| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP, INC | 120 LONGWATER DR. STE 102 NORWELL, MA 020611653 | METROPOLITIN LIFE INSURANCE COMPANY | $23K | $4K | $27K | 14.50% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVE. TOLEDO, OH 436045684 | METROPOLITIN LIFE INSURANCE COMPANY | $4K | $88 | $4K | 2.26% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVE. TOLEDO, OH 436045684 | METROPOLITIN LIFE INSURANCE COMPANY | $0 | $508 | $508 | 0.27% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVE. TOLEDO, OH 43603 | VISION SERVICE PLAN | $691 | $0 | $691 | 3.95% |
| JESSICA GODWIN3 Filed as: JESSICA E. GODWIN | 16292 SW 64TH AVENUE STARKE, FL 32091 | AFLAC | $8K | $639 | $8K | — |
| ANGEL E HILL3 Filed as: ANGEL E. HILL | 24921 NE 136TH LN FORT MCCOY, FL 32134 | AFLAC | $3K | $254 | $3K | — |
| JOSHUA T HILL3 Filed as: JOSHUA T. HILL | 24921 NE 136TH LN FORT MCCOY, FL 32134 | AFLAC | $885 | $0 | $885 | — |
| REPUBLICON REGION LLC3 | 1010 LAKE ST STE 430 OAK PARK, IL 60301 | AFLAC | $807 | $0 | $807 | — |
| JOSHUA T HILL3 Filed as: JOSHUA T. HILL | 4125 SE 23RD TER OCALA, FL 34480 | AFLAC | $331 | $116 | $447 | — |
| JOHN A ETCHART3 | 11923 LAZIO LN ORLANDO, FL 32827 | AFLAC | $265 | $0 | $265 | — |
| SABRINA HASKELL3 | 2150 COUNTRY CLUB RD, STE 228 WINSTON SALEM, NC 27104 | AFLAC | $132 | $0 | $132 | — |
| THOMAS KEITH MEREDITH3 | 1906 SE 14TH AVE OCALA, FL 34471 | AFLAC | $118 | $0 | $118 | — |
| VICKI M DICKERT3 | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $93 | $0 | $93 | — |
| BETH LUANNE KIMBROUGH3 | 6750 N ANDREWS AVE, SUTIE 200 FT LAUDERDALE, FL 33309 | AFLAC | $69 | $0 | $69 | — |
| VICKI M DICKERT3 | 3264 ADDISON LN TALLAHASSEE, FL 32317 | AFLAC | $62 | $0 | $62 | — |
| SARA JEAN DONISE TYSON3 | 4125 SE 23RD TER OCALA, FL 34480 | AFLAC | $61 | $0 | $61 | — |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E, STE 101B TALLAHASSEE, FL 32308 | AFLAC | $57 | $0 | $57 | — |
| J C ADAMS INC3 Filed as: J C ADAMS, INC | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $40 | $0 | $40 | — |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $34 | $0 | $34 | — |
| TAMMY S GARDNER3 | P.O. BOX 1263 CROSS CITY, FL 32628 | AFLAC | $31 | $0 | $31 | — |
| JAMES R MIRABELLI3 | 801 BRINY AVE, APT 1403 POMPANO BEACH, FL 33062 | AFLAC | $27 | $0 | $27 | — |
| J W GRIMES INC3 Filed as: J W GRIMES, INC | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $22 | $0 | $22 | — |
| EDGAR K MEREDITH3 | P.O. BOX 490967 LEESBURG, FL 34749 | AFLAC | $22 | $0 | $22 | — |
| KEITH MEREDITH3 Filed as: KEITH MERDITH | 1552 E FORT KING ST OCALA, FL 34471 | AFLAC | $21 | $0 | $21 | — |
| TRAVIS P LEBLANC3 | 1413 ODONNEL RD NEW IBERIA, LA 70560 | AFLAC | $21 | $0 | $21 | — |
| JIMMY LEON JOHNSON3 | 40 AVERY ST ST AUGUSTINE, FL 32084 | AFLAC | $15 | $0 | $15 | — |
| THE HORTON GROUP3 Filed as: R HORTON GRIFFIN, JR | 116 N DAWSON ST THOMASVILLE, GA 31792 | AFLAC | $15 | $0 | $15 | — |
| JANINA CRAMPTON3 Filed as: JANINA J CRAMPTON | 475 JENKINSBURG RD GRIFFIN, GA 30223 | AFLAC | $14 | $0 | $14 | — |
| CECIL T SALMON3 | 95 EDWARD DR PALM COAST, FL 32164 | AFLAC | $11 | $0 | $11 | — |
| JEREMY C ALFORD3 | 3700 WINDMEADOWS BLVD, APT DD295 GAINESVILLE, FL 32608 | AFLAC | $11 | $0 | $11 | — |
| ROBERT P FERRONE3 Filed as: ROBERT P PERRONE | 262 AUTUMN TRAIL WAY WAVERLY HALL, GA 31831 | AFLAC | $10 | $0 | $10 | — |
| DAVID K MOBLEY3 | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $10 | $0 | $10 | — |
| KIMBERLY A HOOIE3 Filed as: KIMBERLY A. HOOIE | 8807 SW 137TH AVE ARCHER, FL 32618 | AFLAC | $9 | $0 | $9 | — |
| DONALD BENNETT3 Filed as: DONALD L BENNETT | 1309 SE 43RD TER OCALA, FL 34471 | AFLAC | $7 | $0 | $7 | — |
| JOEY C ADAMS3 | 317 NORTHEAST 36TH AVE, SUITE 6 OCALA, FL 34470 | AFLAC | $5 | $0 | $5 | — |
| MARIE MICHELE HASKELL3 | P.O. BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $3 | $0 | $3 | — |
| ROBERT L TRAPNELL JR3 Filed as: ROBERT L TRAPNELL, JR | 15 N INDIAN RIVER DR, APT 705 COCOA, FL 32922 | AFLAC | $3 | $0 | $3 | — |
| JEFFREY M SINTAY3 | 2685 S RAINBOW BLVD, STE 200 LAS VEGAS, NV 89146 | AFLAC | $3 | $0 | $3 | — |
| MARK C LEE3 Filed as: MARK C. LEE | 1444 S 17TH ST WILLMINGTON, NC 28401 | AFLAC | $2 | $0 | $2 | — |
| MICHELE HASKELL3 | P.O. BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $2 | $0 | $2 | — |
| JOEY C ADAMS3 | 317 NORTHEAST 36TH AVE, SUITE 6 OCALA, FL 34470 | AFLAC | $2 | $0 | $2 | — |
| AARON ANTHONY3 | 1700 FOUNTAIN CT, APT 1303 COLUMBUS, GA 31904 | AFLAC | $1 | $0 | $1 | — |
| JEFFREY M SINTAY3 | 100 GALLERIA PRKWY SE STE 900 ATLANTA, GA 30339 | AFLAC | $1 | $0 | $1 | — |
| OMER S BASS IV3 | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $0 | $0 | $0 | — |
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 | 250 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 217 | $1.6M |
| Dental | METROPOLITIN LIFE INSURANCE COMPANY | 698 | $187K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 160 | $17K |
| Life insurance | METROPOLITIN LIFE INSURANCE COMPANY | 698 | $187K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITIN LIFE INSURANCE COMPANY | 698 | $187K |
| Long-term disability | METROPOLITIN LIFE INSURANCE COMPANY | 698 | $187K |
| Prescription drug(2 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 217 | $1.6M |
| Other(2 contracts, 2 carriers) | METROPOLITIN LIFE INSURANCE COMPANY | 698 | $187K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 698 | — |
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.