| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KENNETH STEVENSON3 | P.O. BOX 12039 TALLAHASSEE, FL 32317 | CAPITAL HEALTH PLAN | $23K | — | $23K | 2.75% |
| EARL BACON AGENCY INC3 Filed as: EARL BACON AGENCY, INC | 3131 LONNBLADH RD TALLAHASSEE, FL 323084255 | BLUE CROSS BLUE SHIELD OF FLORIDA | $29K | — | $29K | 4.00% |
| EARL BACON AGENCY INC3 | P O BOX 12039 TALLAHASSEE, FL 32317 | UNION SECURITY INSURANCE COMPANY | $15K | — | $15K | 6.88% |
| EARL BACON AGENCY INC3 Filed as: EARL BACON AGENCY, INC. | 3131 LONNBLADH RD TALLAHASSEE, FL 32308 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $1 | $7K | 15.13% |
| UNITED BENEFIT ADVISORS LLC3 Filed as: UNITED BENEFIT ADVISORS INC | 280 E 96TH ST, STE 250 INDIANAPOLIS, IN 46240 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | — | $0 | 0.00% |
| MIRIAM C WATKINS3 Filed as: MIRIAM C. WATKINS | 3456 EXMOUTH LANE TALLAHASSEE, FL 32317 | AFLAC | $1K | $14 | $1K | 4.20% |
| EARL BACON AGENCY INC3 Filed as: EARL BACON AGENCY, INC | P.O. BOX 12039 TALLAHASSEE, FL 32317 | AFLAC | $638 | — | $638 | 2.11% |
| MEREDITH K SCHAEFER3 | 1011 HARBERT STREET TALLAHASSEE, FL 32303 | AFLAC | $576 | — | $576 | 1.91% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 E PIEDMONT DR STE 101-B TALLAHASSEE, FL 32308 | AFLAC | $175 | $4 | $179 | 0.59% |
| JONATHAN LEWIS BAZELL3 | 311 W TREEHOUSE LN ROUND LAKE, IL 60073 | AFLAC | $148 | $3 | $151 | 0.50% |
| J C ADAMS INC3 Filed as: JC ADAMS, INC | 5631 1 NE 31ST TER OCALA, FL 34479 | AFLAC | $145 | — | $145 | 0.48% |
| GSL MARKETING INC3 Filed as: GSL MARKETING, INC | 14260 W NEWBERRY RD 336 NEWBERRY, FL 32669 | AFLAC | $115 | — | $115 | 0.38% |
| ASSURANCE AGENCY LTD3 Filed as: CROSS ASSURANCE GROUP, INC | 3370 CAPITAL CIRCLE NE STE G TALLAHASSEE, FL 32308 | AFLAC | $101 | $1 | $102 | 0.34% |
| ERIN L KIRKLAND3 | 1775 PINE PARK ROAD CAIRO, GA 39828 | AFLAC | $85 | — | $85 | 0.28% |
| DANIEL S ADAMS3 | 3857 SCOTT CHURCH ROAD MARIANNA, FL 32448 | AFLAC | $69 | — | $69 | 0.23% |
| MICHAEL D MENNE3 | 1234 CALIFORNIA DR MURFREESBORO, TN 37129 | AFLAC | $65 | — | $65 | 0.22% |
| LEO P TISA3 | PO BOX 898 NICEVILLE, FL 32588 | AFLAC | $63 | — | $63 | 0.21% |
| DAVID B EZZELL3 | 1208 MEADOW TRACE CT NASHVILLE, TN 37221 | AFLAC | $55 | — | $55 | 0.18% |
| ADAINA REDMON3 | 382 E GLENN RD MONTICELLO, FL 32344 | AFLAC | $54 | — | $54 | 0.18% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DRIVE LAFAYETTE, LA 70508 | AFLAC | $48 | — | $48 | 0.16% |
| AMY GREEN3 Filed as: AMY F GREEN | 715 E 53RD ST SAVANNAH, GA 31405 | AFLAC | $42 | — | $42 | 0.14% |
| STEVEN L PETTIT3 | 3301 W WILLOW KNOLLS DR APT 7 PEORIA, IL 61614 | AFLAC | $34 | — | $34 | 0.11% |
| ROBERT L TRAPNELL JR3 | 19 N INDIAN RIVER DRIVE APT 701 COCOA, FL 32922 | AFLAC | $31 | — | $31 | 0.10% |
| KANDI M MCINTYRE3 | 2000 MALLORY LANE STE 130-378 FRANKLIN, TN 37067 | AFLAC | $31 | — | $31 | 0.10% |
| HERSCHEL WAYNE HOLT3 | 221 SPY GLASS WAY HENDERSONVILLE, TN 37075 | AFLAC | $27 | — | $27 | 0.09% |
| ANNE M RASMUSSEN3 | PO BOX 11128 ALBUQUERQUE, NM 87192 | AFLAC | $25 | — | $25 | 0.08% |
| NOLAN DOYLE MCCUE3 | 242 HERITAGE PARK DR STE 108 MUREFREESBORO, TN 37129 | AFLAC | $23 | — | $23 | 0.08% |
| WILLIAM W STOKES3 | 2445 NEEDLE PALM WAY TALLAHASSEE, FL 32309 | AFLAC | $18 | — | $18 | 0.06% |
| C LAVERNE HARRIS3 | 2760 MCFARLANE CT TALLAHASSEE, FL 32303 | AFLAC | $18 | — | $18 | 0.06% |
| CAPITAL INS AGCY INC3 Filed as: CAPITAL INS AGENCY INC | PO BOX 15949 TALLAHASSEE, GA 32317 | AFLAC | $18 | — | $18 | 0.06% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS GUNTER VAUGHN INSURANCE INC | 1117 THOMASVILLE RD TALLAHASSEE, FL 32303 | AFLAC | $17 | — | $17 | 0.06% |
| JERRY ALFORD3 | 40374 SW FORREST ROAD 181 BRISTOL, FL 32321 | AFLAC | $16 | — | $16 | 0.05% |
| PHILIP HARVEY YOUNG3 Filed as: PHILIP YOUNG | 2580 CARE DR STE 4 TALLAHASSEE, FL 32308 | AFLAC | $16 | — | $16 | 0.05% |
| ROGER L KNIGHT3 | 4715 HIGHGROVE RD TALLAHASSEE, FL 32309 | AFLAC | $14 | — | $14 | 0.05% |
| DEBRA W KNIGHT3 | 4715 HIGHGROVE ROAD TALLAHASSEE, FL 32309 | AFLAC | $13 | — | $13 | 0.04% |
| SOUTHEASTERN UNDWR INC3 | 6751 MACON RD STE 4 COLUMBUS, GA 31904 | AFLAC | $13 | — | $13 | 0.04% |
| TERI MAYNARD3 Filed as: TERI A MAYNARD | 1234 CALIFORNIA DR MURFREESBORO, TN 37129 | AFLAC | $13 | — | $13 | 0.04% |
| ADAM T BRAGG3 | 2980 VERDURA POINT DR TALLAHASSEE, FL 32311 | AFLAC | $11 | — | $11 | 0.04% |
| TREVIS GLENN MATTHEWS3 | 10 TURNBURY CT NEWNAN, GA 30265 | AFLAC | $11 | — | $11 | 0.04% |
| J W GRIMES INC3 | 8165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $11 | — | $11 | 0.04% |
| JANICE REGISTER3 | PO BOX 95 GREENSBORO, FL 32330 | AFLAC | $11 | — | $11 | 0.04% |
| ROBERT L GOBLE3 | 1410 4TH STREET DR NW UNIT 208 HICKORY, NC 28601 | AFLAC | $9 | — | $9 | 0.03% |
| DAVID SPRINGER3 Filed as: DAVID CORBIN | 2580-4 CARE DRIVE TALLAHASSEE, FL 32308 | AFLAC | $9 | — | $9 | 0.03% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INC OF TALLAHASSEE | 3520 THOMASVILLE RD STE 500 TALLAHASSEE, FL 32309 | AFLAC | $6 | — | $6 | 0.02% |
| ALAN W FOSTER3 | 716 FRENCH RIVER RD NOLENSVILLE, TN 37135 | AFLAC | $6 | — | $6 | 0.02% |
| JOEY C ADAMS3 | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $5 | — | $5 | 0.02% |
| DAVID K MOBLEY3 | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $5 | — | $5 | 0.02% |
| ROBERT P FERRONE3 Filed as: ROBERT FERRONE | 1701 WILLIAMS CT APT 202 COLUMBUS, GA 31904 | AFLAC | $5 | — | $5 | 0.02% |
| BETH LUANNE KIMBROUGH3 | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $3 | — | $3 | 0.01% |
| BRENT L GOODE3 | 2000 GLENN ECHO RD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $3 | — | $3 | 0.01% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 28 MAGNOLIA AVE ST AUGUSTINE, FL 32084 | AFLAC | $3 | — | $3 | 0.01% |
| JEFFREY M SINTAY3 Filed as: JEFFREY SINTAY | 1972 ALCOVA RIDGE DR LAS VEGAS, NV 89135 | AFLAC | $1 | — | $1 | 0.00% |
| MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $1 | — | $1 | 0.00% |
| AARON ANTHONY3 | 5 POINTER CT COLUMBUS, GA 31909 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES R MIRABELLI3 Filed as: JAMES MIRABELLI | 99 SW MIZNER BLVD APT 843 BOCA RATON, FL 33432 | AFLAC | $0 | $0 | $0 | 0.00% |
| PAMELA W EZZELL3 Filed as: PAMELA EZZELL | 4066 HIGHLAND RIDGE RD BIRMINGHAM, AL 35242 | AFLAC | $0 | — | $0 | 0.00% |
| JAY OLEARY3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $0 | — | $0 | 0.00% |
| JOSEPH LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $0 | — | $0 | 0.00% |
| CECIL T SALMON3 Filed as: CECIL SALMON | 95 EDWARD DR PALM COAST, FL 32164 | AFLAC | $0 | $0 | $0 | 0.00% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $0 | — | $0 | 0.00% |
| JAMES HARRIS3 | 6329 RIVERMONT CT COLUMBUS, GA 31904 | AFLAC | $0 | — | $0 | 0.00% |
| OMER S BASS IV3 Filed as: OMER BASS IV | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $0 | — | $0 | 0.00% |
| KIMBERLY MURRAY3 | 8530 WOODLANE DR GERMANTOWN, TN 38138 | AFLAC | $0 | — | $0 | 0.00% |
| AMY B CITRON3 Filed as: AMY CITRON | 1024 GRANADA AVE NASHVILLE, TN 37206 | AFLAC | $0 | — | $0 | 0.00% |
| EARL BACON AGENCY INC3 Filed as: EARL BACON AGENCY | P.O. BOX 12039 TALLAHASSEE, FL 32317 | ADVANTICA REINSURANCE COMPANY | $567 | — | $567 | 10.00% |
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 | 123 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNION SECURITY INSURANCE COMPANY | 122 | $220K |
| Vision | ADVANTICA REINSURANCE COMPANY | 61 | $6K |
| Life insurance(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 122 | $251K |
| Short-term disability | AFLAC | 40 | $30K |
| Long-term disability | UNION SECURITY INSURANCE COMPANY | 122 | $220K |
| Other(4 contracts, 4 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 122 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 122 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.