| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AVANT FINANCIAL GROUP, LLC3 | 259 JOHN KNOX RD TALLAHASSEE, FL 323036676 | BLUE CROSS BLUE SHIELD OF FLORIDA | $44K | — | $44K | 6.00% |
| LINDSEY FICO3 | 1929 SW 247TH WAY NEWBERRY, FL 32669 | AFLAC | $12K | $156 | $12K | 9.80% |
| DAMON CHANDLER FICO3 Filed as: DAMON FICO | 1929 SW 237TH WAY NEWBERRY, FL 32669 | AFLAC | $5K | $3K | $8K | 6.70% |
| JEREMY M HASKELL3 Filed as: JEREMY HASKELL | 2150 COUNTRY CLUB RD STE 228 WINSTON SALEM, NC 27104 | AFLAC | $5K | $649 | $5K | 4.27% |
| C H ROBINSON & ASSOCIATES INC3 Filed as: C H ROBINSON & ASSOCIATES | 132 NW 76TH DR STE B GAINSVILLE, FL 32607 | AFLAC | $3K | $649 | $4K | 3.19% |
| RUBICON REGION LLC3 | 3719 SW 74TH DR GAINSVILLE, FL 32608 | AFLAC | $90 | — | $90 | 0.07% |
| DONALD MINICH3 | 1520 MARCY DR SAINT JOHNS, FL 32259 | AFLAC | $25 | $15 | $40 | 0.03% |
| RONALD L RICHARDSON3 Filed as: RONALD RICHARDSON | 8717 208TH PL O BRIEN, FL 32071 | AFLAC | $35 | — | $35 | 0.03% |
| ANNE M RASMUSSEN3 Filed as: ANNE RASMUSSEN | PO BOX 11128 ALBUQUERQUE, NM 87192 | AFLAC | $24 | — | $24 | 0.02% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E STE 101B TALLAHASSEE, FL 32308 | AFLAC | $13 | — | $13 | 0.01% |
| DONALD FRENTZ JR3 | PO BOX 11128 ALBUQUERQUE, NM 87192 | AFLAC | $11 | — | $11 | 0.01% |
| THOMAS JAMES OLLER3 Filed as: THOMAS OLLER | 2410 SOUTHERN LINKS DR FLEMING ISLAND, FL 32003 | AFLAC | $8 | $3 | $11 | 0.01% |
| JERRY ALFORD3 | 40374 SW FOREST ROAD 181 BRISTOL, FL 32321 | AFLAC | $8 | — | $8 | 0.01% |
| MARK A LINSNER3 Filed as: MARK LINSNER | 153 BLANDING BLVD STE 3 ORANGE PARK, FL 32073 | AFLAC | $5 | $3 | $8 | 0.01% |
| SHANNON TROWBRIDGE3 | 202 SPRINGRISE LN SUMMERVILLE, SC 29486 | AFLAC | $7 | — | $7 | 0.01% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $4 | — | $4 | 0.00% |
| J W GRIMES INC3 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $2 | — | $2 | 0.00% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $2 | — | $2 | 0.00% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 1005 BELLA VISTA BLV APT 119 ST AUGUSTINE, FL 32084 | AFLAC | $2 | — | $2 | 0.00% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: CAPITAL RISK MANAGEMENT | 2986 STONY BROOK CT TALLAHASSEE, FL 32309 | UNITED CONCORDIA INSURANCE COMPANY | $10K | — | $10K | 14.99% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: FX CAPITAL MANAGEMENT/CAPITAL RISK | 2986 STONYBROOK CT TALLAHASSEE, FL 323092167 | HUMANA INSURANCE COMPANY | $888 | — | $888 | 5.81% |
| REED, ROBERT3 | 259 JOHN KNOX RD TALLAHASSEE, FL 323036676 | HUMANA INSURANCE COMPANY | $517 | — | $517 | 3.38% |
| ROBERT JOSEPH REED3 | 2986 STONY BROOK CT TALLAHASSEE, FL 32309 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $519 | — | $519 | 3.64% |
| JOEY MIGUES3 Filed as: JOEY GRUBBS BENEFITS LLC | 682 VALLEY VIEW ROAD MONTICELLO, FL 32344 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $232 | — | $232 | 1.63% |
| NORTH FLORIDA BROKER SOLUTIONS LLC3 Filed as: NORTH FLORIDA BROKER SOLUTIONS | 1550 HARRINGTON PARK DRIVE JACKSONVILLE, FL 32225 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $172 | — | $172 | 1.21% |
| ALYSON MARIE MCMAHON3 | 2127 GRASSY BASIN CT JACKSONVILLE, FL 32224 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $64 | — | $64 | 0.45% |
| NICOLE TOWNSEND VEDDER3 | 3370 LAKE RUN DR TALLAHASSEE, FL 32309 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $62 | — | $62 | 0.44% |
| DAVID J MCCLELLAN3 Filed as: DAVID B MERKHOFER | 2704 SETTER PL TALLAHASSEE, FL 32303 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $52 | — | $52 | 0.37% |
| EDWARD D SOMMER3 Filed as: EDWARD GUY JR | 260 TIMBERLAND RD TALLHASSEE, FL 32312 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $41 | — | $41 | 0.29% |
| HOWARD L WEATHERS3 | 1119 ROSEWOOD DR TALLAHASSEE, FL 32301 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $31 | — | $31 | 0.22% |
| TANYA MIRIAM KAKON3 | 98 ABALONE LANE EAST PONTE VEDRA BEACH, FL 32082 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $27 | — | $27 | 0.19% |
| DOROTHY RING3 | 8300 PLAZA GATE LN JACKSONVILLE, FL 32217 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | — | $19 | 0.13% |
| PATRICIA A DUNCAN3 | 520 WHEATFIELD RD FRANKLIN, NC 28734 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 0.06% |
| CHRISTINA S OSSI3 | 400 TIMBERWALK CT #1313 PONTE VEDRA BEACH, FL 32082 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.03% |
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 | 161 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 142 | $729K |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 241 | $66K |
| Vision | HUMANA INSURANCE COMPANY | 115 | $15K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 235 | $137K |
| Short-term disability | AFLAC | 235 | $123K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 142 | $729K |
| Other(2 contracts, 2 carriers) | AFLAC | 235 | $137K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 241 | — |
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.