| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | BLUE CROSS BLUE SHIELD OF FLORIDA | $54K | — | $54K | 4.00% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | HEALTH OPTIONS, INC | $23K | — | $23K | 4.00% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATES INC | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 322024941 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | — | $9K | 9.97% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN AND ASSOCIATES, EBD LLC | 501 RIVERSIDE AVENUE STE 1000 JACKSONVILLE, FL 32202 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $2K | $7K | 20.28% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN AND ASSOCIATES, EBD LLC | 501 RIVERSIDE AVENUE STE 1000 JACKSONVILLE, FL 32202 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $2K | $7K | 20.19% |
| DENNIS PITTMAN3 | 9372 COXWELL LANE JACKSONVILLE, FL 32221 | AFLAC | $372 | $97 | $469 | 2.82% |
| KEGAN NICOLE GONZALEZ3 Filed as: KEGAN GONZALEZ | 153 BLANDING BLVD STE 3 ORANGE PARK, FL 32073 | AFLAC | $180 | $28 | $208 | 1.25% |
| SALLY L PITTMAN3 Filed as: SALLY PITTMAN | 9372 COXWELL LN JACKSONVILLE, FL 32221 | AFLAC | $146 | $10 | $156 | 0.94% |
| SHELLIE GASKINS3 | 510 22ND ST ST AUGUSTINE, FL 32084 | AFLAC | $115 | $30 | $145 | 0.87% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES HARBOUR | 405 BARSCHALL DR COLUMBUS, GA 31904 | AFLAC | $142 | — | $142 | 0.85% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOC INC | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | AFLAC | $122 | — | $122 | 0.73% |
| MARK A LINSNER3 Filed as: MARK LINSNER | 10375 CENTURION PKWY N STE 100 JACKSONVILLE, FL 32256 | AFLAC | $94 | $28 | $122 | 0.73% |
| THOMAS JAMES OLLER3 Filed as: THOMAS OLLER | 2410 SOUTHERN LINKS DR FLEMING ISLAND, FL 32003 | AFLAC | $108 | — | $108 | 0.65% |
| TAMARA HAYGOOD3 | 3017 ANGORA BAY DR MIDDLEBURG, FL 32068 | AFLAC | $75 | — | $75 | 0.45% |
| DAVID K MOBLEY3 Filed as: DAVID MOBLEY | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $68 | — | $68 | 0.41% |
| GLORIA MEARES3 | 2734 HOLLY POINT RD E ORANGE PARK, FL 32073 | AFLAC | $66 | — | $66 | 0.40% |
| JIMMY D BOONE3 Filed as: JIMMY BOONE | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC | $60 | — | $60 | 0.36% |
| NICOLE SMITH3 | 13341 STONE POND DR JACKSONVILLE, FL 32224 | AFLAC | $41 | — | $41 | 0.25% |
| DAVID C SWEIGARD3 Filed as: DAVID SWEIGARD | 2603 PELLICER RD SAINT AUGUSTINE, FL 32092 | AFLAC | $34 | — | $34 | 0.20% |
| MARY B MCKINNEY3 Filed as: MARY MCKINNEY | 3915 CASCADE RD SW STE T-93 ATLANTA, GA 30331 | AFLAC | $29 | — | $29 | 0.17% |
| MARK A LINSNER3 Filed as: MARK LINSNER | 153 BLANDING BLVD STE 3 ORANGE PARK, FL 32073 | AFLAC | $27 | — | $27 | 0.16% |
| J W GRIMES INC3 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $22 | — | $22 | 0.13% |
| SHADEL & ASSOCIATES LLC3 | 126 HOPKINS ST NEPTUNE BEACH, FL 32266 | AFLAC | $22 | — | $22 | 0.13% |
| MARY B MCKINNEY3 Filed as: MARY MCKINNEY | 3915 CASCADE RD SW STE T93 ATLANTA, GA 30331 | AFLAC | $21 | — | $21 | 0.13% |
| DAVID MARKS3 | 4021 WE HECK CT STE J BATON ROUGE, LA 70816 | AFLAC | $20 | — | $20 | 0.12% |
| WILLIE BURKS3 | 199 14TH ST NE APT 2301 ATLANTA, GA 30309 | AFLAC | $14 | — | $14 | 0.08% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES HARBOUR | 1100 ALAKEA ST STE 3200 HONOLULU, HI 96813 | AFLAC | $13 | — | $13 | 0.08% |
| JAMEY MILLER INC3 | 2202 57TH ST SE AUBURN, WA 98092 | AFLAC | $11 | — | $11 | 0.07% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $10 | — | $10 | 0.06% |
| JASON BODDIE3 | 10175 FORTUNE PKWY UNIT 604 JACKSONVILLE, FL 32256 | AFLAC | $9 | — | $9 | 0.05% |
| JOEY C ADAMS3 Filed as: JOEY ADAMS | 317 NORTHEAST 36TH AVE STE 6 OCALA, FL 34470 | AFLAC | $8 | — | $8 | 0.05% |
| BERNICE B FRANKLIN3 Filed as: BERNICE FRANKLIN | 3040 HIGHLANDS PKWY STE A SMYRNA, GA 30082 | AFLAC | $7 | — | $7 | 0.04% |
| VERA I CRUICE3 Filed as: VERA CRUICE | 11445 DRAKEWOOD CT JACKSONVILLE, FL 32223 | AFLAC | $6 | — | $6 | 0.04% |
| DORIS L BRACKETT3 Filed as: DORIS BRACKETT | 3233 HIGHGATE CHASE CT BERKELEY LAKE, GA 30092 | AFLAC | $6 | — | $6 | 0.04% |
| ROBERT VICTOR WOERNER II3 Filed as: ROBERT WOERNER II | 210 16TH ST UNIT K ST AUGUSTINE, FL 32080 | AFLAC | $5 | — | $5 | 0.03% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $5 | — | $5 | 0.03% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 40 AVERY ST ST AUGUSTINE, FL 32084 | AFLAC | $5 | — | $5 | 0.03% |
| J C ADAMS INC3 | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $4 | — | $4 | 0.02% |
| CHRIS GUZEWICH3 | 1007 DRAKEFEATHER DR ORANGE PARK, FL 32065 | AFLAC | $3 | — | $3 | 0.02% |
| JAMES R MIRABELLI3 Filed as: JAMES MIRABELLI | 801 BRINY AVE APT 1403 POMPANO BEACH, FL 33062 | AFLAC | $3 | — | $3 | 0.02% |
| ROBERT GOBLE3 | 250 34TH AVE NE HICKORY, NC 28601 | AFLAC | $3 | — | $3 | 0.02% |
| ROBERT P FERRONE3 Filed as: ROBERT FERRONE | 262 AUTUMN TRAIL WAY WAVERLY HALL, GA 31831 | AFLAC | $2 | — | $2 | 0.01% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 3264 ADDISON LN TALLAHASSEE, FL 32317 | AFLAC | $2 | — | $2 | 0.01% |
| AARON ANTHONY3 | 1700 FOUNTAIN CT APT 1303 COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 0.01% |
| RONALD S SANDERS3 Filed as: RONALD SANDERS | 744 E DENIM TRL SAN TAN VALLEY, AZ 85143 | AFLAC | $1 | — | $1 | 0.01% |
| MICHAEL LEROY COY3 Filed as: MICHAEL COY | 3571 FAR WEST BLVD 42 AUSTIN, TX 78731 | AFLAC | $1 | — | $1 | 0.01% |
| ARW BENEFITS LLC3 | 210 16TH ST UNIT K ST AUGUSTINE, FL 32080 | AFLAC | $1 | — | $1 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: LEORA BROWN | 7865 FLAGER CIR MANASSAS, VA 20109 | AFLAC | $1 | — | $1 | 0.01% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 103 LAUGHING GULL LN CARRABELLE, FL 32322 | AFLAC | $1 | — | $1 | 0.01% |
| JASON BODDIE3 | 10175 FORTUNE PKWY UNIT 604 JACKSONVILLE, FL 32256 | AFLAC | $1 | — | $1 | 0.01% |
| CYNTHIA MYER3 | 2333 COUNTY RD 250 DURANGO, CO 81301 | AFLAC | $1 | — | $1 | 0.01% |
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 | 134 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 136 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 74 | $1.4M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 287 | $86K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 287 | $86K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 134 | $32K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 115 | $33K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 74 | $1.9M |
| Other(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 134 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 287 | — |
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."
No prospect flags tripped on this filing.