| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 7077 BONNEVAL RD STE 120 JACKSONVILLE, FL 32216 | BLUE CROSS BLUE SHIELD OF FLORIDA | $62K | $0 | $62K | 4.00% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | $0 | $11K | 10.00% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $82 | $7K | 9.34% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $826 | $826 | 1.08% |
| SABRINA HASKELL3 | PO BOX 3274 OCALA, FL 34478 | AFLAC | $1K | $29 | $1K | 5.37% |
| JEREMY M HASKELL3 Filed as: JEREMY HASKELL | PO BOX 3274 OCALA, FL 34478 | AFLAC | $290 | $6 | $296 | 1.28% |
| C H ROBINSON & ASSOCIATES INC3 Filed as: CH ROBINSON & ASSOCIATES INC | 132 NW 76TH DR STE B GAINESVILLE, FL 32607 | AFLAC | $209 | $6 | $215 | 0.93% |
| AMANDA HENGESBACH3 | 13189 HITCHING POST RD DEWITT, MI 48820 | AFLAC | $189 | $0 | $189 | 0.82% |
| THE SCHATZIE GROUP NORTH LLC3 | 4796 SAWGRASS DR W ANN ARBOR, MI 48108 | AFLAC | $182 | $0 | $182 | 0.79% |
| TAMMY S GARDNER3 Filed as: TAMMY GARDNER | PO BOX 912 CHIEFLAND, FL 32644 | AFLAC | $93 | $0 | $93 | 0.40% |
| MICHELLE PULLAM3 | PO BOX 898 CORTEZ, FL 34215 | AFLAC | $84 | $0 | $84 | 0.36% |
| J C ADAMS INC3 Filed as: JC ADAMS INC | 5631 NE 31ST TERR OCALA, FL 34479 | AFLAC | $84 | $0 | $84 | 0.36% |
| DONNA WALKER3 | 4544 PALMETTO COVE LANE JACKSONVILLE, FL 32258 | AFLAC | $82 | $0 | $82 | 0.36% |
| ANGEL E HILL3 Filed as: ANGEL HILL | 4125 SE 23RD TERR OCALA, FL 34480 | AFLAC | $76 | $0 | $76 | 0.33% |
| SHANNON TROWBRIDGE3 | 202 SPRINGRISE LANE SUMMERVILLE, SC 29486 | AFLAC | $64 | $0 | $64 | 0.28% |
| JEREMY C ALFORD3 Filed as: JEREMY ALFORD | 3700 WINDMEADOWS BLVD APT DD295 GAINESVILLE, FL 32608 | AFLAC | $61 | $0 | $61 | 0.26% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E STE 101B TALLAHASSEE, FL 32308 | AFLAC | $61 | $0 | $61 | 0.26% |
| MARK A RAYMER3 Filed as: MARK RAYMER | 625 E BIG BEAVER RD STE 103 TROY, MI 48083 | AFLAC | $46 | $0 | $46 | 0.20% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES HARBOUR | 1100 ALAKEA ST STE 3200 HONOLULU, HI 96813 | AFLAC | $45 | $0 | $45 | 0.20% |
| JANINA CRAMPTON3 | 475 JENKINSBURG RD GRIFFIN, GA 30223 | AFLAC | $39 | $0 | $39 | 0.17% |
| FREDERICK GIRBACH3 | 272 MARK HANNAH CT SALINE, MI 48176 | AFLAC | $37 | $0 | $37 | 0.16% |
| EOWALTER3 LLC3 | PO BOX 150199 GRAND RAPIDS, MI 49515 | AFLAC | $37 | $0 | $37 | 0.16% |
| ROBERT P FERRONE3 Filed as: ROBERT FERRONE | 1701 WILLIAMS CT APT 202 COLUMBUS, GA 31904 | AFLAC | $33 | $0 | $33 | 0.14% |
| ROBERT L TRAPNELL JR3 Filed as: ROBERT TRAPNELL JR. | 15 N INDIAN RIVER DR APT 706 COCOA, FL 32922 | AFLAC | $29 | $0 | $29 | 0.13% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $27 | $0 | $27 | 0.12% |
| LINDA HILL3 | 840 KING CT EAST LANSING, MI 48823 | AFLAC | $27 | $0 | $27 | 0.12% |
| SHAUN M KLUG3 Filed as: SHAUN KLUG | 9868 HIGH MEADOW DR YPSILANTI, MI 48198 | AFLAC | $25 | $0 | $25 | 0.11% |
| KEVIN J HACKETT3 Filed as: KEVIN HACKETT | 8039 SW 67TH RD GAINESVILLE, FL 32608 | AFLAC | $23 | $0 | $23 | 0.10% |
| DAVID K MOBLEY3 Filed as: DAVID MOBLEY | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $23 | $0 | $23 | 0.10% |
| PATRICK FULLER3 | 6381 ISLAND LAKE DR EAST LANSING, MI 48823 | AFLAC | $18 | $0 | $18 | 0.08% |
| ALAN BERGMANN3 | 2144 MADERO DR THE VILLAGES, FL 32159 | AFLAC | $13 | $0 | $13 | 0.06% |
| TLANDA MCDONALD3 | 1855 TIVERTON RD BLOOMFIELD HILLS, MI 48304 | AFLAC | $13 | $0 | $13 | 0.06% |
| KACY A GRUENKEMEYER3 Filed as: KACY GRUENKEMEYER | 218 MANUFACTURERS RD CHATTANOOGA, TN 37405 | AFLAC | $13 | $0 | $13 | 0.06% |
| CHARLES HARTHUN3 | 105 CASSADY PLACE CROSSVILLE, TN 38555 | AFLAC | $13 | $0 | $13 | 0.06% |
| MICHAEL C WALKER3 Filed as: MICHAEL TRUDEAU | 30229 SCHOENHERR RD STE 100 WARREN, MI 48088 | AFLAC | $13 | $0 | $13 | 0.06% |
| J W GRIMES INC3 Filed as: JW GRIMES INC | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $12 | $0 | $12 | 0.05% |
| RENEE M TRUDEAU3 Filed as: RENEE TRUDEAU | 30229 SCHOENHERR RD STE 100 WARREN, MI 48088 | AFLAC | $11 | $0 | $11 | 0.05% |
| AG AND ASSOCIATES3 | 6155 GRAEBEAR TRAIL EAST LANSING, MI 48823 | AFLAC | $10 | $0 | $10 | 0.04% |
| JOEY C ADAMS3 Filed as: JOEY ADAMS | PO BOX 729 OCALA, FL 34478 | AFLAC | $8 | $0 | $8 | 0.03% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 1005 BELLA VISTA BLVD APT 119 ST AUGUSTINE, FL 32084 | AFLAC | $8 | $0 | $8 | 0.03% |
| BRIAN DAY3 | 13189 HITCHING POST RD DEWITT, MI 48820 | AFLAC | $7 | $0 | $7 | 0.03% |
| TONYA SUE ELMORE3 Filed as: TONYA ELMORE | 1930 S HIGHWAY 71 E MANSFIELD, AR 72944 | AFLAC | $7 | $0 | $7 | 0.03% |
| CATHERINE L LEE3 Filed as: CATHERINE LEE | 10 NUN ST WILMINGTON, NC 28401 | AFLAC | $6 | $0 | $6 | 0.03% |
| MICHELLE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $5 | $0 | $5 | 0.02% |
| ANDREW K GLAUB3 Filed as: ANDREW GLAUB | 6155 GRAEBEAR TRAIL ESAT LANSING, MI 48823 | AFLAC | $5 | $0 | $5 | 0.02% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $4 | $0 | $4 | 0.02% |
| JAMES BULLOCK3 | 3715 POWDERHORN DR OKEMOS, MI 48864 | AFLAC | $2 | $0 | $2 | 0.01% |
| RANDALL D LADNER3 Filed as: RANDALL KIMBLER | PO BOX 302 HESPERIA, MI 49421 | AFLAC | $2 | $0 | $2 | 0.01% |
| HEIDI E GLAUB3 Filed as: HEIDI GLAUB | 1325 OAK HOLLOW DR MILFORD, MI 48380 | AFLAC | $2 | $0 | $2 | 0.01% |
| CECIL T SALMON3 Filed as: CECIL SALMON | 95 EDWARD DR PALM COAST, FL 32164 | AFLAC | $1 | $0 | $1 | 0.00% |
| OMER S BASS IV3 Filed as: OMER BASS | 565 W GATEWAY CT MERITT ISLAND, FL 32952 | AFLAC | $1 | $0 | $1 | 0.00% |
| JAMES R MIRABELLI3 Filed as: JAMES MIRABELLI | 21426 GOSIER WAY BOCA RATON, FL 33428 | AFLAC | $1 | $0 | $1 | 0.00% |
| ANNIE GLAUB3 | 6155 GRAEBEAR TRL EAST LANSING, MI 48823 | AFLAC | $1 | $0 | $1 | 0.00% |
| JAMES C SNIDER JR3 Filed as: JAMES SNIDER JR | 2301 LUCIEN WAY STE 150 MAITLAND, FL 32751 | AFLAC | $1 | $0 | $1 | 0.00% |
| DAWN T SUCHECKI3 Filed as: DAWN SUCHECKI | 225 S WATER ST WILMINGTON, NC 28401 | AFLAC | $1 | $0 | $1 | 0.00% |
| THOMAS W BOSTON3 Filed as: THOMAS RINGWALD | 37231 N 110TH ST SCOTTSDALE, AZ 85262 | AFLAC | $1 | $0 | $1 | 0.00% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $1 | $0 | $1 | 0.00% |
| CHRISTOPHER D BOULDREY3 Filed as: CHRISTOPHER BOULDREY | PO BOX 602 CONCORD, MI 49237 | AFLAC | $1 | $0 | $1 | 0.00% |
| MARK C LEE3 Filed as: MARK LEE | 1444 SOUTH 17TH ST WILMINGTON, NC 28401 | AFLAC | $1 | $0 | $1 | 0.00% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | HUMANA INSURANCE COMPANY | $1K | $0 | $1K | 10.83% |
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 | 123 | 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) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 123 | $1.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 322 | $76K |
| Vision | HUMANA INSURANCE COMPANY | 69 | $10K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 155 | $111K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 155 | $111K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 155 | $111K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 123 | $1.6M |
| Other(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 155 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 322 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.