| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KENNETH STEVENSON3 | P.O. BOX 12039 TALLAHASSEE, FL 32317 | CAPITAL HEALTH PLAN | $25K | — | $25K | 3.01% |
| EARL BACON AGENCY INC3 Filed as: EARL BACON AGENCY, INC | 3131 LONNBLADH RD TALLAHASSEE, FL 323084255 | BLUE CROSS BLUE SHIELD OF FLORIDA | $32K | — | $32K | 4.00% |
| EARL BACON AGENCY INC3 | P O BOX 12039 TALLAHASSEE, FL 32317 | UNION SECURITY INSURANCE COMPANY | $15K | — | $15K | 6.42% |
| EARL BACON AGENCY INC3 Filed as: EARL BACON AGENCY, INC. | 3131 LONNBLADH RD TALLAHASSEE, FL 32308 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 14.92% |
| MIRIAM C WATKINS3 Filed as: MIRIAM C. WATKINS | 3456 EXMOUTH LANE TALLAHASSEE, FL 32317 | AFLAC | $1K | $20 | $1K | 4.61% |
| EARL BACON AGENCY INC3 Filed as: EARL BACON AGENCY, INC | P.O. BOX 12039 TALLAHASSEE, FL 32317 | AFLAC | $471 | — | $471 | 1.89% |
| MEREDITH K SCHAEFER3 | 1011 HARBERT STREET TALLAHASSEE, FL 32303 | AFLAC | $457 | — | $457 | 1.84% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 E PIEDMONT DR STE 101B TALLAHASSEE, FL 32308 | AFLAC | $116 | $5 | $121 | 0.49% |
| J C ADAMS INC3 Filed as: JC ADAMS, INC | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $119 | — | $119 | 0.48% |
| GSL MARKETING INC3 Filed as: GSL MARKETING, INC | PO BOX 358198 GAINSVILLE, FL 32635 | AFLAC | $104 | — | $104 | 0.42% |
| MICHAEL D MENNE3 | 1234 CALIFORNIA DR MURFREESBORO, TN 37129 | AFLAC | $65 | — | $65 | 0.26% |
| LEO P TISA3 | PO BOX 898 NICEVILLE, FL 32588 | AFLAC | $63 | — | $63 | 0.25% |
| DAVID B EZZELL3 | 1208 MEADOW TRACE CT NASHVILLE, TN 37221 | AFLAC | $55 | — | $55 | 0.22% |
| ADAINA REDMON3 | 382 E GLENN RD MONTICELLO, FL 32344 | AFLAC | $54 | — | $54 | 0.22% |
| DANIEL S ADAMS3 | 3857 SCOTT CHURCH ROAD MARIANNA, FL 32448 | AFLAC | $44 | — | $44 | 0.18% |
| ERIN L KIRKLAND3 | 1775 PINE PARK ROAD CAIRO, GA 39828 | AFLAC | $39 | — | $39 | 0.16% |
| ASSURANCE AGENCY LTD3 Filed as: CROSS ASSURANCE GROUP, INC | 3370 CAPITAL CIRCLE NE STE G TALLAHASSEE, FL 32308 | AFLAC | $36 | $1 | $37 | 0.15% |
| AMY GREEN3 Filed as: AMY F GREEN | 715 E 53RD ST SAVANNAH, GA 31405 | AFLAC | $35 | — | $35 | 0.14% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DRIVE LAFAYETTE, LA 70508 | AFLAC | $34 | — | $34 | 0.14% |
| STEVEN L PETTIT3 | 3301 W WILLOW KNOLLS DR APT 7 PEORIA, IL 61614 | AFLAC | $34 | — | $34 | 0.14% |
| KANDI M MCINTYRE3 | 2000 MALLORY LANE STE 130-378 FRANKLIN, TN 37067 | AFLAC | $31 | — | $31 | 0.12% |
| HERSCHEL WAYNE HOLT3 | 221 SPY GLASS WAY HENDERSONVILLE, TN 37075 | AFLAC | $27 | — | $27 | 0.11% |
| ROBERT L TRAPNELL JR3 | 15 N INDIAN RIVER DRIVE APT 705 COCOA, FL 32922 | AFLAC | $25 | — | $25 | 0.10% |
| ANNE M RASMUSSEN3 | PO BOX 11128 ALBUQUERQUE, NM 87192 | AFLAC | $25 | — | $25 | 0.10% |
| CAPITAL INS AGCY INC3 Filed as: CAPITAL INS AGENCY INC | PO BOX 15949 TALLAHASSEE, GA 32317 | AFLAC | $23 | — | $23 | 0.09% |
| NOLAN DOYLE MCCUE3 | 242 HERITAGE PARK DR STE 108 MUREFREESBORO, TN 37129 | AFLAC | $21 | — | $21 | 0.08% |
| PHILIP HARVEY YOUNG3 | 2580 CARE DR STE 4 TALLAHASSEE, FL 32308 | AFLAC | $21 | — | $21 | 0.08% |
| JONATHAN LEWIS BAZELL3 | 311 W TREEHOUSE LN ROUND LAKE, IL 60073 | AFLAC | $19 | — | $19 | 0.08% |
| WILLIAM W STOKES3 | 2445 NEEDLE PALM WAY TALLAHASSEE, FL 32309 | AFLAC | $18 | — | $18 | 0.07% |
| C LAVERNE HARRIS3 | 2760 MCFARLANE CT TALLAHASSEE, FL 32303 | AFLAC | $18 | — | $18 | 0.07% |
| ROBERT P FERRONE3 Filed as: ROBERT FERRONE | 1701 WILLIAMS CT APT 202 COLUMBUS, GA 31904 | AFLAC | $18 | — | $18 | 0.07% |
| JERRY ALFORD3 | 40374 SW FORREST ROAD 181 BRISTOL, FL 32321 | AFLAC | $16 | — | $16 | 0.06% |
| ROGER L KNIGHT3 | 4715 HIGHGROVE RD TALLAHASSEE, FL 32309 | AFLAC | $14 | — | $14 | 0.06% |
| SOUTHEASTERN UNDWR INC3 | 6751 MACON RD STE 4 COLUMBUS, GA 31904 | AFLAC | $13 | — | $13 | 0.05% |
| TERI MAYNARD3 Filed as: TERI A MAYNARD | 1234 CALIFORNIA DR MURFREESBORO, TN 37129 | AFLAC | $13 | — | $13 | 0.05% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS GUNTER VAUGHN INSURANCE INC | 1117 THOMASVILLE RD TALLAHASSEE, FL 32303 | AFLAC | $12 | — | $12 | 0.05% |
| DAVID SPRINGER3 Filed as: DAVID LEE CORBIN | 2580-4 CARE DRIVE TALLAHASSEE, FL 32308 | AFLAC | $12 | — | $12 | 0.05% |
| WILLIAM R REGISTER3 | PO BOX 2386 THOMASVILLE, GA 31799 | AFLAC | $11 | — | $11 | 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 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $11 | — | $11 | 0.04% |
| ROBERT L GOBLE3 | 1410 4TH STREET DR NW UNIT 208 HICKORY, NC 28601 | AFLAC | $9 | — | $9 | 0.04% |
| ALAN W FOSTER3 | 716 FRENCH RIVER RD NOLENSVILLE, TN 37135 | AFLAC | $8 | — | $8 | 0.03% |
| JIMMY LEON JOHNSON3 | 1005 BELLA VISTA BLVD APT 119 ST AUGUSTINE, FL 32084 | AFLAC | $8 | — | $8 | 0.03% |
| DAVID K MOBLEY3 | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $6 | — | $6 | 0.02% |
| JEFFREY M SINTAY3 Filed as: JEFFREY SINTAY | 1972 ALCOVA RIDGE DR LAS VEGAS, NV 89135 | AFLAC | $4 | — | $4 | 0.02% |
| BRENT L GOODE3 | 2000 GLENN ECHO RD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $3 | — | $3 | 0.01% |
| MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $3 | — | $3 | 0.01% |
| AARON ANTHONY3 | 1700 FOUNTAIN CT APT 1303 COLUMBUS, GA 31904 | AFLAC | $3 | — | $3 | 0.01% |
| NOLAN DOYLE MCCUE3 | 5421 N MOUNT JULIET RD STE 2201A MOUNT JULIET, TN 37122 | AFLAC | $2 | — | $2 | 0.01% |
| JOEY C ADAMS3 | PO BOX 729 OCALA, FL 34478 | AFLAC | $2 | — | $2 | 0.01% |
| PAMELA W EZZELL3 Filed as: PAMELA EZZELL | 4066 HIGHLAND RIDGE RD BIRMINGHAM, AL 35242 | AFLAC | $2 | — | $2 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INC OF TALLAHASSEE | 3520 THOMASVILLE RD STE 500 TALLAHASSEE, FL 32309 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES R MIRABELLI3 | 21426 GOSIER WAY BOCA RATON, FL 33428 | AFLAC | $1 | — | $1 | 0.00% |
| JAY S OLEARY3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $1 | — | $1 | 0.00% |
| JOSEPH LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $1 | — | $1 | 0.00% |
| CECIL T SALMON3 | 95 EDWARD DR PALM COAST, FL 32164 | AFLAC | $1 | — | $1 | 0.00% |
| VICKI M DICKERT3 | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $1 | — | $1 | 0.00% |
| BETH LUANNE KIMBROUGH3 | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $0 | — | $0 | 0.00% |
| JAMES (JAY) GRIMES3 Filed as: JAMES R HARRIS | 6329 RIVERMONT CT COLUMBUS, GA 31904 | AFLAC | $0 | — | $0 | 0.00% |
| OMER S BASS IV3 | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $0 | — | $0 | 0.00% |
| KIMBERLY MURRAY3 Filed as: KIMBERLY N MURRAY | 8530 WOODLANE DR GERMANTOWN, TN 38138 | AFLAC | $0 | — | $0 | 0.00% |
| AMY B CITRON3 | 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 | $577 | — | $577 | 9.99% |
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 | 136 | 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) | 136 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNION SECURITY INSURANCE COMPANY | 123 | $240K |
| Vision | ADVANTICA REINSURANCE COMPANY | 68 | $6K |
| Life insurance(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 123 | $265K |
| Short-term disability | AFLAC | 36 | $25K |
| Long-term disability | UNION SECURITY INSURANCE COMPANY | 123 | $240K |
| Other(4 contracts, 4 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 123 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 123 | — |
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.