| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ERNST TYRAKOWSKI BENEFITS INS AGCT3 Filed as: ERNST INSURANCE AGENCY | 21 MAYOR THOMAS J MCGRATH HWY STE 503 QUINCY, FL 02169 | SUNLIFE | $8K | — | $8K | 9.07% |
| ERNST TYRAKOWSKI BENEFITS INS AGCT3 | 21 MAYOR THOMAS J MCGRATH HWY STE 503 QUINCY, MA 021695351 | FLORIDA COMBINED LIFE | — | $2K | $2K | 2.02% |
| JESSICA GODWIN3 Filed as: JESSICA E. GODWIN | 16292 SW 64TH AVE STARKE, FL 32091 | AFLAC | $3K | $142 | $4K | 7.35% |
| ANGEL E HILL3 | 500 SE FORT KING ST STE A OCALA, FL 34471 | AFLAC | $1K | $300 | $2K | 3.72% |
| KIMBERLY A HOOIE3 Filed as: KIMBERLY A. HOOIE | 8807 SW 137TH AVENUE ARCHER, FL 32618 | AFLAC | $812 | — | $812 | 1.69% |
| JENNA R. COLVIN3 | 621 SW ORANGE AVE KEYSTONE HEIGHTS, FL 32656 | AFLAC | $754 | $3 | $757 | 1.58% |
| JOHN A ETCHART3 | 11923 LAZIO LN ORLANDO, FL 32827 | AFLAC | $512 | — | $512 | 1.07% |
| VICKI M DICKERT3 Filed as: VICKI M. DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $213 | $86 | $299 | 0.62% |
| JOSHUA T HILL3 Filed as: JOSHUA T. HILL | 500 E FORT KING ST STE A OCALA, FL 34471 | AFLAC | $295 | — | $295 | 0.61% |
| THOMAS KEITH MEREDITH3 | 4086 SE 49TH LN OCALA, FL 34480 | AFLAC | $257 | — | $257 | 0.53% |
| SABRINA HASKELL3 | PO BOX 3274 OCALA, FL 34478 | AFLAC | $241 | — | $241 | 0.50% |
| BETH LUANNE KIMBROUGH3 | 6750 N ANDREWS AVE SUITE 200 FT LAUDERDALE, FL 33309 | AFLAC | $126 | $91 | $217 | 0.45% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP, INC. | 1425 E PIEDMONT DR SUITE 101-B TALLAHASSEE, FL 32308 | AFLAC | $107 | — | $107 | 0.22% |
| J C ADAMS INC3 Filed as: JC ADAMS, INC | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $94 | — | $94 | 0.20% |
| KEITH MEREDITH3 | 1621 NE 2ND STREET APT 402 OCALA, FL 34470 | AFLAC | $74 | — | $74 | 0.15% |
| TAMMY S GARDNER3 | PO BOX 912 CHIEFLAND, FL 32644 | AFLAC | $59 | — | $59 | 0.12% |
| EDGAR K MEREDITH3 | PO BOX 490967 LEESBURG, FL 34749 | AFLAC | $58 | — | $58 | 0.12% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $54 | — | $54 | 0.11% |
| SARA JEAN DONISE TYSON3 | 4125 SE 23RD TER OCALA, FL 34480 | AFLAC | $49 | — | $49 | 0.10% |
| JANINA CRAMPTON3 Filed as: JANINA J CRAMPTON | 3048 PALE MOON PL MCDONOUGH, GA 30253 | AFLAC | $48 | — | $48 | 0.10% |
| JEREMY C ALFORD3 Filed as: JEREMY C. ALFORD | 11628 NW 9TH LN GAINESVILLE, FL 32606 | AFLAC | $42 | $5 | $47 | 0.10% |
| J W GRIMES INC3 Filed as: JW GRIMES, INC | 7659 HERITAGE CROSSING WAY REUNION, FL 34747 | AFLAC | $36 | — | $36 | 0.07% |
| TRAVIS P LEBLANC3 Filed as: TRAVIS P. LEBLANC | 230 DIANE LN STONEWALL, LA 71078 | AFLAC | $33 | — | $33 | 0.07% |
| JEREMY M HASKELL3 | PO BOX 3274 OCALA, FL 34478 | AFLAC | $20 | — | $20 | 0.04% |
| THE HORTON GROUP3 Filed as: R. HORTON GRIFFIN, JR | 116 N DAWSON ST THOMASVILLE, GA 31792 | AFLAC | $15 | — | $15 | 0.03% |
| DAVID K MOBLEY3 | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $10 | — | $10 | 0.02% |
| ROBERT P FERRONE3 | 1701 WILLIAMS CT APT 202 COLUMBUS, GA 31904 | AFLAC | $5 | — | $5 | 0.01% |
| ROBERT L TRAPNELL JR3 | 15 N INDIAN RIVER DR APT 705 COCOA, FL 32922 | AFLAC | $3 | — | $3 | 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 | 203 | 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)(2 contracts, 2 carriers) | HEALTH OPTIONS | 122 | $1.3M |
| Dental | FLORIDA COMBINED LIFE | 165 | $84K |
| Vision | AFLAC | 113 | $48K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH OPTIONS | 122 | $1.3M |
| Other | AFLAC | 113 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 214 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.