| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL INCORPORATED | 1200 PLANTATION ISLAND DRIVE S STE 210 ST AUGUSTINE, FL 32080 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | $4K | — | $4K | 3.09% |
| WILLIAM PATRICK DOSTALER3 Filed as: WILLIAM TRAVIS CUMMINGS | 8833 PERIMETER PARK BLVD SUITE 703 JACKSONVILLE, FL 32216 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | $2K | $2K | $4K | 2.55% |
| HAUGHT FINANCIAL GRP INC3 Filed as: HAUGHT FINANCIAL GROUP INC | P. O. BOX 3158 PONTE VEDRA BEACH, FL 32004 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | $2K | — | $2K | 1.38% |
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL INCORPORATED | 1200 PLANTATION ISLAND DRIVE S STE 210 ST AUGUSTINE, FL 32080 | STANDARD INSURANCE COMPANY | $6K | $0 | $6K | 11.49% |
| HAUGHT FINANCIAL GRP INC3 Filed as: HAUGHT FINANCIAL GROUP INC | P. O. BOX 3158 PONTE VEDRA BEACH, FL 32004 | STANDARD INSURANCE COMPANY | $945 | $0 | $945 | 1.79% |
| HEIDI HANSEN3 | 12 FOX VALLEY DR ORANGE PARK, FL 32073 | AFLAC | $2K | $232 | $2K | 9.71% |
| HAUGHT FINANCIAL GRP INC3 Filed as: HAUGHT FINANCIAL GROUP INC | P. O. BOX 3158 PONTE VEDRA BEACH, FL 32004 | AFLAC | $891 | — | $891 | 4.25% |
| BAYNASH & ASSOC3 | 10175 FORTUNE PKWY UNIT 604 JACKSONVILLE, FL 32256 | AFLAC | $217 | $0 | $217 | 1.03% |
| SHADEL & ASSOCIATES LLC3 | 4811 BEACH BLVD STE 107 JACKSONVILLE, FL 32207 | AFLAC | $196 | $0 | $196 | 0.93% |
| TRACI R BATTEN3 Filed as: TRACI BATTEN | 5009 HIGH POINT RD SUITE 201 GREENSBORO, NC 27407 | AFLAC | $140 | $46 | $186 | 0.89% |
| ASHLEY CROOK3 | 111 DAUPHIN ST MOBILE, AL 36602 | AFLAC | $141 | $0 | $141 | 0.67% |
| JAMEY MILLER INC3 | 4811 BEACH BLVD STE 107 JACKSONVILLE, FL 32207 | AFLAC | $31 | $46 | $77 | 0.37% |
| THOMAS JAMES OLLER3 Filed as: THOMAS OLLER | 49 SWIMMING PEN DR MIDDLEBURG, FL 32068 | AFLAC | $66 | $0 | $66 | 0.31% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $65 | $0 | $65 | 0.31% |
| SUZANNE STEINER3 | 5905 LUKE LANE FLAGLER BEACH, FL 32136 | AFLAC | $36 | $0 | $36 | 0.17% |
| JENNIE MOORE HAWKINS3 Filed as: JENNIE M HAWKINS INC | 3930 S NOVA RD STE 201 PORT ORANGE, FL 32127 | AFLAC | $17 | $0 | $17 | 0.08% |
| ROBERT L TRAPNELL JR3 Filed as: ROBERT TRAPNELL JR | 19 N INDIAN RIVER DR APT 701 COCOA, FL 32922 | AFLAC | $11 | $0 | $11 | 0.05% |
| JAMES R MIRABELLI3 Filed as: JAMES MIRABELLI | 99 SW MIZNER BLVD APT 843 BOCA RATON, FL 33432 | AFLAC | $7 | $3 | $10 | 0.05% |
| J W GRIMES INC3 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $7 | $0 | $7 | 0.03% |
| CECIL T SALMON3 Filed as: CECIL SALMON | 95 EDWARD DR PALM COAST, FL 32164 | AFLAC | $2 | $3 | $5 | 0.02% |
| OMER S BASS IV3 Filed as: OMER BASS IV | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $0 | $0 | $0 | 0.00% |
| MARK C LEE3 Filed as: MARK LEE | 1444 SOUTH 17TH ST WILMINGTON, NC 28401 | AFLAC | $0 | $0 | $0 | 0.00% |
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL INCORPORATED | 1200 PLANTATION ISLAND DRIVE S STE 210 ST AUGUSTINE, FL 32080 | HUMANA | $675 | $0 | $675 | 9.44% |
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 | 22 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 145 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 21 | $141K |
| Dental | STANDARD INSURANCE COMPANY | 140 | $53K |
| Vision | HUMANA | 54 | $7K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 140 | $74K |
| Short-term disability | AFLAC | 69 | $21K |
| Other | AFLAC | 69 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 140 | — |
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.