| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAMON CHANDLER FICO3 Filed as: DAMON FICO | 1929 SW 247TH WAY NEWBERRY, FL 32669 | AFLAC | $27K | $0 | $27K | 28.44% |
| JEREMY M HASKELL3 Filed as: JEREMY HASKELL | PO BOX 3274 OCALA, FL 34478 | AFLAC | $4K | $2 | $4K | 3.88% |
| C H ROBINSON & ASSOCIATES INC3 Filed as: CH ROBINSON & ASSOCIATES INC | 4623 NW 53RD AVE SUITE 1A GAINESVILLE, FL 32853 | AFLAC | $3K | $2 | $3K | 3.49% |
| LINDSAY NORFLEET FICO3 Filed as: LINDSAY FICO | 1929 SW 247TH WAY NEWBERRY, FL 32669 | AFLAC | $835 | $12 | $847 | 0.88% |
| DONALD MINICH3 | 1520 MARCY DRIVE SAINT JOHNS, FL 32259 | AFLAC | $363 | $33 | $396 | 0.41% |
| THOMAS JAMES OLLER3 Filed as: THOMAS OLLER | 49 SWIMMING PEN DR MIDDLEBURG, FL 32068 | AFLAC | $59 | $6 | $65 | 0.07% |
| RONALD L RICHARDSON3 Filed as: RONALD RICHARSON | 8717 208TH PLACE O BRIEN, FL 32071 | AFLAC | $33 | $28 | $61 | 0.06% |
| ANNE M RASMUSSEN3 Filed as: ANNE RASMUSSEN | PO BOX 11128 ALBUQUERQUE, NM 87192 | AFLAC | $58 | $0 | $58 | 0.06% |
| MARK A LINSNER3 Filed as: MARK LINSNER | 153 BLANDING BLVD STE 3 ORANGE PARK, FL 32073 | AFLAC | $48 | $6 | $54 | 0.06% |
| DONALD FRENTZ JR3 | PO BOX 11128 ALBUQUERQUE, NM 87192 | AFLAC | $27 | $0 | $27 | 0.03% |
| JERRY ALFORD3 | 40374 SW FOREST ROAD 181 BRISTOL, FL 32321 | AFLAC | $19 | $0 | $19 | 0.02% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E SUITE 101B TALLAHASSEE, FL 32308 | AFLAC | $13 | $0 | $13 | 0.01% |
| SHANNON TROWBRIDGE3 | 129 NORTH PARK AVE SUMMERVILLE, SC 29485 | AFLAC | $7 | $5 | $12 | 0.01% |
| TONYA SUE ELMORE3 Filed as: TONYA ELMORE | 1930 S HIGHWAY 71E MANSFIELD, AR 72944 | AFLAC | $12 | $0 | $12 | 0.01% |
| WE INSURE FLORIDA INC.3 | PO BOX 23865 JACKSONVILLE, FL 32241 | AFLAC | $11 | $0 | $11 | 0.01% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $8 | $0 | $8 | 0.01% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DRIVE LAFAYETTE, LA 70508 | AFLAC | $4 | $0 | $4 | 0.00% |
| J W GRIMES INC3 Filed as: J W GRIMES INC. | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $4 | $0 | $4 | 0.00% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 28 MAGNOLIA AVE ST AUGUSTINE, FL 32084 | AFLAC | $2 | $0 | $2 | 0.00% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6750 N ANDREWS AVE SUTIE 200 FORT LAUDERDALE, FL 33309 | AFLAC | $2 | $0 | $2 | 0.00% |
| JAMES R MIRABELLI3 Filed as: JAMES MIRABELLI | 99 SE MIZNER BLVD BOCA RATON, FL 33432 | AFLAC | $1 | $0 | $1 | 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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AFLAC | 241 | $96K |
| Short-term disability | AFLAC | 241 | $96K |
| Other | AFLAC | 241 | $96K |
| 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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.