| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ERNST TYRAKOWSKI BENEFITS INS AGCT | 21 MAYOR THOMAS J MCGRATH HIGHWAY STE 503 QUINCY, MA 02169 | HEALTH OPTIONS | — | — | $0 | 0.00% |
| ERNST TYRAKOWSKI BENEFITS INS AGCT | 21 MAYOR THOMAS J MCGRATH HIGHWAY SUITE 503 QUINCY, MA 02169 | BLUE CROSS AND BLUE SHIELD OF FLORIDA | — | — | $0 | 0.00% |
| ERNST TYRAKOWSKI BENEFITS INS AGCT3 | 21 MAYOR THOMAS J MCGRATH HIGHWAY STE 503 QUINCY, MA 02169 | FLORIDA COMBINED LIFE | $6K | — | $6K | 6.18% |
| ERNST TYRAKOWSKI BENEFITS INS AGCT3 Filed as: ERNST INSURANCE AGENCY | 21 MAYOR THOMAS J MCGRATH HIGHWAY SUITE 503 QUINCY, MA 02169 | SUNLIFE | $7K | — | $7K | 8.32% |
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP, INC. | 1120 LONGWATER DR SUITE 102 NORWELL, MA 02061 | SUNLIFE | $594 | — | $594 | 0.66% |
| JESSICA GODWIN3 Filed as: JESSICA E. GODWIN | 16292 SW 64TH AVENUE STARKE, FL 32091 | AFLAC | $5K | $267 | $6K | 11.33% |
| ANGEL E HILL3 | 520 EAST FORT KING STREET SUITE B4 OCALA, FL 34471 | AFLAC | $1K | $80 | $2K | 3.09% |
| JOSHUA T HILL3 Filed as: JOSHUA T. HILL | 520 EAST FORT KING STREET SUITE B4 OCALA, FL 34471 | AFLAC | $968 | $29 | $997 | 2.01% |
| JOHN A ETCHART3 | 11923 LAZIO LANE ORLANDO, FL 32827 | AFLAC | $455 | — | $455 | 0.92% |
| SARA JEAN DONISE TYSON3 | 4125 SOUTH EAST 23RD TERRACE OCALA, FL 34480 | AFLAC | $309 | $1 | $310 | 0.63% |
| KIMBERLY A HOOIE3 Filed as: KIMBERLY A. HOOIE | 8807 SW 137TH AVENUE ARCHER, FL 32618 | AFLAC | $174 | $52 | $226 | 0.46% |
| THOMAS KEITH MEREDITH3 | 4086 SOUTH EAST 49TH LANE OCALA, FL 34480 | AFLAC | $196 | — | $196 | 0.40% |
| SABRINA HASKELL3 | PO BOX 3274 OCALA, FL 34478 | AFLAC | $181 | — | $181 | 0.37% |
| VICKI M DICKERT3 Filed as: VICKI M. DICKERT | 258 SEAVIEW AVENUE DAYTONA BEACH, FL 32118 | AFLAC | $173 | — | $173 | 0.35% |
| J C ADAMS INC3 Filed as: JC ADAMS, INC | 5631 NORTH EAST 31ST TERRACE OCALA, FL 34479 | AFLAC | $87 | — | $87 | 0.18% |
| BETH LUANNE KIMBROUGH3 | 6750 NORTH ANDREWS AVENUE SUITE 200 FT LAUDERDALE, FL 33309 | AFLAC | $84 | — | $84 | 0.17% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP, INC. | 1425 PIEDMONT DRIVE EAST SUITE 101-B TALLAHASSEE, FL 32308 | AFLAC | $74 | — | $74 | 0.15% |
| DONALD BENNETT3 | 3260 SOUTH EAST 49TH PLACE OCALA, FL 34480 | AFLAC | $68 | — | $68 | 0.14% |
| TAMMY S GARDNER3 | PO BOX 912 CHIEFLAND, FL 32644 | AFLAC | $46 | — | $46 | 0.09% |
| JANINA CRAMPTON3 | 475 JENKINSBURG ROAD GRIFFIN, GA 30223 | AFLAC | $46 | — | $46 | 0.09% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DRIVE LAFAYETTE, LA 70508 | AFLAC | $41 | — | $41 | 0.08% |
| JEREMY C ALFORD3 Filed as: JEREMY C. ALFORD | 11628 NORTH WEST 9TH LANE GAINESVILLE, FL 32606 | AFLAC | $38 | — | $38 | 0.08% |
| J W GRIMES INC3 Filed as: JW GRIMES, INC | 6165 WATERFORD ROAD COLUMBUS, GA 31904 | AFLAC | $33 | — | $33 | 0.07% |
| EDGAR K MEREDITH3 | PO BOX 490967 LEESBURG, FL 34749 | AFLAC | $28 | — | $28 | 0.06% |
| TRAVIS P LEBLANC3 Filed as: TRAVIS P. LEBLANC | 349 ANTIETAM DRIVE BOSSIER CITY, LA 71112 | AFLAC | $27 | — | $27 | 0.05% |
| KEITH MEREDITH3 | 1621 NORTH EAST 2ND STREET APT 402 OCALA, FL 34470 | AFLAC | $26 | — | $26 | 0.05% |
| THE HORTON GROUP3 Filed as: R. HORTON GRIFFIN, JR | 116 NORTH DAWSON STREET THOMASVILLE, GA 31792 | AFLAC | $14 | — | $14 | 0.03% |
| JAMES R MIRABELLI3 Filed as: JAMES MIRABELLI | 99 SOUTH WEST MIZNER BOULEVARD APARTMENT 843 BOCA RATON, FL 33432 | AFLAC | $6 | $7 | $13 | 0.03% |
| CECIL T SALMON3 Filed as: CECIL SALMON | 1400 COOLIDGE STREET HOLLYWOOD, FL 33020 | AFLAC | $3 | $7 | $10 | 0.02% |
| DAVID K MOBLEY3 | 3812 VALVERDE CIRCLE JACKSONVILLE, FL 32224 | AFLAC | $9 | — | $9 | 0.02% |
| ROBERT P FERRONE3 | 1701 WILLIAMS COURT APT 202 COLUMBUS, GA 31904 | AFLAC | $8 | — | $8 | 0.02% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 28 MAGNOLIA AVENUE ST AUGUSTINE, FL 32084 | AFLAC | $3 | — | $3 | 0.01% |
| ROBERT L TRAPNELL JR3 | 15 NORTH INDIAN RIVER DRIVE APT 701 COCOA, FL 32922 | AFLAC | $2 | — | $2 | 0.00% |
| MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $1 | — | $1 | 0.00% |
| MARK C LEE3 Filed as: MARK LEE | 1444 SOUTH 17TH STREET WILMINGTON, NC 28401 | AFLAC | $1 | — | $1 | 0.00% |
| JEFFREY M SINTAY3 Filed as: JEFFREY SINTAY | 1972 ALCOVA RIDGE DRIVE LAS VEGAS, NV 89135 | AFLAC | $1 | — | $1 | 0.00% |
| AARON ANTHONY3 | 5 POINTER COURT COLUMBUS, GA 31909 | AFLAC | — | — | $0 | 0.00% |
| OMBER BASS IV3 | 565 WEST GATEWAY COURT MERRITT ISLAND, FL 32952 | AFLAC | — | — | $0 | 0.00% |
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 | 245 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 245 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH OPTIONS | 188 | $1.3M |
| Dental | FLORIDA COMBINED LIFE | 172 | $97K |
| Vision | AFLAC | 109 | $49K |
| Life insurance | SUNLIFE | 191 | $90K |
| Short-term disability(2 contracts, 2 carriers) | SUNLIFE | 191 | $139K |
| Long-term disability | SUNLIFE | 191 | $90K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH OPTIONS | 188 | $1.3M |
| Other | AFLAC | 109 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 191 | — |
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.