| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| N FL BROKER SOLUTIONS | 1550 HARRINGTON PARK DRIVE JACKSONVILLE, FL 32225 | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | $102 | — | $102 | 3.26% |
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: HUB INTERNATIONAL MIDWEST | 2811 NW 41ST ST STE A GAINESVILLE, FL 32606 | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | $98 | $3 | $101 | 3.22% |
| JASON ANDREW BAILY | 2975 SE 36TH ST OCALA, FL 34471 | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | $1 | $72 | $73 | 2.33% |
| CHARLES LEE HETHER | 12 COURTYARD CMN HILTON HEAD ISLAND, SC 29926 | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | $1 | $62 | $63 | 2.01% |
| JAYME BAILY | 2975 SE 36TH ST OCALA, FL 34471 | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | $14 | $47 | $61 | 1.95% |
| JESSE DUANE DAVIS | 2164 UNITY TRAIL NW MARIETTA, GA 30064 | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | $25 | — | $25 | 0.80% |
| SCARBOROUGH COMPANY INS INC Filed as: SCARBOROUGH CO INS INC | 2811 NW 41ST ST STE A GAINESVILLE, FL 32606 | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | $14 | — | $14 | 0.45% |
| ELIZABETH ANN FELL | 1550 HARRINGTON PARK DRIVE JACKSONVILLE, FL 32225 | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | $8 | — | $8 | 0.26% |
| ALLISON JAMIE TAMARES | 9041 COUNTRY MILL LANE JACKSONVILLE, FL 32222 | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | $6 | — | $6 | 0.19% |
| PATRICIA DUNCAN | 520 WHEATFIELD RD. FRANKLIN, NC 28734 | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | $3 | — | $3 | 0.10% |
| ALYSON MARIE MCMAHON | 2127 GRASSY BASIN CT. JACKSONVILLE, FL 32224 | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | $2 | — | $2 | 0.06% |
| CAPTURED MOMENTS BY KATE LLC Filed as: CAPTURED MOMENTS BY KATE | 8074 GATE PARKWAY WEST JACKSONVILLE, FL 32216 | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | $1 | $1 | $2 | 0.06% |
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 | 2 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | 2 | $3K |
| Short-term disability | COLONIAL LIFE ACCIDENT AND INSURANCE COMPANY | 2 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.