| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SUSAN KNIGHT INS SERV INC3 | 2703 OCEAN DRIVE S 2ND FL JACKSONVILLE BEACH, FL 32250 | AFLAC | $2K | $172 | $2K | 4.94% |
| SUSAN KNIGHT INS SERV INC3 | 2703 OCEAN DRIVE S JACKSONVILLE BEACH, FL 32082 | AFLAC | $985 | $0 | $985 | 2.15% |
| AARON R MOBLEY3 | 12 SEATROUT ST PONTE VEDRA BEACH, FL 32082 | AFLAC | $504 | $11 | $515 | 1.12% |
| JAMEY MILLER INC3 Filed as: JAMEY MILLER INC. | 10375 CENTURION PKWY N STE 100 JACKSONVILLE, FL 32256 | AFLAC | $415 | $39 | $454 | 0.99% |
| MARK F BAILEY3 | 1200 PLANTATION ISLAND DRIVE S, STE 210 ST AUGUSTINE, FL 32080 | AFLAC | $402 | $22 | $424 | 0.93% |
| ALYSSA MARIE SANDAK3 | 138 KENDALL CT UPATOI, GA 31829 | AFLAC | $316 | $107 | $423 | 0.92% |
| SUSAN KNIGHT INS SERV INC3 Filed as: SUSAN KNIGHT | 2703 OCEAN DRIVE S 2ND FL JACKSONVILLE, FL 32250 | AFLAC | $259 | $131 | $390 | 0.85% |
| DAVID ABOULAFIA3 Filed as: DAVID SCOTT ABOULAFIA | 1 SPENCER STREET ST AUGUSTINE, FL 32084 | AFLAC | $342 | $0 | $342 | 0.75% |
| SANDRA C MATHIS3 | 7310 NORTH LAKE DR STE B COLUMBUS, GA 31909 | AFLAC | $216 | $39 | $255 | 0.56% |
| FRAN C HARGARTEN III3 | 1140 MOSSY ROCK RD NW KENNESAW, GA 30152 | AFLAC | $227 | $0 | $227 | 0.50% |
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL | 1200 PLANTATION ISLAND DRIVE S, STE 210 ST AUGUSTINE, FL 32080 | AFLAC | $219 | $0 | $219 | 0.48% |
| DAVID ABOULAFIA3 | 1 SPENCER ST SAINT AUGUSTINE, FL 32084 | AFLAC | $167 | $50 | $217 | 0.47% |
| DAVID MARKS3 | 4021 WE HECK CT STE J BATON ROUGE, LA 70816 | AFLAC | $187 | $0 | $187 | 0.41% |
| JOHN E CARTER III3 | 313 TROOP DR FORSTON, GA 31808 | AFLAC | $113 | $39 | $152 | 0.33% |
| JAMEY MILLER INC3 Filed as: JAMEY J MILLER | 10375 CENTURION PKWY N STE 100 JACKSONVILLE, FL 32256 | AFLAC | $75 | $26 | $101 | 0.22% |
| MICHAEL J YOUNG3 | 2600 ORANGE PICKER ROAD JACKSONVILLE, FL 32223 | AFLAC | $89 | $0 | $89 | 0.19% |
| MARK A LINSNER3 | 153 BLANDING BLVD STE 3 ORANGE PARK, FL 32073 | AFLAC | $74 | $0 | $74 | 0.16% |
| SUSAN KNIGHT INS SERV INC3 Filed as: SUSAN KNIGHT | 2703 OCEAN DR S JACKSONVILLE, FL 32250 | AFLAC | $71 | $0 | $71 | 0.16% |
| DAVID K MOBLEY3 | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $55 | $0 | $55 | 0.12% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $54 | $0 | $54 | 0.12% |
| THOMAS JAMES OLLER3 | 2410 SOUTHERN LINKS DR FLEMING ISLAND, FL 32003 | AFLAC | $48 | $0 | $48 | 0.10% |
| THE HORTON GROUP3 Filed as: R HORTON GRIFFIN JR | 116 N DAWSON ST THOMASVILLE, GA 31792 | AFLAC | $47 | $0 | $47 | 0.10% |
| BRANDON C ADAMS3 | 74 CROWN COLONY RD SAINT AUGUSTINE, FL 32092 | AFLAC | $31 | $0 | $31 | 0.07% |
| GRANT WELDON CARTER3 | 313 TROOP DR FORTSON, GA 31808 | AFLAC | $18 | $5 | $23 | 0.05% |
| JAMES ARTHUR HARBOUR3 | 1100 ALAKEA ST STE 3200 HONOLULU, HI 96813 | AFLAC | $22 | $0 | $22 | 0.05% |
| GARY JORDAN3 Filed as: GARY W JORDAN | 127 COLORADO SPRINGS WAY ST AUGUSTINE, FL 32092 | AFLAC | $20 | $0 | $20 | 0.04% |
| BETH LUANNE KIMBROUGH3 | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $20 | $0 | $20 | 0.04% |
| JIMMY LEON JOHNSON3 | 40 AVERY ST SAINT AUGUSTINE, FL 32084 | AFLAC | $18 | $0 | $18 | 0.04% |
| J C ADAMS INC3 | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $15 | $0 | $15 | 0.03% |
| J W GRIMES INC3 | 6165 WATERFORD ROAD COLUMBUS, GA 31904 | AFLAC | $13 | $0 | $13 | 0.03% |
| DONNA WALKER3 Filed as: DONNA RAE WALKER | 4544 PALMETTO COVE LN JACKSONVILLE, FL 32258 | AFLAC | $11 | $0 | $11 | 0.02% |
| ROBERT L TRAPNELL JR3 | 15 N INDIAN RIVER DR APT 705 COCOA, FL 32922 | AFLAC | $9 | $0 | $9 | 0.02% |
| ROBERT P FERRONE3 | 8168 CENTRAL PARK WAY N APT 202 MAPLE GROVE, MN 55369 | AFLAC | $5 | $0 | $5 | 0.01% |
| MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $5 | $0 | $5 | 0.01% |
| JAMES R MIRABELLI3 | 801 BRINY AVE APT 1403 POMPANO BEACH, FL 33062 | AFLAC | $5 | $0 | $5 | 0.01% |
| VICKI M DICKERT3 | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $4 | $0 | $4 | 0.01% |
| CECIL T SALMON3 | 95 EDWARD DR PALM COAST, FL 32164 | AFLAC | $3 | $0 | $3 | 0.01% |
| AARON ANTHONY3 | 1700 FOUNTAIN CT APT 1303 COLUMBUS, GA 31904 | AFLAC | $2 | $0 | $2 | 0.00% |
| MARIE MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $2 | $0 | $2 | 0.00% |
| SUSAN DENISE GROVES3 | 1524 REAGAN CT LELAND, NC 28451 | AFLAC | $1 | $0 | $1 | 0.00% |
| JAMES (JAY) GRIMES3 Filed as: JAMES R HARRIS | 6329 RIVERMONT CT COLUMBUS, GA 31904 | AFLAC | $1 | $0 | $1 | 0.00% |
| MARK C LEE3 | 1444 S 17TH ST WILMINGTON, NC 28401 | AFLAC | $1 | $0 | $1 | 0.00% |
| OMER S BASS IV3 | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $1 | $0 | $1 | 0.00% |
| JASON BODDIE3 | 10175 FORTUNE PKWY UNIT 604 JACKSONVILLE, FL 32256 | AFLAC | $1 | $0 | $1 | 0.00% |
| JIMMY D BOONE3 | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC | $1 | $0 | $1 | 0.00% |
| DAWN T SUCHECKI3 | 225 S WATER ST WILMINGTON, NC 28401 | AFLAC | $1 | $0 | $1 | 0.00% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DRIVE S SUITE 210 ST AUGUSTINE, FL 32080 | FLORIDA COMBINED LIFE | $4K | $0 | $4K | 14.94% |
| FLORIDA BLUE3 Filed as: MARION SCOTT | 4800 DEERWOOD CAMPUS PKWY DC2/2 JACKSONVILLE, FL 32246 | FLORIDA COMBINED LIFE | $129 | $0 | $129 | 0.51% |
| THE BAILEY GROUP3 Filed as: BAILEY, MARK F | 1200 PLANTATION ISLAND DR S STE 210 ST AUGUSTINE, FL 32080 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 19.97% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY 2-125 AUSTIN, TX 78746 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $34 | $34 | 0.37% |
| MFB FINANCIAL INC3 | STE 210 1200 PLANTATION ISLAND DR ST AUGUSTINE, FL 32080 | HUMANA INSURANCE COMPANY | $486 | $197 | $683 | 14.05% |
| CHARLES B ZITSMAN4 | 3521 KINGS RD S ST AUGUSTINE, FL 32086 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $46 | $0 | $46 | 12.01% |
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 | 103 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | FLORIDA COMBINED LIFE | 56 | $25K |
| Vision | HUMANA INSURANCE COMPANY | 49 | $5K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 103 | $9K |
| Other(2 contracts, 2 carriers) | AFLAC | 54 | $46K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 103 | — |
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.