IN 46064 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $266 | — | $266 | 0.79% |
| ALICIA MARCUM3 | 1122 GRAND STREET HOBOKEN, NJ 07030 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $223 | $35 | $258 | 0.76% |
| TANYA MIRIAM KAKON Filed as: TANYA MARIE CALZONE AMOYAL | 101-3 VILLA DEL MAR DRIVE PONTE VEDRA, FL 32082 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $225 | $30 | $255 | 0.75% |
| GREGORY ALLEN BATTEN3 | 2619 ELWICK STREET OCOEE, FL 34761 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $110 | $40 | $150 | 0.44% |
| PATRICIA A DUNCAN3 | 520 WHEATFIELD ROAD FRANKLIN, NC 28734 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $122 | $18 | $140 | 0.41% |
| PNC FINANCIAL ENTERPRISES INC | 1841 N SHERRY DRIVE ATLANTIC BEACH, FL 32233 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $128 | — | $128 | 0.38% |
| VERONICA A SOTO3 | 404 E ANDERSON STREET ORLANDO, FL 32801 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $127 | $0 | $127 | 0.37% |
| ASSUREDPARTNERS3 Filed as: JENNIFER ROSE SMITH | 4920 W SAN RAFAEL STREET TAMPA, FL 33629 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $97 | $14 | $111 | 0.33% |
| ESTATE OF DIANNA L. CHAMBERS3 | 3022 MORNING SUN DRIVE MIDDLEBURG, FL 32068 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $74 | $0 | $74 | 0.22% |
| JACOB LUCAS | 200 15 STREET S JACKSONVILLE BEACH, FL 32250 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $64 | — | $64 | 0.19% |
| NOEL CLARK3 | 1336 HIDEAWAY DRIVE S SAINT JOHNS, FL 32259 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $47 | $0 | $47 | 0.14% |
| EMPLOYEE BENEFITS GROUP OF FLORIDA3 | 13750 W. COLONIAL DRIVE WINTER GARDEN, FL 34787 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $17 | $34 | 0.10% |
| NORTH FLORIDA BENEFIT SOLUTIONS INC | 12659-1 PLUMMER GRANT ROAD JACKSONVILLE, FL 32258 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $33 | — | $33 | 0.10% |
| ALLYN INCORPORATED | 14813 SEMINOLE TRAIL SEMINOLE, FL 33776 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $20 | $1 | $21 | 0.06% |
| VB SOLUTIONS LLC3 Filed as: VB SOLUTIONS | 7111 NE 222ND STREET MELROSE, FL 32666 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $20 | $0 | $20 | 0.06% |
| JESSE DUANE DAVIS3 | 2164 UNITY TRAIL NW MARIETTA, GA 30064 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | $0 | $16 | 0.05% |
| COMPASS CONSULTING GROUP INC3 | 4348 SOUTHPOINT BLOUVARD JACKSONVILLE, FL 32216 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.04% |
| COACH CONCEPTS INC Filed as: COACH CONCEPTS, INC. | 9500 KOGER BLVD ST. PETERSBURG, FL 33702 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATION INC | 501 RIVERSIDE AVENUE STE 1000 JACKSONVILLE, FL 32202 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 13.57% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATION INC | 501 RIVERSIDE AVENUE STE 1000 JACKSONVILLE, FL 32202 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 9.92% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATION INC | 501 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 | FLORIDA COMBINED LIFE | — | $1K | $1K | 5.76% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATION INC | 501 RIVERSIDE AVENUE STE 1000 JACKSONVILLE, FL 32202 | HUMANA | $2K | $14 | $2K | 10.15% |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 164 | $1.0M |
| Dental(2 contracts, 2 carriers) | FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. | 121 | $58K |
| Vision | HUMANA | 131 | $15K |
| Life insurance(3 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 287 | $126K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 68 | $18K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 90 | $21K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 287 | $37K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 287 | — |
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.