| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KENNETH STEVENSON3 | P.O. BOX 12039 TALLAHASSEE, FL 32317 | CAPITAL HEALTH PLAN | $18K | — | $18K | 2.06% |
| WHITNEY MARTIN3 | 3101 SESSIONS RD, STE 200 TALLAHASSEE, FL 32302 | CAPITAL HEALTH PLAN | $6K | — | $6K | 0.70% |
| EARL BACON AGENCY INC3 Filed as: EARL BACON AGENCY, INC | 3131 LONNBLADH RD TALLAHASSEE, FL 323084255 | BLUE CROSS BLUE SHIELD OF FLORIDA | $18K | — | $18K | 2.64% |
| FBMCBENEFITS MANAGEMENT, INC3 | 3101 SESSION RD TALLAHASSEE, FL 323032874 | BLUE CROSS BLUE SHIELD OF FLORIDA | $9K | — | $9K | 1.36% |
| EARL BACON AGENCY INC3 | P O BOX 12039 TALLAHASSEE, FL 32317 | UNION SECURITY INSURANCE COMPANY | $13K | — | $13K | 4.91% |
| FBMC BENEFITS MANAGEMENT INC3 Filed as: FBMC BENEFITS MANAGEMENT, INC | P.O. BOX 1878 TALLAHASSEE, FL 32302 | UNION SECURITY INSURANCE COMPANY | $3K | — | $3K | 1.18% |
| EARL BACON AGENCY INC3 Filed as: EARL BACON AGENCY, INC. | 3131 LONNBLADH RD TALLAHASSEE, FL 32308 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 14.86% |
| MIRIAM C WATKINS3 Filed as: MIRIAM C. WATKINS | 3456 EXMOUTH LANE TALLAHASSEE, FL 32317 | AFLAC | $2K | $51 | $2K | 8.88% |
| EARL BACON AGENCY INC3 Filed as: EARL BACON AGENCY, INC | P.O. BOX 12039 TALLAHASSEE, FL 32317 | AFLAC | $498 | — | $498 | 2.04% |
| MEREDITH K SCHAEFER3 | 1011 HARBERT STREET TALLAHASSEE, FL 32303 | AFLAC | $473 | — | $473 | 1.93% |
| ASSURANCE AGENCY LTD3 Filed as: CROSS ASSURANCE GROUP, INC | 3370 CAPITAL CIRCLE NE STE G TALLAHASSEE, FL 32308 | AFLAC | $392 | $0 | $392 | 1.60% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 E PIEDMONT DR STE 101B TALLAHASSEE, FL 32308 | AFLAC | $290 | $11 | $301 | 1.23% |
| J C ADAMS INC3 Filed as: JC ADAMS, INC | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $123 | — | $123 | 0.50% |
| GSL MARKETING INC3 Filed as: GSL MARKETING, INC | PO BOX 358198 GAINSVILLE, FL 32635 | AFLAC | $108 | — | $108 | 0.44% |
| MICHAEL D MENNE3 | 1234 CALIFORNIA DR MURFREESBORO, TN 37129 | AFLAC | $65 | — | $65 | 0.27% |
| LEO P TISA3 | PO BOX 898 NICEVILLE, FL 32588 | AFLAC | $63 | — | $63 | 0.26% |
| DAVID B EZZELL3 | 2947 CHERRY BARK CT HERMITAGE, TN 37076 | AFLAC | $55 | — | $55 | 0.22% |
| AMY GREEN3 Filed as: AMY F GREEN | 606 E 45TH ST SAVANNAH, GA 31405 | AFLAC | $42 | — | $42 | 0.17% |
| ADAINA REDMON3 | 382 E GLENN RD MONTICELLO, FL 32344 | AFLAC | $34 | — | $34 | 0.14% |
| STEVEN L PETTIT3 | 3301 W WILLOW KNOLLS DR APT 7 PEORIA, IL 61614 | AFLAC | $34 | — | $34 | 0.14% |
| DANIEL S ADAMS3 | 3857 SCOTT CHURCH ROAD MARIANNA, FL 32448 | AFLAC | $33 | — | $33 | 0.13% |
| KANDI M MCINTYRE3 | 2000 MALLORY LANE STE 130-378 FRANKLIN, TN 37067 | AFLAC | $31 | — | $31 | 0.13% |
| ERIN L KIRKLAND3 | 1775 PINE PARK ROAD CAIRO, GA 39828 | AFLAC | $30 | — | $30 | 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 | $26 | — | $26 | 0.11% |
| ANNE M RASMUSSEN3 | PO BOX 11128 ALBUQUERQUE, NM 87192 | AFLAC | $25 | — | $25 | 0.10% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DRIVE LAFAYETTE, LA 70508 | AFLAC | $23 | — | $23 | 0.09% |
| 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 | $23 | — | $23 | 0.09% |
| PHILIP HARVEY YOUNG3 | 1926 CELTIC RD TALLAHASSEE, FL 32317 | AFLAC | $21 | — | $21 | 0.09% |
| 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 | 0.07% |
| 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% |
| DAVID SPRINGER3 Filed as: DAVID LEE CORBIN | 9134 EAGLES RIDGE DR TALLAHASSEE, FL 32312 | AFLAC | $12 | — | $12 | 0.05% |
| JANICE REGISTER3 | PO BOX 95 GREENSBORO, GA 32330 | 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% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1117 THOMASVILLE ROAD TALLAHASSEE, FL 32303 | AFLAC | $9 | — | $9 | 0.04% |
| ROBERT L GOBLE3 | 1410 4TH STREET DR NW UNIT 208 HICKORY, NC 28601 | AFLAC | $9 | — | $9 | 0.04% |
| JONATHAN LEWIS BAZELL3 | 311 W TREEHOUSE LN ROUND LAKE, IL 60073 | AFLAC | $8 | — | $8 | 0.03% |
| JIMMY LEON JOHNSON3 | 1005 BELLA VISTA BLVD APT 119 ST AUGUSTINE, FL 32084 | AFLAC | $7 | — | $7 | 0.03% |
| ALAN W FOSTER3 | 716 FRENCH RIVER RD NOLENSVILLE, TN 37135 | AFLAC | $6 | — | $6 | 0.02% |
| DAVID K MOBLEY3 | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $6 | — | $6 | 0.02% |
| MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $5 | — | $5 | 0.02% |
| BRENT L GOODE3 | 2000 GLENN ECHO RD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $3 | — | $3 | 0.01% |
| JEFFREY M SINTAY3 Filed as: JEFFREY SINTAY | 2686 S RAINBOW BLVD STE 200 LAS VEGAS, NV 89146 | AFLAC | $2 | — | $2 | 0.01% |
| AARON ANTHONY3 | 1700 FOUNTAIN CT APT 1303 COLUMBUS, GA 31904 | 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 | 2947 CHERRY BARK CT HERMITAGE, TN 37076 | AFLAC | $2 | — | $2 | 0.01% |
| JAMES R MIRABELLI3 | 801 BRINY AVE APT 1403 POMPANO BEACH, FL 33062 | AFLAC | $1 | — | $1 | 0.00% |
| JAY S OLEARY3 | 1802 EAVES CT NOLENSVILLE, TN 37135 | 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% |
| JAMES (JAY) GRIMES3 Filed as: JAMES R HARRIS | 6329 RIVERMONT CT COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 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 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $889 | — | $889 | 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 | 134 | 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) | 134 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNION SECURITY INSURANCE COMPANY | 134 | $267K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 61 | $9K |
| Life insurance(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 134 | $291K |
| Short-term disability | AFLAC | 36 | $24K |
| Long-term disability | UNION SECURITY INSURANCE COMPANY | 134 | $267K |
| Other(4 contracts, 4 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 134 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 134 | — |
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.