| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAN HAMBY ALDAMUY3 | 16203 MUIRFIELD DRIVE ODESSA, FL 33556 | AFLAC | $4K | $228 | $4K | 5.53% |
| LEE STEWART HOFFMAN3 | 20214 HERITAGE POINT DR TAMPA, FL 33647 | AFLAC | $3K | $90 | $3K | 3.34% |
| HUMBERT ALDAMUY JR3 | 16203 MUIRFIELD DRIVE ODESSA, FL 33556 | AFLAC | $1K | $179 | $2K | 1.98% |
| KATHRYN SUZANNE AXENTE3 | 500 N WEST SHORE BLVD STE 1015 TAMPA, FL 33609 | AFLAC | $1K | $88 | $1K | 1.64% |
| BARBARA SUSAN HOFFMAN3 | 20214 HERITAGE POINT DR TAMPA, FL 33647 | AFLAC | $976 | $29 | $1K | 1.26% |
| DEREK RIHANEK3 | 9895 ERMA RD UNIT 308 SAN DIEGO, CA 92131 | AFLAC | $315 | — | $315 | 0.40% |
| NICOLE LYNN RIHANEK3 | 9895 ERMA RD UNIT 308 SAN DIEGO, CA 92131 | AFLAC | $294 | — | $294 | 0.37% |
| LINDA J MCCOY3 | 509 PINE ST PALMETTO, GA 30268 | AFLAC | $269 | $24 | $293 | 0.37% |
| CHRISTOPHER GRAHAM3 | 4200 MCFARLAND BLVD UNIT 432 NORTH PORT, AL 35476 | AFLAC | $210 | — | $210 | 0.26% |
| ISABEL GARCIA FARNHAM3 | 12144 ROCK DUCK AVE WEEKI WACHEE, FL 34614 | AFLAC | $167 | — | $167 | 0.21% |
| LUPIE TONIE GUERRERO3 | 804 KINGS ROW COHUTTA, GA 30710 | AFLAC | $162 | — | $162 | 0.20% |
| DEREK W STRANGE3 | PO BOX 200275 CARTERSVILLE, GA 30120 | AFLAC | $87 | — | $87 | 0.11% |
| DONNA N THOMAS3 | 71 MONTROSE LN SHARPSBURG, GA 30277 | AFLAC | $82 | $5 | $87 | 0.11% |
| SUSAN L O'CONNOR3 | 3433 LITHIA PINCREST RD SUITE 294 VALRICO, FL 33596 | AFLAC | $82 | — | $82 | 0.10% |
| JEFFREY GLENN YARISH3 | 16122 ARMISTEAD LN ODESSA, FL 33556 | AFLAC | $54 | — | $54 | 0.07% |
| ANDY B GLENN II3 | 100 HARTSFIELD CENTER PKWY STE 500 ATLANTA, GA 30354 | AFLAC | $48 | $5 | $53 | 0.07% |
| CATHERINE L LEE3 Filed as: CATHERINE LEE | 10 NUN ST WILMINGTON, NC 28401 | AFLAC | $49 | — | $49 | 0.06% |
| JUDY M BIRD3 | 1905 RICHLAND LN DALTON, GA 30720 | AFLAC | $43 | — | $43 | 0.05% |
| MARY REBECCA WEATHERLY3 | 1934 LEEWYNN DRIVE SARASOTA, FL 34240 | AFLAC | $36 | — | $36 | 0.05% |
| JESSICA RAE ESKEW3 | 10426 SPRINGROSE DR TAMPA, FL 33626 | AFLAC | $36 | — | $36 | 0.05% |
| SCOTT D HAWKINS INC3 Filed as: SCOTT D HAWKINS | 3216 MEDICI BLVD NEW SMYRNA, FL 32168 | AFLAC | $34 | — | $34 | 0.04% |
| JERRY R MAUREY3 | 34401 SMART DR ZEPHYRHILLS, FL 33541 | AFLAC | $26 | — | $26 | 0.03% |
| MICHAEL R REBER3 | 20101 HERON CROSSING DR TAMPA, FL 33647 | AFLAC | $20 | — | $20 | 0.03% |
| BARTLEIN AND ASSOC INC3 | 5577 BROADCAST COURT SARASOTA, FL 34240 | AFLAC | $14 | — | $14 | 0.02% |
| DH2 ENTERPRISES INC3 | 13313 FALCON POINTE DR ORLANDO, FL 32837 | AFLAC | $11 | — | $11 | 0.01% |
| ZORAIDA VELEZ3 | 11835 CASSANDRA ST. UNIT 201 NEW PORT RICHEY, FL 34654 | AFLAC | $10 | — | $10 | 0.01% |
| JENNIE MOORE HAWKINS3 | 3930 S NOVA RD STE 201 PORT ORANGE, FL 32127 | AFLAC | $6 | — | $6 | 0.01% |
| JEFFREY B HAWKINS3 | 3930 S NOVA RD STE 201 PORT ORANGE, FL 32127 | AFLAC | $5 | — | $5 | 0.01% |
| SUSAN C BRIMHALL3 | 3921 CAPE SAN BLAS RD PORT SAINT JOE, FL 32456 | AFLAC | $3 | — | $3 | 0.00% |
| DUSTIN ROBERT JOHNSON3 | 50 HURT PLZ SE STE 995 ATLANTA, GA 30303 | AFLAC | $3 | — | $3 | 0.00% |
| JOYCE WEBER ENTERPRISES INC3 | 13313 FALCON POINTE DR ORLANDO, FL 32837 | AFLAC | $3 | — | $3 | 0.00% |
| TARRAH SMITHSON3 Filed as: TARRAH L SMITHSON | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $3 | — | $3 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: MARIA FE ARLENE BROWN | 183 EDGEWOOD DR HENDERSONVILLE, TN 37075 | AFLAC | $2 | — | $2 | 0.00% |
| MKF & ASSOCIATES INC3 | 4505 PINE TREE CIR STE 201 BIRMINGHAM, AL 35243 | AFLAC | $2 | — | $2 | 0.00% |
| SCOTTI MADISON3 | 3330 COBB PARKWAY SUITE 324-3 ACWORTH, GA 30101 | AFLAC | $2 | — | $2 | 0.00% |
| STEVEN VORDERLANDWEHR3 | 1599 AMHEARST MILL DR LAWRENCEVILLE, GA 30043 | AFLAC | $2 | — | $2 | 0.00% |
| JENNIFER B MOREHEAD3 | 13412 WHITBY RD HUDSON, FL 34687 | AFLAC | $1 | — | $1 | 0.00% |
| STEVEN VORDERLANDWEHR3 | 1242 HADAWAY TRL LAWRENCEVILLE, GA 30043 | AFLAC | $0 | — | $0 | 0.00% |
| PATRICIA ANNE REILLY3 Filed as: PATRICIA ALMOND | 3964 JOURNEY CT CASSELBERRY, FL 32707 | AFLAC | $0 | — | $0 | 0.00% |
| SARAH CADY3 | 123 STONE GABLE CIR WINTER SPRINGS, FL 32708 | AFLAC | $0 | — | $0 | 0.00% |
| PARTICIA ALMOND3 | PO BOX 150804 ALTAMONTE SPRINGS, FL 32715 | AFLAC | $0 | — | $0 | 0.00% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INSURANCE, INC | STE 200 12725 MORRIS RD EXT ALPHARETTA, GA 300043874 | HUMANA INSURANCE COMPANY | $4K | $496 | $4K | 10.31% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| REBSAMEN INSURANCE INC BROKER | Insurance agents and brokers Service code 22 | REGIONS INSURANCE DEPT 268 PO BOX 11407 BIRMINGHAM, AL 35246 | $45K |
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 | 245 | 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) | 245 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HUMANA INSURANCE COMPANY | 152 | $43K |
| Vision | HUMANA INSURANCE COMPANY | 152 | $43K |
| Life insurance | AFLAC | 157 | $80K |
| Other | AFLAC | 157 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 245 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.