| 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 | $41K | $0 | $41K | 2.00% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 | UNITEDHEALTHCARE INSURANCE COMPANY | $5K | $0 | $5K | 8.29% |
| KRIS & ASSOC INSURANCE INC3 | 3720 NW 43RD ST #100 GAINESVILLE, FL 32606 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | $0 | $3K | 5.48% |
| CHRISTOPHER K YANCEY3 | 2118 SE 20TH AVENUE SUITE 101 OCALA, FL 34471 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | $0 | $3K | 4.97% |
| BENEFITS TECHNOLOGIES LLC3 | C/O BENEFITS TECHNOLOGIES GRP INC 1200 E TAFT AVENUE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 3.78% |
| ADVANCED BENEFIT INC3 Filed as: ADVANCED BENEFIT SERVICES | 2118 SW 20TH PLACE SUITE 101 OCALA, FL 34471 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 2.62% |
| ROSS LEHMAN3 | 2118 SW 20TH PLACE OCALA, FL 34474 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $816 | $0 | $816 | 1.36% |
| TERESA WEST3 | 8833 PERIMETER PARK BLVD SUITE 802 JACKSONVILLE, FL 32216 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $424 | $0 | $424 | 0.71% |
| DAVID B PHILLIPS3 | 7325 S FULTON AVENUE TULSA, OK 74136 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $149 | $0 | $149 | 0.25% |
| 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 INSURANCE COMPANY | $94 | $0 | $94 | 0.16% |
| TOM W COOPER3 | 7325 S FULTON AVENUE TULSA, OK 74136 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $87 | $0 | $87 | 0.14% |
| THOMAS W COOPER3 | 1200 E TAFT AVENUE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $57 | $0 | $57 | 0.09% |
| WILLARD HAROLD FORD3 | 8833 PERIMETER PARK BLVD SUITE 802 JACKSONVILLE, FL 32216 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $29 | $0 | $29 | 0.05% |
| FRANK L TOWNSEND III3 | C/O BENEFITS SERVICES GRP INC 1200 E TAFT AVENUE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $28 | $0 | $28 | 0.05% |
| GREEN HAZEL ASSOCIATES INC3 Filed as: GREEN - HAZEL & ASSOC INC | 10739 DEERWOOD PARK BLVD SUTIE 200 JACKSONVILLE, FL 32256 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $13 | $0 | $13 | 0.02% |
| DONALD LIKENS3 | 1200 E TAFT AVENUE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12 | $0 | $12 | 0.02% |
| MICHAEL SASSER3 | C/O BENEFIT SERVICES GRP INC 1200 EAST TAFT AVENUE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $9 | $0 | $9 | 0.01% |
| MARK FALBO3 | 1200 E TAFT AVENUE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $7 | $0 | $7 | 0.01% |
| YANCEY, CHRISTOPHER K3 | 2118 SW 20TH PLACE SUITE 101 OCALA, FL 34471 | COMPBENEFITS INSURANCE COMPANY | $1K | $0 | $1K | 4.60% |
| ADVANCED BENEFIT SYSTEM INC3 Filed as: ADVANCED BENEFITS SERVICES LLC | 2118 SW 20TH PLACE SUITE 101 OCALA, FL 34471 | COMPBENEFITS INSURANCE COMPANY | $729 | $0 | $729 | 2.41% |
| GREENE, KIM E.3 | 1720 SE 16TH AVENUE SUITE 301 OCALA, FL 34471 | COMPBENEFITS INSURANCE COMPANY | $224 | $0 | $224 | 0.74% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVENUE SUITE 1000 JACKSONVILLE, FL 32202 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | $0 | $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 | 371 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 371 | 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 | 210 | $2.1M |
| Dental | COMPBENEFITS INSURANCE COMPANY | 64 | $30K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 184 | $23K |
| Life insurance(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 371 | $124K |
| Other | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 67 | $60K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 371 | — |
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.