| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TEABERRY BENEFIT ANALYSTS LLC3 | 2655 ULMERTON RD #283 CLEARWATER, FL 337623337 | UNITED HEALTHCARE INSURANCE COMPANY | — | $79K | $79K | 5.83% |
| TEABERRY BENEFIT ANALYSTS LLC3 | 19201 VISTA LN UNIT D10 INDIAN SHORES, FL 33785 | HUMANA INSURANCE COMPANY | $4K | — | $4K | 9.25% |
| JAN HAMBY ALDAMUY3 | 417 137TH ST NE BRADENTON, FL 34212 | AFLAC | $1K | $58 | $1K | 2.63% |
| LEE STEWART HOFFMAN3 | 20214 HERITAGE POINT DR TAMPA, FL 33647 | AFLAC | $1K | $64 | $1K | 2.53% |
| HUMBERT ALDAMUY JR3 | 16203 MUIRFIELD DR ODESSA, FL 33556 | AFLAC | $458 | — | $458 | 1.08% |
| KATHRYN SUZANNE AXENTE3 | 7020 PELICAN ISLAND DR TAMPA, FL 33634 | AFLAC | $341 | — | $341 | 0.80% |
| JAMIE PITTNER3 Filed as: JAMIE M PITTNER | 2749 BURNING TREE LN CLEARWATER, FL 33761 | AFLAC | $122 | $27 | $149 | 0.35% |
| LANCE SHNIDER3 Filed as: LANCE V SHNIDER | 401 E OGLETHORPE AVE APT 1114 SAVANNAH, GA 31401 | AFLAC | $122 | $15 | $137 | 0.32% |
| BARBARA SUSAN HOFFMAN3 | 20214 HERITAGE POINT DR TAMPA, FL 33647 | AFLAC | $102 | $6 | $108 | 0.25% |
| CHRISTOPHER W GRAHAM3 Filed as: CHRISTOPHER LEE | 759 FEDERAL HWY STE 218 STUART, FL 34994 | AFLAC | $73 | $12 | $85 | 0.20% |
| LUPIE TONIE GUERRERO3 | 1403 BIRCHWOOD LN MELISSA, TX 75454 | AFLAC | $79 | — | $79 | 0.19% |
| NICOLE LYNN RIHANEK3 | 5535 NIGHT OWL TER PALMETTO, FL 34221 | AFLAC | $74 | — | $74 | 0.17% |
| BRYON L GROVE3 | 494 ORANGE ST PALM HARBOR, FL 34683 | AFLAC | $52 | — | $52 | 0.12% |
| SCOTT D HAWKINS INC3 Filed as: SCOTT HAWKINS | 3216 MEDICI BLVD NEW SMYRNA, FL 32168 | AFLAC | $48 | — | $48 | 0.11% |
| MARY TERESA DAVIS3 Filed as: MARY TERESA SCULLY | 2751 CHALLENGER DR PALM HARBOR, FL 34683 | AFLAC | $44 | — | $44 | 0.10% |
| DEREK W STRANGE3 | 26 TROTTERS WALK NE CARTERSVILLE, GA 30121 | AFLAC | $42 | — | $42 | 0.10% |
| ANGELICA SAMANIEGO3 | 792 N STEELE DR HAMPTON, GA 30228 | AFLAC | $41 | — | $41 | 0.10% |
| CHRISTOPHER W GRAHAM3 | 2 CHASE CORPORATE DR STE 460 HOOVER, AL 35244 | AFLAC | $40 | — | $40 | 0.09% |
| SUSAN L O'CONNOR3 | 3530 SAM ALLEN OAKS CIR PLANT CITY, FL 33565 | AFLAC | $35 | — | $35 | 0.08% |
| CLEAR LIGHT SERVICES LLC3 | 2751 CHALLENGER DR PALM HARBOR, FL 34683 | AFLAC | $26 | — | $26 | 0.06% |
| JENNIE MOORE HAWKINS3 | 4215 S RIDGEWOOD AVE STE 104 PORT ORANGE, FL 32127 | AFLAC | $26 | — | $26 | 0.06% |
| LINDA J MCCOY3 | 509 PINE ST PALMETTO, GA 30268 | AFLAC | $25 | — | $25 | 0.06% |
| JAMES SMITH3 Filed as: JAMES B SMITH | 2908 TIMEWINDER WAY COLUMBIA, TN 38401 | AFLAC | $23 | — | $23 | 0.05% |
| THOMAS D BAXTER3 | PO BOX 603 SUNNY SIDE, GA 30284 | AFLAC | $22 | — | $22 | 0.05% |
| JUDY M BIRD3 | 1905 RICHLAND LN DALTON, GA 30720 | AFLAC | $21 | — | $21 | 0.05% |
| CATHERINE L LEE3 | 10 NUN ST WILMINGTON, NC 28401 | AFLAC | $18 | — | $18 | 0.04% |
| KAREN D SHATTUCK3 | 1040 SOUSA CT SPARTANBURG, SC 29307 | AFLAC | $17 | — | $17 | 0.04% |
| JEFFREY GLENN YARISH3 | 8575 SUNSET CT TREASURE ISLAND, FL 33706 | AFLAC | $17 | — | $17 | 0.04% |
| JEFFREY B HAWKINS3 | 3930 S NOVA RD STE 203B PORT ORANGE, FL 32127 | AFLAC | $14 | — | $14 | 0.03% |
| JESSICA RAE ESKEW3 | 10426 SPRINGROSE DR STE 140 TAMPA, FL 33626 | AFLAC | $13 | — | $13 | 0.03% |
| MARY REBECCA WEATHERLY3 | 273 WILLIAMSBURG DR MT WASHINGTON, KY 40047 | AFLAC | $13 | — | $13 | 0.03% |
| DONNA N THOMAS3 | 71 MONTROSE LN SHARPSBURG, GA 30277 | AFLAC | $13 | — | $13 | 0.03% |
| DH2 ENTERPRISES INC3 | 13313 FALCON POINTE DR ORLANDO, FL 32837 | AFLAC | $12 | — | $12 | 0.03% |
| ANDY B GLENN II3 | 2999 DOUGLAS BLVD SUIE 180 ROSEVILLE, CA 95661 | AFLAC | $11 | — | $11 | 0.03% |
| SUSAN C BRIMHALL3 | PO BOX 8 LAKE PLACID, NY 12946 | AFLAC | $3 | — | $3 | 0.01% |
| JOYCE WEBER ENTERPRISES INC3 | 13313 FALCON POINTE DR ORLANDO, FL 32837 | AFLAC | $3 | — | $3 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: MARIA FE ARLENE BROWN | 1086 RIVER OAKS BLVD LEBANON, TN 37090 | AFLAC | $3 | — | $3 | 0.01% |
| MITCHELL KOGGE3 | 5732 TORTOISE PL APOLLO BEACH, FL 33572 | AFLAC | $2 | — | $2 | 0.00% |
| JERRY R MAUREY3 | 34401 SMART DR ZEPHYRHILLS, FL 33541 | AFLAC | $2 | — | $2 | 0.00% |
| MKF & ASSOCIATES INC3 | 4222 MARDEN WAY VESTAVIA, AL 35242 | AFLAC | $2 | — | $2 | 0.00% |
| MICHAEL R REBER3 | 20101 HERON CROSSING DR TAMPA, FL 33647 | AFLAC | $2 | — | $2 | 0.00% |
| MILLAN B TERRELL3 | 1299 BATTLECREEK RD STE 240 JONESBORO, GA 30236 | AFLAC | $2 | — | $2 | 0.00% |
| DUSTIN ROBERT JOHNSON3 | 58 MODA LN ATLANTA, GA 30316 | AFLAC | $1 | — | $1 | 0.00% |
| TARRAH SMITHSON3 Filed as: TARRAH L SMITHSON | 2145 SAULS PL ALPHARETTA, GA 30004 | AFLAC | $1 | — | $1 | 0.00% |
| TRAVIS L WILLEY3 | 2023 SANDSTONE LOOP N SARTELL, MN 56377 | AFLAC | $1 | — | $1 | 0.00% |
| SCOTTI MADISON3 | 3330 COBB PKWY NW STE 324-3 ACWORTH, GA 30101 | AFLAC | $1 | — | $1 | 0.00% |
| STEPHEN GRAZIANO3 | 3850 LEE RD 246 SMITHS STATION, AL 36877 | AFLAC | $1 | — | $1 | 0.00% |
| STEVEN VORDERLANDWEHR3 | 1018 HIGHGROVE DR MONROE, GA 30655 | AFLAC | $1 | — | $1 | 0.00% |
| PATRICIA ANNE REILLY3 | 269 E LONG CREEK CV LONGWOOD, FL 32750 | AFLAC | $0 | — | $0 | 0.00% |
| SARAH CADY3 | 123 STONE GABLE CIR WINTER SPRINGS, FL 32708 | AFLAC | $0 | — | $0 | 0.00% |
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 | 132 | 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) | 132 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 109 | $1.4M |
| Dental | HUMANA INSURANCE COMPANY | 132 | $47K |
| Vision | HUMANA INSURANCE COMPANY | 132 | $47K |
| Life insurance | AFLAC | 56 | $42K |
| Other | AFLAC | 56 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 132 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.