| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 7077 BONNEVAL ROAD SUITE 550 JACKSONVILLE, FL 32216 | HARTFORD LIFE AND ACCIDENT | $38K | — | $38K | 10.00% |
| HYLANT GROUP INC3 | ATTN ACCOUNTING PO BOX 1687 TOLEDO, OH 436031687 | HARTFORD LIFE AND ACCIDENT | — | $5K | $5K | 1.23% |
| MFB FINANCIAL DBA THE BAILEY GROUP3 | 1200 PLANTATION ISLAND DR S STE 210 ST AUGUSTINE, FL 32080 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $4K | $4K | 1.26% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY #2-125 AUSTIN, TX 78746 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $920 | $920 | 0.28% |
| VERA I CRUICE3 | 11445 DRAKEWOOD CT JACKSONVILLE, FL 32223 | AFLAC | $16K | $11 | $16K | 6.74% |
| KATELYNN CRUICE3 | 11336 TALTON AVE BATON ROUGUE, LA 70817 | AFLAC | $5K | $106 | $5K | 2.16% |
| WANDA D CURINGTON3 | 5867 SW 86TH PL OCALA, FL 34476 | AFLAC | $3K | $26 | $3K | 1.44% |
| GREGORY MICHAEL CRUICE3 | 11445 DRAKEWOOD CT JACKSONVILLE, FL 32223 | AFLAC | $3K | $177 | $3K | 1.21% |
| MARK A LINSNER3 | 153 BLANDING BLVD STE 3 ORANGE PARK, FL 32073 | AFLAC | $3K | $38 | $3K | 1.20% |
| CHRIS GUZEWICH3 | 1007 DRAKEFEATHER DR ORANGE PARK, FL 32065 | AFLAC | $1K | — | $1K | 0.62% |
| MARK HANNAH3 | 3025 TOWNSEND BLVD JACKSONVILLE, FL 32277 | AFLAC | $1K | — | $1K | 0.59% |
| JAMEY MILLER INC3 | 10375 CENTURION PKWY N STE 100 JACKSONVILLE, FL 32256 | AFLAC | $1K | — | $1K | 0.54% |
| THOMAS JAMES OLLER3 | 2410 SOUTHERN LINKS DR FLEMING ISLAND, FL 32003 | AFLAC | $766 | — | $766 | 0.32% |
| TRACI R BATTEN3 | 216 W MAITLAND BLVD MAITLAND, FL 32751 | AFLAC | $590 | — | $590 | 0.24% |
| JIMMY D BOONE3 | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC | $586 | — | $586 | 0.24% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOC INC | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | AFLAC | $485 | — | $485 | 0.20% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $325 | — | $325 | 0.13% |
| CHRISTINE M SINTAY3 | 2645 GRASSY SPING PL LAS VEGAS, NV 89135 | AFLAC | $309 | — | $309 | 0.13% |
| BETH LUANNE KIMBROUGH3 | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $275 | — | $275 | 0.11% |
| JENNIFER L HOCE3 | 4116 CASTLEBAY DR JACKSONVILLE, FL 32257 | AFLAC | $190 | — | $190 | 0.08% |
| JIMMY LEON JOHNSON3 | 40 AVERY ST SAINT AUGUSTINE, FL 32084 | AFLAC | $134 | — | $134 | 0.06% |
| JEREMY L MILLER3 | 3065 REVELS RD GREEN COVE SPRINGS, FL 32043 | AFLAC | $114 | — | $114 | 0.05% |
| DAVID K MOBLEY3 | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $106 | — | $106 | 0.04% |
| JAMES R MIRABELLI3 | 801 BRINY AVE APT 1403 POMPANO BEACH, FL 33062 | AFLAC | $100 | — | $100 | 0.04% |
| CHRISTOPHER BELL3 | 8201 HAMPTON LAKE LN JACKSONVILLE, FL 32256 | AFLAC | $99 | — | $99 | 0.04% |
| J C ADAMS INC3 | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $92 | — | $92 | 0.04% |
| KIMBERLY CLAUNCH COHEN3 | PO BOX 292002 PORT ORANGE, FL 32129 | AFLAC | $72 | — | $72 | 0.03% |
| GEORGE J ROE3 | 108 JACKSON ST APT 3D HOBOKEN, NJ 07030 | AFLAC | $70 | — | $70 | 0.03% |
| DIANA LYNN BOONE3 | 3998 CONFEDERATE POINT RD STE 103 JACKSONVILLE, FL 32210 | AFLAC | $69 | — | $69 | 0.03% |
| CHRISTOPHER C HAYWARD3 | PO BOX 30668 PALM BEACH GARDENS, FL 33420 | AFLAC | $59 | — | $59 | 0.02% |
| LISA BROOKS THOMPSON INC3 | 129 HAGGE DR DAYTONA BEACH, FL 32124 | AFLAC | $47 | — | $47 | 0.02% |
| ROBERT L TRAPNELL JR3 Filed as: ROBERT L TRAPNELL | 15 N INDIAN RIVER DR APT 705 COCOA, FL 32922 | AFLAC | $41 | — | $41 | 0.02% |
| CYNTHIA HUNTER3 | 472 VIA DEL FORO DR HENDERSON, NV 89011 | AFLAC | $39 | — | $39 | 0.02% |
| VICKI M DICKERT3 | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $38 | — | $38 | 0.02% |
| CECIL T SALMON3 | 95 EDWARD DR PALM COAST, FL 32164 | AFLAC | $34 | — | $34 | 0.01% |
| JENNIE MOORE HAWKINS3 Filed as: JENNIE M HAWKINS INC | 3930 S NOVA RD STE 201 PORT ORANGE, FL 32127 | AFLAC | $30 | — | $30 | 0.01% |
| ELAINE COX3 | 3355 DOROTHEA RD JACKSONVILLE, FL 32216 | AFLAC | $29 | — | $29 | 0.01% |
| TALLON AND ASSOCIATES INC3 | PO BOX 30668 PALM BEACH GARDENS, FL 33420 | AFLAC | $28 | — | $28 | 0.01% |
| JULIA CHAMBERS HAGER3 | 4660 NOTTINGHAM RD JACKSONVILLE, FL 32210 | AFLAC | $26 | — | $26 | 0.01% |
| ROBERT P FERRONE3 | 8168 CENTRAL PARK WAY N APT 202 MAPLE GROVE, MN 55369 | AFLAC | $26 | — | $26 | 0.01% |
| JAMES L. LEFTWICH3 Filed as: JAMES L LEFTWICH | 1465 RIVER LN GREEN COVE SPRINGS, FL 32043 | AFLAC | $26 | — | $26 | 0.01% |
| MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $24 | — | $24 | 0.01% |
| JAY L DETLEFS3 | 8771 PERIMETER PARK CT STE 103 JACKSONVILLE, FL 32216 | AFLAC | $21 | — | $21 | 0.01% |
| DOUGLAS MEIER3 | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $17 | — | $17 | 0.01% |
| THE HORTON GROUP3 Filed as: R HORTON GRIFFIN JR | 116 N DAWSON ST THOMASVILLE, GA 31792 | AFLAC | $12 | — | $12 | 0.00% |
| DONNA WALKER3 Filed as: DONNA RAE WALKER | 4544 PALMETTO COVE LN JACKSONVILLE, FL 32258 | AFLAC | $10 | — | $10 | 0.00% |
| DUNN & ASSOC INS INC3 | 324 W INTERNATIONAL SPEEDWAY BLVD DAYTONA BEACH, FL 32114 | AFLAC | $10 | — | $10 | 0.00% |
| MELISSA SWARTZBAUGH3 | 4190 SAINT LUKES LN JUPITER, FL 33458 | AFLAC | $9 | — | $9 | 0.00% |
| MKF & ASSOCIATES INC3 | 300 CAHABA PARK CIR STE 133 BIRMINGHAM, AL 35242 | AFLAC | $9 | — | $9 | 0.00% |
| DAVID MARKS3 | 4021 WE HECK CT STE J BATON ROUGUE, LA 70816 | AFLAC | $8 | — | $8 | 0.00% |
| FREDERICK I BRAREN JR3 | 1840 SAN MARCO BLVD APT 2 JACKSONVILLE, FL 32207 | AFLAC | $8 | — | $8 | 0.00% |
| GEORGE J ROE3 | 72 GARDEN ST APT 6 HOBOKEN, NJ 07030 | AFLAC | $7 | — | $7 | 0.00% |
| SCOTT D HAWKINS INC3 | 3216 MEDICI BLVD NEW SMYRNA, FL 32168 | AFLAC | $6 | — | $6 | 0.00% |
| HAROLD L STAFFORD3 | 10722 NW 2OTH DR CORAL SPRINGS, FL 33071 | AFLAC | $5 | — | $5 | 0.00% |
| DEXTER ANTONIO HARRIS3 | 100 GALLERIA PKWY SE STE 900 ATLANTA, GA 30339 | AFLAC | $4 | — | $4 | 0.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 10739 DEERWOOD PARK BLVD STE 200 JACKSONVILLE, FL 32256 | AFLAC | $4 | — | $4 | 0.00% |
| JEFFREY M SINTAY3 | 2685 S RAINBOW BLVD STE 200 LAS VEGAS, NV 89146 | AFLAC | $4 | — | $4 | 0.00% |
| DAWN T SUCHECKI3 | 225 S WATER ST WILMINGTON, NV 28401 | AFLAC | $4 | — | $4 | 0.00% |
| SUSAN P WATLEY3 | 6366 INDEPENDENCE DR COLUMBUS, GA 31909 | AFLAC | $3 | — | $3 | 0.00% |
| J W GRIMES INC3 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $3 | — | $3 | 0.00% |
| AARON ANTHONY3 | 1700 FOUNTAIN CT APT 1303 COLUMBUS, GA 31904 | AFLAC | $3 | — | $3 | 0.00% |
| JEFFREY M SINTAY3 | 1972 ALCOVA RIDGE DR LAS VEGAS, NV 89135 | AFLAC | $3 | — | $3 | 0.00% |
| DOUGLAS J SUCHECKI3 | 3850 VINE ST STE 130 RIVERSIDE, CA 92507 | AFLAC | $2 | — | $2 | 0.00% |
| JOSHUA M WIGGINS3 | 414 COMMONS WAY PALM BEACH GARDENS, FL 33418 | AFLAC | $2 | — | $2 | 0.00% |
| WORKSITE BENEFIT SOLUTIONS INC3 | 7598 BRIAR CLIFF CIR LAKE WORTH, FL 33467 | AFLAC | $2 | — | $2 | 0.00% |
| MARIE MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $2 | — | $2 | 0.00% |
| ROGER J SASS JR3 | 5783 PARKWALK DR BOYNTON BEACH, FL 33472 | AFLAC | $2 | — | $2 | 0.00% |
| PATRICIA ANNE REILLY3 | 269 E LONG CREEK CV LONGWOOD, FL 32750 | AFLAC | $2 | — | $2 | 0.00% |
| BERNARD FALCO3 Filed as: BERNARD JOSEPH FALCO | 657 SHADOWMOSS CIR LAKE MARY, FL 32746 | AFLAC | $1 | — | $1 | 0.00% |
| ROGER HUGH JONES3 | 2204 COMMERCE ST ALPHARETTA, GA 30009 | AFLAC | $1 | — | $1 | 0.00% |
| DEBORAH L JONGES3 | PO BOX 31994 PALM BEACH GARDENS, FL 33420 | AFLAC | $1 | — | $1 | 0.00% |
| DONNA WALKER3 | 4544 PALMETTO COVE LANE JACKSONVILLE, FL 32258 | AFLAC | $1 | — | $1 | 0.00% |
| FRANK ROBERT SOBOCINSKI3 | 528 SWEET BAY CIR JUPITER, FL 33458 | AFLAC | $1 | — | $1 | 0.00% |
| DAVID MARKS3 | 4021 WE HECK CT BLDG J BATON ROUGE, LA 70816 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES (JAY) GRIMES3 Filed as: JAMES R HARRIS | 6329 RIVERMONT CT COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 0.00% |
| PATRICIA ANNE REILLY3 Filed as: PATRICIA ALMOND | 269 E LONG CREEK CV LONGWOOD, FL 32750 | AFLAC | $1 | — | $1 | 0.00% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR S #210 ST AUGUSTINE, FL 32080 | UNITED CONCORDIA INSURANCE COMPANY | $23K | — | $23K | 9.69% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR S STE 210 ST AUGUSTINE, FL 320803115 | STANDARD INSURANCE COMPANY | $18K | — | $18K | 17.94% |
| NFP INSURANCE SERVICES INC3 | 1250 CAPITAL OF TX HWY BLDG 2 STE 125 AUSTIN, TX 78746 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 1.70% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. - LAKE MARY | 250 INTERNATIONAL PARKWAY STE 330 LAKE MARY, FL 327465055 | HUMANA INSURANCE COMPANY | $4K | — | $4K | 9.09% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVE TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 16.42% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $334K |
| MEDCOM SERVICES INC EIN 59-2316866 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 1061 RIVERSIDE AVENUE JACKSONVILLE, FL 32204 | $24K |
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 | 478 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 483 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 375 | $240K |
| Vision | HUMANA INSURANCE COMPANY | 302 | $44K |
| Life insurance | STANDARD INSURANCE COMPANY | 473 | $102K |
| Short-term disability | AFLAC | 253 | $242K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 444 | $380K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 432 | $329K |
| Other(2 contracts, 2 carriers) | AFLAC | 253 | $280K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 473 | — |
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.