| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TEABERRY BENEFIT ANALYSTS LLC3 | 19201 VISTA LN UNIT D10 INDIAN SHORES, FL 33785 | HUMANA MEDICAL PLAN, INC. | $70K | — | $70K | 6.98% |
| MCGRIFF INSURANCE SERVICES INC3 | 12485 28TH ST N 2ND FL UNIT D10 ST PETERSBURG, FL 337161825 | HUMANA MEDICAL PLAN, INC. | -$68 | — | -$68 | -0.01% |
| JAN HAMBY ALDAMUY3 | 417 137TH ST NE BRADENTON, FL 34212 | AFLAC | $2K | — | $2K | 3.58% |
| LEE STEWART HOFFMAN3 | 20214 HERITAGE POINT DR TAMPA, FL 33647 | AFLAC | $2K | — | $2K | 2.95% |
| HUMBERT ALDAMUY JR3 | 16203 MUIRFIELD DR ODESSA, FL 33556 | AFLAC | $548 | — | $548 | 1.07% |
| BARBARA SUSAN HOFFMAN3 | 20214 HERITAGE POINT DR TAMPA, FL 33647 | AFLAC | $523 | — | $523 | 1.02% |
| KATHRYN SUZANNE AXENTE3 | 7020 PELICAN ISLAND DR TAMPA, FL 33634 | AFLAC | $427 | — | $427 | 0.83% |
| JAMIE PITTNER3 Filed as: JAMIE M PITTNER | 2749 BURNING TREE LN CLEARWATER, FL 33761 | AFLAC | $239 | — | $239 | 0.46% |
| LANCE SHNIDER3 Filed as: LANCE V SHNIDER | 401 E OGLETHORPE AVE APT 1114 SAVANNAH, GA 31401 | AFLAC | $184 | — | $184 | 0.36% |
| SCOTT D HAWKINS INC3 Filed as: SCOTT D HAWKINS | 3216 MEDICI BLVD NEW SYMRNA, FL 32168 | AFLAC | $150 | — | $150 | 0.29% |
| ANGELICA SAMANIEGO3 | 792 N STEELE DR HAMPTON, GA 30228 | AFLAC | $144 | — | $144 | 0.28% |
| CHRISTOPHER W GRAHAM3 Filed as: CHRISTOPHER D LEE | 837 SE COURANCES DR PORT ST LUCIE, FL 14984 | AFLAC | $139 | — | $139 | 0.27% |
| NICOLE LYNN RIHANEK3 | 5535 NIGHT OWL TER PALMETTO, FL 34221 | AFLAC | $90 | — | $90 | 0.18% |
| MARY TERESA DAVIS3 Filed as: MARY TERESA SCULLY | 2751 CHALLENGER DR PALM HARBOR, FL 34683 | AFLAC | $88 | — | $88 | 0.17% |
| BRYON L GROVE3 | 494 ORANGE ST PALM HARBOR, FL 34683 | AFLAC | $79 | — | $79 | 0.15% |
| LUPIE TONIE GUERRERO3 | 1403 BIRCHWOOD LN MELISSA, TX 75454 | AFLAC | $78 | — | $78 | 0.15% |
| CLEAR LIGHT SERVICES LLC3 | 2751 CHALLENGER DR PALM HARBOR, FL 34683 | AFLAC | $61 | — | $61 | 0.12% |
| THOMAS D BAXTER3 | PO BOX 603 SUNNY SIDE, GA 30284 | AFLAC | $53 | — | $53 | 0.10% |
| JENNIE MOORE HAWKINS3 | 4215 S RIDGEWOOD AVE STE 104 PORT ORANGE, FL 32127 | AFLAC | $51 | — | $51 | 0.10% |
| DEREK W STRANGE3 | 26 TROTTERS WALK NE CARTERSVILLE, GA 30121 | AFLAC | $41 | — | $41 | 0.08% |
| SUSAN L O'CONNOR3 | 3530 SAM ALLEN OAKS CIR PLANT CITY, FL 33565 | AFLAC | $41 | — | $41 | 0.08% |
| CHRISTOPHER W GRAHAM3 | 2 CHASE CORPORATE DR STE 460 HOOVER, AL 35244 | AFLAC | $32 | — | $32 | 0.06% |
| KAREN D SHATTUCK3 | 1040 SOUSA CT SPARTANBURG, SC 29307 | AFLAC | $31 | — | $31 | 0.06% |
| ISABEL GARCIA FARNHAM3 | 12144 ROCK DUCK AVE WEEKI WACHEE, FL 34614 | AFLAC | $30 | — | $30 | 0.06% |
| JEFFREY B HAWKINS3 | 3930 NOVA RD STE 203B PORT ORANGE, FL 32127 | AFLAC | $29 | — | $29 | 0.06% |
| JAMES SMITH3 Filed as: JAMES B SMITH | 615 ELINOR ST CHATTANOOGA, TN 37405 | AFLAC | $24 | — | $24 | 0.05% |
| LINDA J MCCOY3 | 509 PINE ST PALMETTO, GA 30268 | AFLAC | $23 | — | $23 | 0.04% |
| CATHERINE L LEE3 | 10 NUN ST WILMINGTON NC, NC 28401 | AFLAC | $22 | — | $22 | 0.04% |
| JUDY M BIRD3 | 1905 RICHLAND LN DALTON, GA 30720 | AFLAC | $20 | — | $20 | 0.04% |
| JEFFREY GLENN YARISH3 | 8575 SUNSET CT TREASURE ISLAND, FL 33706 | AFLAC | $19 | — | $19 | 0.04% |
| DONNA N THOMAS3 | 71 MONTROSE LN SHARPSBURG, GA 30277 | AFLAC | $18 | — | $18 | 0.04% |
| CHRISTOPHER W GRAHAM3 | 2 CHASE CORPORATE DR STE 140 HOOVER, AL 35244 | AFLAC | $18 | — | $18 | 0.04% |
| MITCHELL KOGGE3 | 11007 SUMMER DR TAMPA, FL 33624 | AFLAC | $17 | — | $17 | 0.03% |
| MARY REBECCA WEATHERLY3 | 273 WILLIAMSBURG DR MT WASHINGTON, KY 40047 | AFLAC | $15 | — | $15 | 0.03% |
| JESSICA RAE ESKEW3 | 10426 SPRINGROSE DR TAMPA, FL 33626 | AFLAC | $15 | — | $15 | 0.03% |
| STONYBROOK FINANCIAL SERVICES3 | PO BOX 1 ST JOHNSBURY, VT 05819 | AFLAC | $12 | — | $12 | 0.02% |
| DH2 ENTERPRISES INC3 | 13313 FALCON POINTE DR ORLANDO, FL 32837 | AFLAC | $11 | — | $11 | 0.02% |
| ANDY B GLENN II3 | 2999 DOUGLAS BLVD SUIE 180 ROSEVILLE, CA 95661 | AFLAC | $10 | — | $10 | 0.02% |
| MILLAN B TERRELL3 | 1299 BATTLECREEK RD STE 240 JONESBORO, GA 30236 | AFLAC | $7 | — | $7 | 0.01% |
| THOMAS J STEPHENSON3 | 31 STADELMAN CT CARTERSVILLE, GA 30120 | AFLAC | $6 | — | $6 | 0.01% |
| TRAVIS L WILLEY3 | 2023 SANDSTONE LOOP N SARTELL, MN 56377 | AFLAC | $4 | — | $4 | 0.01% |
| JERRY R MAUREY3 | 34401 SMART DR ZEPHYRHILLS, FL 33541 | AFLAC | $3 | — | $3 | 0.01% |
| 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 | $2 | — | $2 | 0.00% |
| MICHAEL R REBER3 | 20101 HERON CROSSING DR TAMPA, FL 33647 | AFLAC | $2 | — | $2 | 0.00% |
| BARTLEIN AND ASSOC INC3 | 22465 PANTHER LOOP BRADENTON, FL 34202 | AFLAC | $2 | — | $2 | 0.00% |
| MKF & ASSOCIATES INC3 | 422 MARDEN WAY VESTAVIA, AL 35242 | AFLAC | $2 | — | $2 | 0.00% |
| STEPHEN GRAZIANO3 | 3850 LEE RD 246 SMITHS STATION, AL 36877 | 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% |
| SCOTTI MADISON3 | 3330 COBB PKWY NW STE 324-3 ACWORTH, GA 30101 | 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% |
| JENNIFER B MOREHEAD3 | 26267 WALKING HORSE TRL BROOKSVILLE, FL 34601 | AFLAC | $0 | — | $0 | 0.00% |
| SARAH CADY3 | 123 STONE GABLE CIR WINTER SPRINGS, FL 32708 | AFLAC | $0 | — | $0 | 0.00% |
| TEABERRY BENEFIT ANALYSTS LLC3 | 19201 VISTA LN UNIT D10 INDIAN SHORES, FL 33785 | HUMANA INSURANCE COMPANY | $4K | — | $4K | 9.61% |
| MCGRIFF INSURANCE SERVICES INC3 | 3605 GLENWOOD AVENUE SUITE 201 RALEIGH, NC 276123908 | HUMANA INSURANCE COMPANY | -$1 | — | -$1 | -0.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 12485 28TH ST N 2ND FL ST PETERSBURG, FL 337161825 | HUMANA INSURANCE COMPANY | -$15 | — | -$15 | -0.04% |
| TEABERRY BENEFIT ANALYSTS LLC3 | 19201 VISTA LN UNIT D10 INDIAN SHORES, FL 33785 | HUMANADENTAL INSURANCE COMPANY | $264 | — | $264 | 10.16% |
| MCGRIFF INSURANCE SERVICES INC3 | 12485 28TH ST N 2ND FL ST PETERSBURG, FL 337161825 | HUMANADENTAL INSURANCE COMPANY | -$1 | — | -$1 | -0.04% |
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 | 140 | 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) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA MEDICAL PLAN, INC. | 149 | $1.0M |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 140 | $44K |
| Vision | HUMANA INSURANCE COMPANY | 140 | $42K |
| Life insurance | AFLAC | 80 | $51K |
| Other | AFLAC | 80 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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.