| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAMON CHANDLER FICO3 | 520 POPLAR ST UNIT 209 MACON, GA 31201 | AFLAC | $4K | $10 | $4K | 5.02% |
| REBECCA PEAVEY BONDS3 | 28823 53RD DR BRANFORD, FL 32008 | AFLAC | $4K | $2 | $4K | 4.64% |
| RACHEL KIRSTEN HOLTON3 | 2926 192ND ST WELLBORN, FL 32094 | AFLAC | $2K | — | $2K | 2.20% |
| JOSHUA T HILL3 | 24921 NE 136TH LN FORT MC COY, FL 32134 | AFLAC | $1K | — | $1K | 1.39% |
| JEREMY M HASKELL3 | 430 RYDER CUP LN CLEMMONS, NC 27012 | AFLAC | $959 | — | $959 | 1.10% |
| C H ROBINSON & ASSOCIATES INC3 | 9969 NW 16TH RD GAINSVILLE, FL 32606 | AFLAC | $590 | — | $590 | 0.68% |
| STEPHEN J YOUNG3 | 490 NW WOODLANDS TER LAKE CITY, FL 32055 | AFLAC | $419 | — | $419 | 0.48% |
| TAMMY SUZETTE SHIPP3 | 14341 NW 78 AVE TRENTON, FL 32693 | AFLAC | $342 | — | $342 | 0.39% |
| LINDSAY NORFLEET FICO3 | 1929 SW 247TH WAY NEWBERRY, FL 32669 | AFLAC | $238 | — | $238 | 0.27% |
| ANGEL E HILL3 | 24921 NE 136TH LN SALT SPRINGS, FL 32134 | AFLAC | $217 | — | $217 | 0.25% |
| CHARLES HARTHUN3 Filed as: CHARLES BRYAN HARTHUN | 419 TYLER TRL JAMESTOWN, TN 38556 | AFLAC | $154 | $2 | $156 | 0.18% |
| JASON BODDIE3 Filed as: JASON ISREAL BODDIE | 5242 LOUIS LN MIDDLEBURG, FL 32068 | AFLAC | $96 | — | $96 | 0.11% |
| BRYGITT ANN PFAFF3 | 956 SW 57TH TER GAINESVILLE, FL 32607 | AFLAC | $83 | — | $83 | 0.10% |
| RUBICON REGION LLC3 | 1862 KEYSTONE PL SCHAUMBURG, IL 60193 | AFLAC | $49 | — | $49 | 0.06% |
| CHRIS H ROBINSON3 | 34 BENTON CIR BUFFTON, SC 29910 | AFLAC | $37 | — | $37 | 0.04% |
| STEPHEN K WARNER3 | 1468 SW MAIN BLVD STE 105 LAKE CITY, FL 32025 | AFLAC | $36 | — | $36 | 0.04% |
| KRISTINA LYNN GILBERT3 | 1722 SE BALBOA DR MADISON, FL 32340 | AFLAC | $23 | — | $23 | 0.03% |
| FALATKO & ASSOCIATES INC3 Filed as: FALATKO AND ASSOCIIATES INC | 1202 COLORADO AVE LYNN HAVEN, FL 32444 | AFLAC | $13 | — | $13 | 0.01% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E STE 101B TALLAHASSEE, FL 32308 | AFLAC | $10 | — | $10 | 0.01% |
| CRYSTAL BUSH3 | 11354 NE HIGHWAY 349 OLD TOWN, FL 32680 | AFLAC | $9 | — | $9 | 0.01% |
| BRIAN WHITE3 Filed as: BRIAN HANLEY | 3719 SW 74TH DR GAINESVILLE, FL 32608 | AFLAC | $7 | — | $7 | 0.01% |
| CHRISTOPHER J ALBRYCHT3 | 7 CORTE LAGO SANTA ROSA BEACH, FL 32459 | AFLAC | $7 | — | $7 | 0.01% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $5 | — | $5 | 0.01% |
| DANIEL S ADAMS3 | 3857 SCOTT CHURCH RD MARIANNA, FL 32448 | AFLAC | $4 | — | $4 | 0.00% |
| VICKI M DICKERT3 | 103 LAUGHING GULL LN CARRABELLE, FL 32322 | AFLAC | $4 | — | $4 | 0.00% |
| JIMMY LEON JOHNSON3 | 411 WALNUT ST # 16846 GREEN COVE SPRINGS, FL 32043 | AFLAC | $1 | — | $1 | 0.00% |
| JEFFREY M SINTAY3 | 5300 OAKBROOK PKWY STE 300 STE 350 NORCROSS, GA 30093 | AFLAC | $0 | — | $0 | 0.00% |
| JIMMY LEON JOHNSON3 | 40 AVERY ST SAINT AUGUSTINE, FL 32084 | AFLAC | $0 | — | $0 | 0.00% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: CAPITAL RISK MANAGEMENT | 2986 STONY BROOK CT. TALLAHASSEE, FL 32309 | UNITED CONCORDIA INSURANCE COMPANY | $8K | — | $8K | 10.00% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: CAPITAL RISK MANAGEMENT | 259 JOHN KNOX RD TALLAHASSEE, FL 323036676 | HUMANA INSURANCE COMPANY | $2K | — | $2K | 7.94% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: CAPITAL RISK MANAGEMENT | 2986 STONY BROOK CT. TALLAHASSEE, FL 32309 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 15.01% |
| ROGERS BENEFIT GROUP INC3 | 9909 MIRA MESA BLVD STE 160 SAN DIEGO, CA 92131 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $370 | — | $370 | 5.00% |
| ROBERT JOSEPH REED3 | 2986 STONY BROOK CT TALLAHASSEE, FL 32309 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $198 | — | $198 | 3.45% |
| ELIZABETH MARIE LANGEVIN3 Filed as: ELIZABETH ANNE FELL | 3996 RICHMOND PARK DR E JACKSONVILLE, FL 32224 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $82 | — | $82 | 1.43% |
| JOEY MIGUES3 Filed as: JOEY GRUBBS BENEFITS LLC | 525 TAYLOR RD MONTICELLO, FL 32344 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $72 | — | $72 | 1.25% |
| ALYSON MARIE MCMAHON3 | 2127 GRASSY BASIN CT JACKSONVILLE, FL 32224 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $31 | — | $31 | 0.54% |
| NICOLE TOWNSEND VEDDER3 | 3370 LAKE RUN DR TALLAHASSEE, FL 32309 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.31% |
| DOROTHY RING3 | 8300 PLAZA GATE LN JACKSONVILLE, FL 32217 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | — | $17 | 0.30% |
| HOWARD L WEATHERS3 | 1119 ROSEWOOD DR TALLAHASSEE, FL 32301 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.17% |
| TANYA MIRIAM KAKON3 | 98 ABALONE LANE EAST PONTE VEDRA BEACH, FL 32082 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.14% |
| EDWARD D SOMMER3 Filed as: EDWARD GUY JR | 716 RED FERN ROAD TALLAHASSEE, FL 32308 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.12% |
| DAVID J MCCLELLAN3 Filed as: DAVID B MERKHOFER | 2704 SETTER PL TALLAHASSEE, FL 32303 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.09% |
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 | 223 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 224 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 231 | $77K |
| Vision | HUMANA INSURANCE COMPANY | 119 | $25K |
| Life insurance(3 contracts, 3 carriers) | AFLAC | 223 | $100K |
| Short-term disability | AFLAC | 223 | $87K |
| Other(3 contracts, 3 carriers) | AFLAC | 223 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 231 | — |
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.