| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CROWN RISK MANAGEMENT, LLC3 Filed as: CAPITAL RISK MANAGEMENT LLC | 1350 MARKET ST STE 224 TALLAHASSEE, FL 323121785 | BLUE CROSS BLUE SHIELD OF FLORIDA | $53K | — | $53K | 6.00% |
| REBECCA PEAVEY BONDS3 | 28823 53RD DR BRANFORD, FL 32008 | AFLAC | $12K | $416 | $12K | 7.53% |
| DAMON CHANDLER FICO3 | 520 POPLAR ST UNIT 209 MACON, GA 31201 | AFLAC | $7K | $304 | $7K | 4.46% |
| JOSHUA T HILL3 | 24921 NE 136TH LN FORT MC COY, FL 32134 | AFLAC | $3K | $225 | $4K | 2.22% |
| KRISTINA LYNN GILBERT3 | 1722 SE BALBOA DR MADISON, FL 32340 | AFLAC | $3K | $161 | $3K | 1.96% |
| JASON BODDIE3 Filed as: JASON ISREAL BODDIE | 5242 LOUIS LN MIDDLEBURG, FL 32068 | AFLAC | $3K | $37 | $3K | 1.90% |
| ANDREW SHANE GILBERT3 | 1722 SE BALBOA DR MADISON, FL 32340 | AFLAC | $2K | $98 | $2K | 1.30% |
| JEREMY M HASKELL3 | 109 DEMOTTE AVE PORT ORANGE, FL 32127 | AFLAC | $1K | — | $1K | 0.81% |
| ANGEL E HILL3 | 24921 NE 136TH LN SALT SPRINGS, FL 32134 | AFLAC | $918 | $16 | $934 | 0.57% |
| RACHEL KIRSTEN HOLTON3 | 2926 192ND ST WELLBORN, FL 32094 | AFLAC | $585 | $73 | $658 | 0.40% |
| CHRIS H ROBINSON3 | 2 MAYFIELD RD MECHANICSBURG, PA 17055 | AFLAC | $540 | — | $540 | 0.33% |
| STEPHEN J YOUNG3 | 490 NW WOODLANDS TER LAKE CITY, FL 32055 | AFLAC | $240 | $78 | $318 | 0.19% |
| C H ROBINSON & ASSOCIATES INC3 | 9969 NW 16TH RD GAINSVILLE, FL 32606 | AFLAC | $278 | — | $278 | 0.17% |
| TAMMY SUZETTE SHIPP3 | 14341 NW 78 AVE TRENTON, FL 32693 | AFLAC | $235 | $41 | $276 | 0.17% |
| ASSURANCE AGENCY LTD3 Filed as: CROSS ASSURANCE GROUP INC | PO BOX 15631 TALLAHASSEE, FL 32317 | AFLAC | $248 | — | $248 | 0.15% |
| THE GELABERT BENEFITS GROUP INC3 | PO BOX 15631 TALLAHASSEE, FL 32317 | AFLAC | $192 | — | $192 | 0.12% |
| LINDSAY NORFLEET FICO3 | 1929 SW 247TH WAY NEWBERRY, FL 32669 | AFLAC | $183 | — | $183 | 0.11% |
| CHARLES HARTHUN3 Filed as: CHARLES BRYAN HARTHUN | 419 TYLER TRL JAMESTOWN, TN 38556 | AFLAC | $181 | — | $181 | 0.11% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E STE 101B TALLAHASSEE, FL 32308 | AFLAC | $115 | — | $115 | 0.07% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | AFLAC | $112 | — | $112 | 0.07% |
| KIMBERLY M FUTCH3 | 1224 PEACOCK AVE STE 205 COLUMBUS, GA 31906 | AFLAC | $98 | — | $98 | 0.06% |
| DANNY L LOPER3 | PO BOX 1378 LIVE OAK, FL 32064 | AFLAC | $65 | — | $65 | 0.04% |
| CHRIS H ROBINSON3 | 34 BENTON CIR BLUFFTON, SC 29910 | AFLAC | $56 | — | $56 | 0.03% |
| BRIAN WHITE3 Filed as: BRIAN HANLEY | 506 CANTERBURY DR LAGRANGE, GA 30241 | AFLAC | $54 | — | $54 | 0.03% |
| STEPHEN K WARNER3 | 1468 SW MAIN BLVD STE 105 LAKE CITY, FL 32025 | AFLAC | $24 | — | $24 | 0.01% |
| JOHNNY C DINGESS3 | 122 SW MUSKET PL LAKE CITY, LA 32025 | AFLAC | $16 | — | $16 | 0.01% |
| TAMARA DIANNE NEWSOME3 Filed as: TAMARA DIANE NEWSOME | 238 VISTA CIR MACON, GA 31204 | AFLAC | $15 | — | $15 | 0.01% |
| BRYGITT ANN PFAFF3 | 956 SW 57TH TER GAINESVILLE, FL 32607 | AFLAC | $10 | — | $10 | 0.01% |
| JIMMY D BOONE3 | 12626 BAYPOINTE TER CORTEZ, FL 34215 | AFLAC | $10 | — | $10 | 0.01% |
| JOEY C ADAMS3 | 317 NORTHEAST 36TH AVE STE 600 OCALA, FL 34470 | AFLAC | $10 | — | $10 | 0.01% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $9 | — | $9 | 0.01% |
| CRYSTAL BUSH3 | 11354 NE HIGHWAY 349 OLD TOWN, FL 32680 | AFLAC | $7 | — | $7 | 0.00% |
| J W GRIMES INC3 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $7 | — | $7 | 0.00% |
| BRIAN WHITE3 Filed as: BRIAN HANLEY | 3719 SW 74TH DR GAINESVILLE, FL 32608 | AFLAC | $6 | — | $6 | 0.00% |
| VICKI M DICKERT3 | 103 LAUGHING GULL LN CARRABELLE, FL 32322 | AFLAC | $6 | — | $6 | 0.00% |
| JIMMY LEON JOHNSON3 | 411 WALNUT ST # 16846 GREEN COVE SPRINGS, FL 32043 | AFLAC | $2 | — | $2 | 0.00% |
| BRANDON C ADAMS3 | 64 SHELBY DR CRAWFORDVILLE, FL 32327 | AFLAC | $2 | — | $2 | 0.00% |
| AARON ANTHONY3 | 1700 FOUNTAIN CT APT 1303 COLUMBUS, GA 31904 | AFLAC | $2 | — | $2 | 0.00% |
| JOEY C ADAMS3 | 317 NORTHEAST 36TH AVE SUITE 6 OCALA, FL 34470 | AFLAC | $1 | — | $1 | 0.00% |
| JEFFREY M SINTAY3 | 5300 OAKBROOK PKWY STE 300 STE 350 NORCROSS, GA 30093 | AFLAC | $1 | — | $1 | 0.00% |
| ROBERT P FERRONE3 | 262 AUTUMN TRAIL WAY WAVERLY HALL, GA 31831 | 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 | 10.01% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: CAPITAL RISK MANAGEMENT | 259 JOHN KNOX RD TALLAHASSEE, FL 323036676 | HUMANA INSURANCE COMPANY | $5K | — | $5K | 16.85% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: CAPITAL RISK MANAGEMENT LLC | 259 JOHN KNOX RD TALLAHASSEE, FL 323036676 | USABLE LIFE | $2K | — | $2K | 10.97% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY # DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $953 | $114 | $1K | 5.37% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: CAPITAL RISK MANAGEMENT LLC | 259 JOHN KNOX RD TALLAHASSEE, FL 323036676 | USABLE LIFE | $885 | — | $885 | 11.03% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY # DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $385 | $46 | $431 | 5.37% |
| ROBERT JOSEPH REED3 | 2986 STONY BROOK CT TALLAHASSEE, FL 32309 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $170 | — | $170 | 3.44% |
| ELIZABETH MARIE LANGEVIN3 Filed as: ELIZABETH ANNE FELL | 3996 RICHMOND PARK DR E JACKSONVILLE, FL 32224 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $71 | — | $71 | 1.44% |
| JOEY MIGUES3 Filed as: JOEY GRUBBS BENEFITS LLC | 525 TAYLOR RD MONTICELLO, FL 32344 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $61 | — | $61 | 1.24% |
| ALYSON MARIE MCMAHON3 | 2127 GRASSY BASIN CT JACKSONVILLE, FL 32224 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $27 | — | $27 | 0.55% |
| NICOLE TOWNSEND VEDDER3 | 3370 LAKE RUN DR TALLAHASSEE, FL 32309 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | — | $15 | 0.30% |
| DOROTHY RING3 | 8300 PLAZA GATE LN JACKSONVILLE, FL 32217 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.20% |
| EDWARD D SOMMER3 Filed as: EDWARD GUY JR | 716 RED FERN ROAD TALLAHASSEE, FL 32308 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.14% |
| TANYA MIRIAM KAKON3 | 98 ABALONE LANE EAST PONTE VEDRA BEACH, FL 32082 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.14% |
| DAVID J MCCLELLAN3 Filed as: DAVID B MERKHOFER | 2704 SETTER PL TALLAHASSEE, FL 32303 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.10% |
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 | 263 | 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) | 264 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 141 | $877K |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 253 | $82K |
| Vision | HUMANA INSURANCE COMPANY | 126 | $27K |
| Life insurance(3 contracts, 3 carriers) | AFLAC | 263 | $177K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 263 | $184K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 141 | $877K |
| Other(3 contracts, 3 carriers) | AFLAC | 263 | $177K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 263 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.