| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HODGES-MACE LLC3 | 5775 GLENRIDGE DR STE 500 ATLANTA, GA 30328 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $30K | $30K | 2.93% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | METROPOLITAN LIFE INSURANCE COMPANY | $22K | $33 | $22K | 2.11% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $5K | $5K | 0.51% |
| MFB FINANCIAL DBA THE BAILEY GROUP3 Filed as: MFB FINANCIAL INC DBA THE BAILEY GR | 1200 PLANTATION ISLAND DR S STE 210 ST AUGUSTINE, FL 32080 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 0.33% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INS SERVICES INC | 1250 S CAPITAL OF TEXAS HWY BLDG 2 STE 125 AUSTIN, TX 78746 | METROPOLITAN LIFE INSURANCE COMPANY | $258 | $0 | $258 | 0.02% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS & WILLIAMS | 3400 OVERTON PARK DR SE STE 300 ATLANTA, GA 30339 | CIGNA HEALTH AND LIFE INSURANCE COMAPNY AND AFFILIATES | $13K | — | $13K | 1.68% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR SUITE 210 ST AUGUSTINE, FL 32080 | CIGNA HEALTH AND LIFE INSURANCE COMAPNY AND AFFILIATES | $6K | $0 | $6K | 0.78% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF, SEIBELS & WILLIAMS | 3400 OVERTON PARK DRIVE SUITE 300 ATLANTA, GA 30339 | PAM-AMERICAN LIFE INSURANCE COMPANY | $35K | — | $35K | 7.06% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | PAM-AMERICAN LIFE INSURANCE COMPANY | $12K | — | $12K | 2.36% |
| MARK BAILEY3 | 1200 PLANTATION ISLAND DRIVE SUITE 210 ST AUGUSTINE, FL 32080 | PAM-AMERICAN LIFE INSURANCE COMPANY | $6K | — | $6K | 1.32% |
| HODGES-MACE BENEFIT GRP3 Filed as: HODGES-MACE BENEFITSGROUP, INC. | 5775 E GLENRIDGE DRIVE SUITE 500 ATLANTA, GA 30328 | CONTINENTAL AMERICAN INSURANCE COMPANY | $29K | — | $29K | 8.39% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC | 3400 OVERTON PK DR STE 300 ATLANTA, GA 30339 | CONTINENTAL AMERICAN INSURANCE COMPANY | $22K | — | $22K | 6.40% |
| MARIE MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17K | — | $17K | 4.85% |
| BENEFITSTORE INC3 Filed as: BENEFITSTORE, INC | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11K | — | $11K | 3.03% |
| MARIE MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 0.87% |
| MARK A LINSNER3 | 1712 AUSTIN LN ST AUGUSTINE, FL 32092 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.30% |
| SLR INSURANCE SOLUTIONS INC3 Filed as: SLR INSURANCE SOLUTIONS, INC | 1021 TORRY CT ST JOHNS, FL 32259 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.30% |
| EBERHART & ASSOCIATES INC3 | 11097 PARKSIDE PRESERVE WAY JACKSONVILLE, FL 32257 | CONTINENTAL AMERICAN INSURANCE COMPANY | $274 | — | $274 | 0.08% |
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL | 1200 PLANTATION ISLAND DR SUITE 210 ST AUGUSTINE, FL 32080 | CONTINENTAL AMERICAN INSURANCE COMPANY | $60 | — | $60 | 0.02% |
| PHILIP L GREEN3 | 276 BRIARWOOD LN PONTE VEDRA BEACH, FL 32082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $37 | — | $37 | 0.01% |
| CHRISTOPHER E BELL3 | 9745 TOUCHTON RD #422 SUITE 604 JACKSONVILLE, FL 32246 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS & WILLIAMS INC | 2211 7TH AVE S BIRMINGHAM, AL 35233 | HUMANA INSURANCE COMPANY | $6K | — | $6K | 4.01% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR STE 210 ST AUGUSTINE, FL 32080 | HUMANA INSURANCE COMPANY | $5K | — | $5K | 2.90% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INS SERV INC-SW ALABAMA | 2211 7TH AVE S BIRMINGHAM, AL 35233 | HUMANA INSURANCE COMPANY | $3K | — | $3K | 2.15% |
| AMT LLC4 | 1616 MAPMAKERS WAY SAINT AUGUSTINE, FL 32092 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $4K | — | $4K | 15.82% |
| KEVIN PUTNAM4 | 3499 RANCH ROAD 620 S APT M 2201 AUSTIN, TX 78738 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $237 | — | $237 | 0.84% |
| COMPLETE BENEFIT SOLUTIONS4 | 236 PONTE VEDRA PARK DR STE 101 PONTE VEDRA, FL 32082 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $69 | — | $69 | 0.24% |
| PASSIONFLOWER ORGANICS LLC4 | 3342 NOKOMIS RD ORANGE PARK, FL 32073 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $61 | — | $61 | 0.22% |
| ROXANNE O DONNELL4 | 9212 LINSLADE WAY WAKE FOREST, NC 27587 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $33 | — | $33 | 0.12% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA EIN 59-2015694 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $853K |
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 | 2,644 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 19 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,663 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMAPNY AND AFFILIATES | 1,542 | $785K |
| Vision | HUMANA INSURANCE COMPANY | 1,296 | $158K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 3,224 | $1.0M |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 3,224 | $1.4M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 3,224 | $1.0M |
| Stop-loss / reinsurancereinsurance | PAM-AMERICAN LIFE INSURANCE COMPANY | 304 | $490K |
| Other(3 contracts, 3 carriers) | PAM-AMERICAN LIFE INSURANCE COMPANY | 2,125 | $869K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,224 | — |
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.