| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEPHEN J YOUNG3 | 490 NW WOODLANDS TER LAKE CITY, FL 32055 | AFLAC | $27K | $810 | $28K | 5.05% |
| HENRY JACKSON STEWART3 | 986 SE APACHE AVE LEE, FL 32059 | AFLAC | $12K | $241 | $12K | 2.21% |
| JASON BODDIE3 Filed as: JASON ISRAEL BODDIE | 5242 LOUIS LN MIDDLEBURG, FL 32068 | AFLAC | $3K | $113 | $3K | 0.58% |
| JOSHUA T HILL3 | 24921 NE 136TH LN FORT MCCOY, FL 32134 | AFLAC | $3K | $92 | $3K | 0.52% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E STE 101B TALLAHASSEE, FL 32308 | AFLAC | $2K | — | $2K | 0.33% |
| DANNY L LOPER3 | PO BOX 1378 LIVE OAK, FL 32064 | AFLAC | $2K | $29 | $2K | 0.33% |
| WILLIAM R REGISTER3 | PO BOX 2386 THOMASVILLE, GA 31799 | AFLAC | $2K | — | $2K | 0.31% |
| RICHARDSON INSURANCE SERVICES INC3 | 8717 208TH PL OBRIEN, FL 32071 | AFLAC | $2K | — | $2K | 0.29% |
| C H ROBINSON & ASSOCIATES INC3 | 9969 NW 16TH RD GAINESVILLE, FL 32606 | AFLAC | $1K | — | $1K | 0.26% |
| TAMMY SUZETTE SHIPP3 | 14341 NW 78TH AVE TRENTON, FL 32693 | AFLAC | $1K | — | $1K | 0.25% |
| STEPHEN K WARNER3 | 1468 SW MAIN BLVD STE 105 LAKE CITY, FL 32025 | AFLAC | $1K | — | $1K | 0.22% |
| JOEL BARAT TOIGO3 | 543 N MEADOWOOD PL CLEVELAND, OK 74020 | AFLAC | $1K | — | $1K | 0.20% |
| VICKI M DICKERT3 | 103 LAUGHING GULL LN CARRABELLE, FL 32322 | AFLAC | $1K | — | $1K | 0.19% |
| ANGEL E HILL3 | 24921 NE 136TH LN SALT SPRINGS, FL 32134 | AFLAC | $1K | — | $1K | 0.19% |
| CHARLES HARTHUN3 Filed as: CHARLES BRYAN HARTHUN | 419 TYLER TRL JAMESTOWN, TN 38556 | AFLAC | $778 | $178 | $956 | 0.17% |
| JACK ALBERT MARTIN3 | 93 WOODSIDE RD DANVILLE, PA 17821 | AFLAC | $791 | $157 | $948 | 0.17% |
| TRI STATE INS ASSOC INC3 | PO BOX 1829 LAKE CITY, FL 32056 | AFLAC | $790 | — | $790 | 0.14% |
| JIMMY D BOONE3 | 12626 BAYPOINTE TER CORTEZ, FL 34215 | AFLAC | $725 | — | $725 | 0.13% |
| JOHNNY C DINGESS3 | 122 SW MUSKET PL LAKE CITY, FL 32025 | AFLAC | $612 | — | $612 | 0.11% |
| SHANNON L TROWBRIDGE3 | 202 SPRINGRISE LN SUMMERVILLE, SC 29486 | AFLAC | $599 | — | $599 | 0.11% |
| TARA LYNN EDWARDS3 | 14552 144TH ST LIVE OAK, FL 32060 | AFLAC | $497 | $74 | $571 | 0.10% |
| RONALD L RICHARDSON3 | 8717 208TH PL OBRIEN, FL 32071 | AFLAC | $553 | — | $553 | 0.10% |
| WILLIS TOWERS WATSON US LLC3 Filed as: GYLES GLYNN WILLIS | 4592 NW LASSIE BLACK ST WHITE SPRINGS, FL 32096 | AFLAC | $508 | — | $508 | 0.09% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $432 | — | $432 | 0.08% |
| BETH LUANNE KIMBROUGH3 | 6750 N ANDREW AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $428 | — | $428 | 0.08% |
| CARSON LEE CHERRY3 | 1425 PIEDMONT DR E STE 101B TALLAHASSEE, FL 32308 | AFLAC | $413 | — | $413 | 0.07% |
| WILLIAM R REGISTER3 | PO BOX 2386 THOMASVILLE, GA 31799 | AFLAC | $363 | — | $363 | 0.07% |
| JOEY C ADAMS3 | 317 NORTHEAST 36TH AVE STE 6 OCALA, FL 34470 | AFLAC | $349 | — | $349 | 0.06% |
| RUBICON REGION LLC3 | 1862 KEYSTONE PL SCHAUMBURG, IL 60193 | AFLAC | $338 | — | $338 | 0.06% |
| JOEY C ADAMS3 | 317 NORTHEAST 36TH AVE SUITE 6 OCALA, FL 34470 | AFLAC | $330 | — | $330 | 0.06% |
| CHRIS H ROBINSON3 | 34 BENTON CR BLUFFTON, SC 29910 | AFLAC | $290 | — | $290 | 0.05% |
| JIMMY LEON JOHNSON3 | 411 WALNUT ST #16846 GREEN COVE SPRINGS, FL 32043 | AFLAC | $169 | — | $169 | 0.03% |
| BRIAN WHITE3 Filed as: BRIAN HANLEY | 1862 KEYSTONE PL SCHAUMBURG, IL 60193 | AFLAC | $142 | — | $142 | 0.03% |
| J W GRIMES INC3 Filed as: JW GRIMES INC | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $132 | — | $132 | 0.02% |
| JAMES R MIRABELLI3 | 3683 W LAKE ESTATES DR DAVIE, FL 33328 | AFLAC | $120 | — | $120 | 0.02% |
| THOMAS R HARDEE3 | 431 SE ROBINWOOD DR MADISON, FL 32340 | AFLAC | $109 | — | $109 | 0.02% |
| BRIAN WHITE3 Filed as: BRIAN HANLEY | 3719 SW 64TH DR GAINESVILLE, FL 32608 | AFLAC | $95 | — | $95 | 0.02% |
| CECIL T SALMON3 | 27 RAMBLEWOOD DR PALM COAST, FL 32164 | AFLAC | $95 | — | $95 | 0.02% |
| ROBERT P FERRONE3 | 262 AUTUMN TRAIL WAY WAVERLY HALL, GA 31831 | AFLAC | $69 | — | $69 | 0.01% |
| TREVIS GLENN MATTHEWS3 | 10 TURNBURY CT NEWNAN, GA 30265 | AFLAC | $67 | — | $67 | 0.01% |
| ROBERT L TRAPNELL JR3 | 1656 GRAND ISLE BLVD MELBOURNE, FL 32940 | AFLAC | $61 | — | $61 | 0.01% |
| JERRY ALFORD3 | 40374 SW FOREST ROAD 181 BRISTOL, FL 32321 | AFLAC | $49 | — | $49 | 0.01% |
| CRYSTAL BUSH3 | 11354 NE HIGHWAY 349 OLD TOWN, FL 32680 | AFLAC | $38 | — | $38 | 0.01% |
| DEANNA M REWIS-MCDUFFIE3 | 286 LLOYD ST MACCLENNY, FL 32063 | AFLAC | $37 | — | $37 | 0.01% |
| UNDERWRITERS SOUTH3 | 12001 LAYFIELD RD UPATOI, GA 31829 | AFLAC | $36 | — | $36 | 0.01% |
| MICHAEL DAVID CROSS3 | 2809 SPRINGBROOK DR HAHIRA, GA 31632 | AFLAC | $35 | — | $35 | 0.01% |
| SABRINA HASKELL3 | 109 DEMOTTE AVE PORT ORANGE, FL 32127 | AFLAC | $32 | — | $32 | 0.01% |
| JOSEPH WATTS3 | 1118 SW CASTLE HEIGHTS TER LAKE CITY, FL 32025 | AFLAC | $31 | — | $31 | 0.01% |
| GEORGE H MURRAH JR3 | 11600 SR 51 LIVE OAK, FL 32060 | AFLAC | $31 | — | $31 | 0.01% |
| JEFFREY M SINTAY3 | 5300 OAKBROOK PKWY STE 300-350 NORCROSS, GA 30093 | AFLAC | $29 | — | $29 | 0.01% |
| STACEY MARIE FOLSOM3 | 3941 SE 26TH COURT RD OCALA, FL 34480 | AFLAC | $29 | — | $29 | 0.01% |
| SANDRA LEE FOX3 | 2113 NE 2ND ST OCALA, FL 34470 | AFLAC | $25 | — | $25 | 0.00% |
| JEREMY M HASKELL3 | 109 DEMOTTE AVE PORT ORANGE, FL 32127 | AFLAC | $22 | — | $22 | 0.00% |
| MARIE MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $22 | — | $22 | 0.00% |
| BRYAN SHOVER3 Filed as: BRYAN D SHOVER | 309 KNOB HILL RD VALDOSTA, GA 31602 | AFLAC | $21 | — | $21 | 0.00% |
| ELAINE L MILLS3 | 8877 SE 180TH AVENUE RD OCKLAWAHA, FL 32179 | AFLAC | $21 | — | $21 | 0.00% |
| JIMMY R MATHIS3 | PO BOX 2371 OCALA, FL 34478 | AFLAC | $21 | — | $21 | 0.00% |
| AARON ANTHONY3 | 1700 FOUNTAIN CT APT 1303 COLUMBUS, GA 31904 | AFLAC | $18 | — | $18 | 0.00% |
| THE HORTON GROUP3 Filed as: R HORTON GRIFFIN JR | 610 BLACKSHEAR ST THOMASVILLE, GA 31792 | AFLAC | $18 | — | $18 | 0.00% |
| CHOPPY HODES3 | 1031 NW 6TH ST STE F1 GAINESVILLE, FL 32601 | AFLAC | $17 | — | $17 | 0.00% |
| SANFORD P ALFORD JR3 | 1753 INDIAN WELLS AVE OCALA, FL 34472 | AFLAC | $17 | — | $17 | 0.00% |
| CHRIS GUZEWICH3 | 1007 DRAKEFEATHER DR ORANGE PARK, FL 32065 | AFLAC | $16 | — | $16 | 0.00% |
| JIMMY LEON JOHNSON3 | 40 AVERY ST SAINT AUGUSTINE, FL 32084 | AFLAC | $15 | — | $15 | 0.00% |
| RJSW & ASSOCIATES INC3 | 1344 VICKERS RD TALLAHASSEE, FL 32303 | AFLAC | $14 | — | $14 | 0.00% |
| REBECCA PEAVEY BONDS3 | 28823 53RD DR BRANFORD, FL 32008 | AFLAC | $13 | — | $13 | 0.00% |
| TAMMY MARIE SHARPE3 | 156 SW THISTLEWOOD LN FORT WHITE, FL 32038 | AFLAC | $9 | — | $9 | 0.00% |
| MARK C LEE3 | 11500 COUNTY LINE RD MIDLAND, GA 31820 | AFLAC | $8 | — | $8 | 0.00% |
| LINDSAY NORFLEET FICO3 | 1929 SW 247TH WAY NEWBERRY, FL 32669 | AFLAC | $6 | — | $6 | 0.00% |
| JAMES (JAY) GRIMES3 Filed as: JAMES R HARRIS | 6329 RIVERMONT CT COLUMBUS, GA 31904 | AFLAC | $5 | — | $5 | 0.00% |
| DAWN T SUCHECKI3 | 225 S WATER ST WILMINGTON, NC 28401 | AFLAC | $5 | — | $5 | 0.00% |
| TRISTEN DOUGLAS MORGAN3 | 173 SW LANCELOT GLN LAKE CITY, FL 32024 | AFLAC | $4 | — | $4 | 0.00% |
| JAMES (JAY) GRIMES3 Filed as: JAMES J GRIMES | 554 ROBERT WILLIAMS RD PINE MOUNTAIN, GA 31822 | AFLAC | $2 | — | $2 | 0.00% |
| OMER S BASS IV3 | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $2 | — | $2 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 4498 W US HIGHWAY 90 LAKE CITY, FL 32055 | HUMANA | $30K | — | $30K | 10.06% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 200 S ORANGE AVE STE 1350 ORLANDO, FL 32801 | STANDARD INSURANCE COMPANY | $25K | — | $25K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 2.13% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 200 S ORANGE AVE STE 1350 ORLANDO, FL 32801 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 1.18% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD 5TH FL ROLLING MEADOWS, IL 60008 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 1.81% |
| HOWARD, JOHN FRIERSON3 | 1000 RIVERSIDE AVE STE 250 JACKSONVILLE, FL 32204 | SUN LIFE ASSURANCE COMPANY OF CANADA | $445 | — | $445 | 0.49% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 4498 W US HIGHWAY 90 LAKE CITY, FL 32055 | BLUE CROSS BLUE SHIELD | $83K | — | $83K | — |
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 | 880 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 880 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AFLAC | 880 | $553K |
| Dental | HUMANA | 1,181 | $298K |
| Vision | HUMANA | 1,181 | $298K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 385 | $340K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 264 | $92K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD | 880 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,181 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.