| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 7077 BONNEVAL ROAD SUITE 550 JACKSONVILLE, FL 32216 | HARTFORD LIFE AND ACCIDENT | $35K | — | $35K | 8.97% |
| MFP FINANCIAL INC3 | 1200 PLANTATION ISLAND DR SUITE 210 SAINT AUGUSTINE, FL 32080 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 1.03% |
| HYLANT GROUP INC3 | ATTN ACCOUNTING PO BOX 1687 TOLEDO, OH 436031687 | HARTFORD LIFE AND ACCIDENT | — | $3K | $3K | 0.80% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY #2-125 AUSTIN, TX 78746 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $1K | $1K | 0.32% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR S #210 ST AUGUSTINE, FL 32080 | UNITED CONCORDIA INSURANCE COMPANY | $27K | — | $27K | 10.79% |
| VERA I CRUICE3 | 11445 DRAKEWOOD CT JACKSONVILLE, FL 32223 | AFLAC | $18K | $1K | $19K | 8.01% |
| WANDA D CURINGTON3 | 5867 SW 86TH PL OCALA, FL 34476 | AFLAC | $4K | $348 | $4K | 1.80% |
| MARK A LINSNER3 | 10375 CENTURION PKWY N STE 100 JACKSONVILLE, FL 32256 | AFLAC | $2K | $36 | $2K | 0.90% |
| GREGORY MICHAEL CRUICE3 | 11445 DRAKEWOOD CT JACKSONVILLE, FL 32223 | AFLAC | $2K | — | $2K | 0.71% |
| CHRIS GUZEWICH3 | 1007 DRAKEFEATHER DR ORANGE PARK, FL 32065 | AFLAC | $1K | — | $1K | 0.53% |
| MARK HANNAH3 | 3025 TOWNSEND BLVD JACKSONVILLE, FL 32277 | AFLAC | $1K | — | $1K | 0.51% |
| MARK LISNER3 Filed as: MARK A LINSER | 153 BLANDING BLVD STE 3 ORANGE PARK, FL 32073 | AFLAC | $737 | $312 | $1K | 0.43% |
| JAMEY MILLER INC3 | 2202 57TH ST SE AUBURN, WA 98092 | AFLAC | $874 | — | $874 | 0.36% |
| THOMAS JAMES OLLER3 | 2410 SOUTHERN LINKS DR FLEMING ISLAND, FL 32003 | AFLAC | $670 | — | $670 | 0.28% |
| JIMMY D BOONE3 | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC | $499 | — | $499 | 0.21% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATES, INC | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | AFLAC | $441 | — | $441 | 0.18% |
| TRACI R BATTEN3 | 216 W MAITLAND BLVD MAITLAND, FL 32751 | AFLAC | $359 | — | $359 | 0.15% |
| JAMEY MILLER INC3 | 10375 CENTURION PKWY N STE 100 JACKSONVILLE, FL 32256 | AFLAC | $296 | — | $296 | 0.12% |
| CHRISTINE M SINTAY3 | 2645 GRASSY SPRING PL LAS VEGAS, NV 89135 | AFLAC | $283 | — | $283 | 0.12% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $281 | — | $281 | 0.12% |
| BETH LUANNE KIMBROUGH3 | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $238 | — | $238 | 0.10% |
| JENNIFER L HOCE3 | 4116 CASTLEBAY DR JACKSONVILLE, FL 32257 | AFLAC | $147 | — | $147 | 0.06% |
| TRACI R BATTEN3 | 111 RAILROAD AVE NORTH AUGUSTA, SC 29841 | AFLAC | $124 | — | $124 | 0.05% |
| JIMMY LEON JOHNSON3 | 40 AVERY ST SAINT AUGUSTINE, FL 32084 | AFLAC | $115 | — | $115 | 0.05% |
| JEREMY L MILLER3 | 3065 REVELS RD GREEN COVE SPRINGS, FL 32043 | AFLAC | $91 | — | $91 | 0.04% |
| JAMES R MIRABELLI3 | 801 BRINY AVE APT 1403 POMPANO BEACH, FL 33062 | AFLAC | $88 | — | $88 | 0.04% |
| DAVID K MOBLEY3 | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $86 | — | $86 | 0.04% |
| KIMBERLY CLAUNCH COHEN3 | PO BOX 292002 PORT ORANGE, FL 32129 | AFLAC | $70 | — | $70 | 0.03% |
| CHRISTOPHER BELL3 | 8201 HAMPTON LAKE LN JACKSONVILLE, FL 32256 | AFLAC | $68 | — | $68 | 0.03% |
| CYNTHIA HUNTER3 | 472 VIA DEL FORO DR HENDERSON, NV 89011 | AFLAC | $49 | — | $49 | 0.02% |
| LISA BROOKS THOMPSON INC3 | 129 HAGGE DR DAYTONA BEACH, FL 32124 | AFLAC | $45 | — | $45 | 0.02% |
| TRACI R BATTEN3 Filed as: TRACI R BATEN | 3150 PERIMETER PKWY STE 115 AUGUSTA, GA 30909 | AFLAC | $45 | — | $45 | 0.02% |
| JOEY C ADAMS3 | 317 NORTHEAST 36TH AVE SUITE 6 OCALA, FL 34470 | AFLAC | $44 | — | $44 | 0.02% |
| DIANA LYNN BOONE3 | 3998 CONFEDERATE POINT RD STE 103 JACKSONVILLE, FL 32210 | AFLAC | $41 | — | $41 | 0.02% |
| J C ADAMS INC3 | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $38 | — | $38 | 0.02% |
| ROBERT L TRAPNELL JR3 | 15 N INDIAN RIVER DR APT 705 COCOA, FL 32922 | AFLAC | $35 | — | $35 | 0.01% |
| CECIL T SALMON3 | 95 EDWARD DR PALM COAST, FL 32164 | AFLAC | $31 | — | $31 | 0.01% |
| CHRISTOPHER C HAYWARD3 | PO BOX 30668 PALM BEACH GARDENS, FL 33420 | AFLAC | $29 | — | $29 | 0.01% |
| ELAINE COX3 | 3355 DOROTHEA RD JACKSONVILLE, FL 32216 | AFLAC | $29 | — | $29 | 0.01% |
| JENNIE MOORE HAWKINS3 Filed as: JENNIE M HAWKINS INC | 3930 S NOVA RD STE 201 PORT ORANGE, FL 32127 | AFLAC | $29 | — | $29 | 0.01% |
| JULIA CHAMBERS HAGER3 | 4660 NOTTINGHAM RD JACKSONVILLE, FL 32210 | AFLAC | $27 | — | $27 | 0.01% |
| ROBERT P FERRONE3 | 262 AUTUMN TRAIL WAY WAVERLY HALL, GA 31831 | AFLAC | $23 | — | $23 | 0.01% |
| VICKI M DICKERT3 | 3264 ADDISON LN TALLAHASSEE, FL 32317 | AFLAC | $22 | — | $22 | 0.01% |
| JAY L DETLEFS3 | 8771 PERIMETER PARK CT STE 103 JACKSONVILLE, FL 32216 | AFLAC | $21 | — | $21 | 0.01% |
| MARIE MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $21 | — | $21 | 0.01% |
| JAMES L. LEFTWICH3 Filed as: JAMES L LEFTWICH | 1465 RIVER LN GREEN COVE SPRINGS, FL 32043 | AFLAC | $17 | — | $17 | 0.01% |
| TALLON AND ASSOCIATES INC3 | PO BOX 30668 PALM BEACH GARDENS, FL 33420 | AFLAC | $14 | — | $14 | 0.01% |
| DUNN & ASSOC INS INC3 | 324 W INTERNATIONAL SPEEDWAY BLVD DAYTONA BEACH, FL 32114 | AFLAC | $10 | — | $10 | 0.00% |
| DAVID MARKS3 | 4021 WE HECK CT STE J BATON ROUGE, LA 70816 | AFLAC | $9 | — | $9 | 0.00% |
| MKF & ASSOCIATES INC3 | 300 CAHABA PARK CIR STE 133 BIRMINGHAM, AL 35242 | AFLAC | $8 | — | $8 | 0.00% |
| VICKI M DICKERT3 | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $8 | — | $8 | 0.00% |
| SCOTT D HAWKINS INC3 | 3216 MEDICI BLVD NEW SMYRNA, FL 32168 | AFLAC | $6 | — | $6 | 0.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 10739 DEERWOOD PARK BLVD STE 200 JACKSONVILLE, FL 32256 | AFLAC | $4 | — | $4 | 0.00% |
| DAWN T SUCHECKI3 | 225 S WATER ST WILMINGTON, NC 28401 | AFLAC | $3 | — | $3 | 0.00% |
| DOUGLAS J SUCHECKI3 | 1224 PEACOCK AVE STE 205 COLUMBUS, GA 31906 | AFLAC | $3 | — | $3 | 0.00% |
| JEFFREY M SINTAY3 | 100 GALLERIA PKWY SE STE 900 ATLANTA, GA 30339 | AFLAC | $3 | — | $3 | 0.00% |
| JEFFREY M SINTAY3 | 2685 S RAINBOW BLVD STE 200 LAS VEGAS, NV 89146 | AFLAC | $3 | — | $3 | 0.00% |
| AARON ANTHONY3 | 1700 FOUNTAIN CT APT 1303 COLUMBUS, GA 31904 | AFLAC | $2 | — | $2 | 0.00% |
| DEXTER ANTONIO HARRIS3 | 100 GALLERIA PKWY SE STE 900 ATLANTA, GA 30339 | AFLAC | $2 | — | $2 | 0.00% |
| PATRICIA ANNE REILLY3 | 269 E LONG CREEK CV LONGWOOD, FL 32750 | AFLAC | $2 | — | $2 | 0.00% |
| JOSHUA M WIGGINS3 | 414 COMMONS WAY PALM BEACH GARDENS, FL 33418 | AFLAC | $2 | — | $2 | 0.00% |
| VICKI M DICKERT3 | 103 LAUGHING GULL LN CARRABELLE, FL 32322 | AFLAC | $2 | — | $2 | 0.00% |
| HAROLD L STAFFORD3 | 10722 NW 20TH DR CORAL SPRINGS, FL 33071 | AFLAC | $2 | — | $2 | 0.00% |
| SUSAN P WATLEY3 | 6366 INDEPENDENCE DR COLUMBUS, GA 31909 | AFLAC | $2 | — | $2 | 0.00% |
| BERNARD FALCO3 Filed as: BERNARD JOSEPH FALCO | 657 SHADOWMOSS CIR LAKE MARY, FL 32746 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES (JAY) GRIMES3 Filed as: JAMES R HARRIS | 6329 RIVERMONT CT COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 0.00% |
| DEBORAH L JONGES3 | PO BOX 31994 PALM BEACH GARDENS, FL 33420 | AFLAC | $1 | — | $1 | 0.00% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR S STE 210 ST AUGUSTINE, FL 320803115 | STANDARD INSURANCE COMPANY | $14K | — | $14K | 16.82% |
| NFP INSURANCE SERVICES INC3 | 1250 CAPITAL OF TX HWY BLDG 2 STE 125 AUSTIN, TX 78746 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 2.28% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVE TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 11.68% |
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL, INC | STE 210 1200 PLANTATION ISLAND DR ST. AUGUSTINE, FL 32080 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 2.59% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. - LAKE MARY | 250 INTERNATIONAL PARKWAY STE 330 LAKE MARY, FL 327465055 | HUMANA INSURANCE COMPANY | $4K | — | $4K | 10.05% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR STE 210 ST AUGUSTINE, FL 32080 | HUMANA INSURANCE COMPANY | $349 | — | $349 | 0.82% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $602K |
| MEDCOM SERVICES INC EIN 59-2316866 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 1061 RIVERSIDE AVENUE JACKSONVILLE, FL 32204 | $30K |
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 | 484 | 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) | 486 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 837 | $246K |
| Vision | HUMANA INSURANCE COMPANY | 310 | $42K |
| Life insurance | STANDARD INSURANCE COMPANY | 482 | $86K |
| Short-term disability | AFLAC | 224 | $242K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 440 | $386K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 429 | $355K |
| Other(2 contracts, 2 carriers) | AFLAC | 224 | $287K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 837 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.