| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAN HAMBY ALDAMUY3 Filed as: JAN ALDAMUY | 16203 MUIRFIELD DRIVE ODESSA, FL 33556 | AFLAC | $8K | $309 | $9K | 9.45% |
| LEE STEWART HOFFMAN3 Filed as: LEE HOFFMAN | 20214 HERITAGE POINT DR TAMPA, FL 33647 | AFLAC | $4K | $60 | $4K | 4.17% |
| KATHRYN AXENTE3 | 500 N WEST SHORE BLVD STE 1015 TAMPA, FL 33609 | AFLAC | $901 | $32 | $933 | 1.03% |
| NICOLE LYNN RIHANEK3 Filed as: NICOLE RIHANEK | 2311 MID LN APT 901 HOUSTON, TX 77027 | AFLAC | $884 | $46 | $930 | 1.03% |
| CHRISTOPHER GRAHAM3 | 4200 MCFARLAND BLVD UNIT 432 NORTHPORT, AL 35476 | AFLAC | $585 | $46 | $631 | 0.70% |
| SCOTT D HAWKINS INC3 Filed as: SCOTT HAWKINS | 3216 MEDICI BLVD NEW SMYRNA, FL 32168 | AFLAC | $608 | $16 | $624 | 0.69% |
| BARBARA SUSAN HOFFMAN3 Filed as: BARBARA HOFFMAN | 20214 HERITAGE POINT DR TAMPA, FL 33647 | AFLAC | $403 | $68 | $471 | 0.52% |
| SUSAN L O'CONNOR3 Filed as: SUSAN O'CONNOR | 3433 LITHIA PINECREST RD STE 294 VALRICO, FL 33596 | AFLAC | $465 | $4 | $469 | 0.52% |
| CATHERINE L LEE3 Filed as: CATHERINE LEE | 10 NUN ST WILMINGTON, NC 28401 | AFLAC | $289 | $4 | $293 | 0.32% |
| JAY KAMINSKY3 | 6840 12TH AVE N STE 520 SAINT PETERSBURG, FL 33710 | AFLAC | $250 | — | $250 | 0.28% |
| MATTHEW SHANE STRONG3 Filed as: MATTHEW STRONG | 5628 SKINNER DR. APOLLO BEACH, FL 33572 | AFLAC | $177 | — | $177 | 0.20% |
| LUPIE TONIE GUERRERO3 Filed as: LUPIE GUERRERO | 804 KINGS ROW COHUTTA, GA 30710 | AFLAC | $175 | — | $175 | 0.19% |
| DEREK RIHANEK3 | 2311 MID LN APT 901 HOUSTON, TX 77027 | AFLAC | $104 | $20 | $124 | 0.14% |
| JENNIE HAWKINS3 | 3930 S NOVA RD STE 201 PORT ORANGE, FL 32127 | AFLAC | $114 | $3 | $117 | 0.13% |
| LINDA MCCOY3 | 509 PINE ST PALMETTO, GA 30268 | AFLAC | $93 | $22 | $115 | 0.13% |
| DEREK W STRANGE3 Filed as: DEREK STRANGE | PO BOX 200275 CARTERSVILLE, GA 30120 | AFLAC | $94 | — | $94 | 0.10% |
| JEFFREY B HAWKINS3 Filed as: JEFFREY HAWKINS | 244 S WOODLAND BLVD STE B DELAND, FL 32720 | AFLAC | $83 | $3 | $86 | 0.09% |
| ISABEL GARCIA FARNHAM3 Filed as: ISABEL FARNHAM | 12144 ROCK DUCK AVE WEEKI WACHEE, FL 34614 | AFLAC | $74 | — | $74 | 0.08% |
| JEFFREY GLENN YARISH3 Filed as: JEFFREY YARISH | 16122 ARMISTEAD LN ODESSA, FL 33556 | AFLAC | $52 | — | $52 | 0.06% |
| DONNA N THOMAS3 Filed as: DONNA THOMAS | 71 MONTROSE LN SHARPSBURG, GA 30277 | AFLAC | $44 | $4 | $48 | 0.05% |
| JUDY M BIRD3 Filed as: JUDY BIRD | 1905 RICHLAND LN DALTON, GA 30720 | AFLAC | $46 | — | $46 | 0.05% |
| MARY REBECCA WEATHERLY3 Filed as: MARY WEATHERLY | 1934 LEEWYNN DRIVE SARASOTA, FL 34240 | AFLAC | $35 | — | $35 | 0.04% |
| JESSICA ESKEW3 | 10426 SPRINGROSE DR TAMPA, FL 33626 | AFLAC | $34 | — | $34 | 0.04% |
| JERRY R MAUREY3 | 34401 SMART DR ZEPHYRHILLS, FL 33541 | AFLAC | $23 | $4 | $27 | 0.03% |
| ANDY B GLENN II3 Filed as: ANDY GLENN II | 50 HURT PLZ SE STE 1630 ATLANTA, GA 30303 | AFLAC | $23 | $4 | $27 | 0.03% |
| MICHAEL R REBER3 | 20101 HERON CROSSING DR TAMPA, FL 33647 | AFLAC | $16 | $4 | $20 | 0.02% |
| DH2 ENTERPRISES INC3 | 13313 FALCON POINTE DR ORLANDO, FL 32837 | AFLAC | $12 | — | $12 | 0.01% |
| BARTLEIN AND ASSOC INC3 | 22465 PANTHER LOOP BRADENTON, FL 34202 | AFLAC | $6 | — | $6 | 0.01% |
| SUSAN C BRIMHALL3 | 3921 CAPE SAN BLAS RD PORT SAINT JOE, FL 32456 | AFLAC | $3 | — | $3 | 0.00% |
| DUSTIN ROBERT JOHNSON3 Filed as: DUSTIN JOHNSON | 50 HURT PLZ SE STE 995 STE 1630 ATLANTA, GA 30303 | AFLAC | $3 | — | $3 | 0.00% |
| JOYCE WEBER ENTERPRISES INC3 | 13313 FALCON POINTE DR ORLANDO, FL 32837 | AFLAC | $3 | — | $3 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: MARIA FE BROWN | 183 EDGEWOOD DR HENDERSONVILLE, TN 37075 | AFLAC | $3 | — | $3 | 0.00% |
| TARRAH SMITHSON3 Filed as: TARRAH L SMITHSON | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $3 | — | $3 | 0.00% |
| MKF & ASSOCIATES INC3 | 4505 PINE TREE CIR STE 201 BIRMINGHAM, AL 35243 | AFLAC | $2 | — | $2 | 0.00% |
| STEVEN VORDERLANDWEHR3 | 1599 AMHEARST MILL DR LAWRENCEVILLE, GA 30043 | AFLAC | $2 | — | $2 | 0.00% |
| SCOTTI MADISON3 | 3330 COBB PARKWAY SUITE 324-3 ACWORTH, GA 30101 | AFLAC | $2 | — | $2 | 0.00% |
| JENNIFER B MOREHEAD3 | 13412 WHITBY RD HUDSON, FL 34667 | AFLAC | $0 | — | $0 | 0.00% |
| PATRICIA ANNE REILLY3 Filed as: PATRICIA ALMOND | 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% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INS INC | DEPT 268 PO BOX 11407 BIRMINGHAM, AL 352460100 | HUMANA INSURANCE COMPANY | $4K | $193 | $4K | 8.97% |
| MCGRIFF INSURANCE SERVICES INC3 | SUITE 201 3605 GLENWOOD AVENUE RALEIGH, NC 276123908 | HUMANA INSURANCE COMPANY | $951 | — | $951 | 2.13% |
| 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 | $50K |
| REGIONS INS INC DBA REGIONS LIFE BR EIN 71-0621654 BROKER | Insurance agents and brokers Service code 22 | REGIONS INSURANCE DEPT 268 PO BOX 11407 BIRMINGHAM, AL 35246 | $0 |
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 | 224 | 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) | 224 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HUMANA INSURANCE COMPANY | 136 | $45K |
| Vision | HUMANA INSURANCE COMPANY | 136 | $45K |
| Life insurance | AFLAC | 131 | $91K |
| Other | AFLAC | 131 | $91K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 224 | — |
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."
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.