| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVENUE SUITE 1000 JACKSONVILLE, FL 32202 | BLUE CROSS BLUE SHIELD OF FLORIDA | $37K | — | $37K | 2.00% |
| KRIS & ASSOC INSURANCE INC3 Filed as: KRIS & ASSOCIATES | 3720 NW 43RD ST #100 GAINESVILLE, FL 32606 | AMERICAN HERITAGE LIFE | $4K | — | $4K | 6.21% |
| BENEFITS TECHNOLOGIES LLC3 | 1200 E TAFT AVENUE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE | $4K | — | $4K | 5.20% |
| TERESA WEST3 | 8833 PERIMETER PARK BLVD STE 802 JACKSONVILLE, FL 32216 | AMERICAN HERITAGE LIFE | $3K | — | $3K | 4.38% |
| CHRISTOPHER K YANCEY3 | 2118 SE 20TH AVE STE 101 OCALA, FL 34471 | AMERICAN HERITAGE LIFE | $1K | — | $1K | 1.88% |
| ADVANCED BENEFIT INC3 Filed as: ADVANCED BENEFIT SERVICES | 2118 SE 20TH AVE STE 101 OCALA, FL 34471 | AMERICAN HERITAGE LIFE | $924 | — | $924 | 1.31% |
| ROSS LEHMAN3 | 2118 SW 20TH PLACE OCALA, FL 34474 | AMERICAN HERITAGE LIFE | $375 | — | $375 | 0.53% |
| DAVID B PHILLIPS3 | 7325 S FULTON AVENUE TULSA, OK 74136 | AMERICAN HERITAGE LIFE | $186 | — | $186 | 0.26% |
| TOM W COOPER3 | 7325 S FULTON AVENUE TULSA, OK 74136 | AMERICAN HERITAGE LIFE | $136 | — | $136 | 0.19% |
| THOMAS W COOPER3 | 1200 E TAFT AVENUE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE | $113 | — | $113 | 0.16% |
| DWIGHT L PIERCE3 Filed as: DWIGHT PIERCE | C/O BENEFITS SERVICES GRP INC 8833 PERIMETER PARK BLVD STE 802 JACKSONVILLE, FL 32216 | AMERICAN HERITAGE LIFE | $75 | — | $75 | 0.11% |
| WILLARD HAROLD FORD3 | 8833 PERIMETER PARK BLVD STE 802 JACKSONVILLE, FL 32216 | AMERICAN HERITAGE LIFE | $38 | — | $38 | 0.05% |
| FRANK L TOWNSEND III3 | C/O BENEFITS SERVICES GRP INC 1200 E TAFT AVENUE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE | $36 | — | $36 | 0.05% |
| DONALD LIKENS3 | 1200 E TAFT AVENUE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE | $17 | — | $17 | 0.02% |
| KIRK KLOSTERMAN3 | 8833 PERIMETER PARK BLVD STE 802 JACKSONVILLE, FL 32216 | AMERICAN HERITAGE LIFE | $15 | — | $15 | 0.02% |
| MARK FALBO3 | 1200 E TAFT AVENUE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE | $8 | — | $8 | 0.01% |
| GREENE-HAZEL & ASSOCS INC3 Filed as: GREENE-HAZEL & ASSOC INC | 10739 DEERWOD PARK BLVD SUITE 200 JACKSONVILLE, FL 32256 | AMERICAN HERITAGE LIFE | $5 | — | $5 | 0.01% |
| MICHAEL SASSER3 | C/O BENEFIT SERVICES GRP INC 1200 E TAFT AVENUE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE | $4 | — | $4 | 0.01% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVENUE SUITE 1000 JACKSONVILLE, FL 32202 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | — | $7K | 10.89% |
| DWIGHT L PIERCE3 Filed as: DWIGHT PIERCE BSG | 1200 E TAFT AVENUE SAPULPA, OK 74066 | COMPBENEFITS | $697 | — | $697 | 1.97% |
| CHRISTOPHER K YANCEY3 | 2118 SW 20TH PL STE 101 OCALA, FL 34471 | COMPBENEFITS | $685 | — | $685 | 1.94% |
| ADVANCED BENEFIT SYSTEM INC3 Filed as: ADVANCED BENEFITS SERVICES LLC | 2118 SW 20TH PL STE 101 OCALA, FL 34471 | COMPBENEFITS | $292 | — | $292 | 0.83% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVENUE SUITE 1000 JACKSONVILLE, FL 32202 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
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 | 387 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 387 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 216 | $1.9M |
| Dental | COMPBENEFITS | 84 | $35K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 193 | $23K |
| Life insurance(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE | 387 | $132K |
| Other | AMERICAN HERITAGE LIFE | 88 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 387 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.