| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MILLER MILLER BRADWISH & MILLER PA3 Filed as: MILLER, MILLER,BRADWISH & MILLER PA | PO BOX 10099 JACKSONVILLE, FL 32247 | RELIANCE STANDARD LIFE INS CO | $10K | — | $10K | 8.63% |
| OWENS & ASSOCIATES3 | 315 E BASY ST STE 400 JACKSONVILLE, FL 32202 | RELIANCE STANDARD LIFE INS CO | $3K | — | $3K | 2.80% |
| MILLER MILLER BRADWISH & MILLER PA3 Filed as: MILLER, MILLER,BRADWISH & MILLER PA | PO BOX 10099 JACKSONVILLE, FL 32247 | RELIANCE STANDARD LIFE INS CO | $10K | $2K | $12K | 17.48% |
| O&A INSURANCE SERVICES INC DBA OWEN3 | 315 EAST BAY STREET SUITE 400 JACKSONVILLE, FL 32202 | RELIANCE STANDARD LIFE INS CO | $3K | $598 | $4K | 6.02% |
| MILLER MILLER BRADWISH & MILLER PA3 Filed as: MILLER, MILLER,BRADWISH & MILLER PA | PO BOX 10099 JACKSONVILLE, FL 32247 | RELIANCE STANDARD LIFE INS CO | $4K | $728 | $5K | 17.34% |
| O&A INSURANCE SERVICES INC DBA OWEN3 | 315 EAST BAY STREET SUITE 400 JACKSONVILLE, FL 32202 | RELIANCE STANDARD LIFE INS CO | $1K | $258 | $2K | 6.16% |
| MILLER MILLER BRADWISH & MILLER PA3 Filed as: MILLER, MILLER,BRADWISH & MILLER PA | PO BOX 10099 JACKSONVILLE, FL 32247 | RELIANCE STANDARD LIFE INS CO | $4K | $666 | $4K | 17.40% |
| O&A INSURANCE SERVICES INC DBA OWEN3 | 315 EAST BAY STREET SUITE 400 JACKSONVILLE, FL 32202 | RELIANCE STANDARD LIFE INS CO | $1K | $234 | $2K | 6.11% |
| MILLER MILLER BRADWISH & MILLER PA3 Filed as: MILLER MILLER BRADWISH & MILLER | PO BOX 10099 JACKSONVILLE, FL 32247 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 23.01% |
| CAPTURED MOMENTS BY KATE LLC3 | 8074 GATE PARKWAY WEST JACKSONVILLE, FL 32216 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $767 | $291 | $1K | 8.29% |
| NELSON BENEFITS GROUP LLC3 | 35054 KAREN RD CALLAHAN, FL 32011 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $970 | — | $970 | 7.60% |
| SUSANNE ANDREA MYERS3 | 3333 ATLANTIC AVE JACKSONVILLE, FL 32207 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $901 | — | $901 | 7.06% |
| APEX SOLUTIONS GROUP OF FLORIDA LLC3 | 15770 JIM CT JACKSONVILLE, FL 32218 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $198 | $248 | $446 | 3.50% |
| ELITE INSURANCE ASSOCIATES LLC3 | 1710 SHADOWOOD LANE JACKSONVILLE, FL 32207 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $167 | $73 | $240 | 1.88% |
| S & B INSURANCE SOLUTIONS LLC3 | 54210 SHERWOOD ROAD CALLAHAN, FL 32011 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $82 | $25 | $107 | 0.84% |
| ANNALIESE CLARK3 | 1336 HIDEAWAY DR S SAINT JOHNS, FL 32259 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $76 | $7 | $83 | 0.65% |
| ESTATE OF DIANNA L. CHAMBERS3 | 22252 SANDRA LANE MCCALLA, AL 35111 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | — | $16 | 0.13% |
| NORTH FLORIDA BENEFIT SOLUTIONS INC3 | 12659-1 PLUMMER GRANT ROAD JACKSONVILLE, FL 32258 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.09% |
| VB SOLUTIONS LLC3 | 7111 NE 222ND ST MELROSE, FL 32666 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| MILLER MILLER BRADWISH & MILLER PA3 Filed as: MILLER, MILLER,BRADWISH PA | PO BOX 10099 JACKSONVILLE, FL 32247 | RELIANCE STANDARD LIFE INS CO | $321 | $56 | $377 | 17.35% |
| O&A INSURANCE SERVICES INC DBA OWEN3 | 315 EAST BAY STREET SUITE 400 JACKSONVILLE, FL 32202 | RELIANCE STANDARD LIFE INS CO | $114 | $20 | $134 | 6.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MILLER MILLER BRADWISH & MILLER PA BROKER | Securities brokerage Service code 33 | 3333 ATLANTIC BLVD JACKSONVILLE, FL 32207 | $57K |
| O & A INSURANCE INC BROKER | Securities brokerage Service code 33 | 315 EAST BAY STREET JACKSONVILLE, FL 32202 | $11K |
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 | 285 | 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) | 285 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 101 | $402K |
| Dental | RELIANCE STANDARD LIFE INS CO | 437 | $112K |
| Vision | RELIANCE STANDARD LIFE INS CO | 437 | $112K |
| Life insurance(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INS CO | 261 | $41K |
| Short-term disability(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INS CO | 262 | $41K |
| Long-term disability | RELIANCE STANDARD LIFE INS CO | 106 | $67K |
| Other(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INS CO | 261 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 437 | — |
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."
No prospect flags tripped on this filing.