| 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 | $76K | $0 | $76K | 4.00% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF AMERICA | $11K | $0 | $11K | 10.00% |
| HYLANT GROUP INC3 | 7077 BONNEVAL RD. STE 550 JACKSONVILLE, FL 32216 | SUN LIFE ASSURANCE COMPANY OF CANADA | $9K | $1K | $10K | 10.24% |
| SABRINA HASKELL3 | 430 RYDER CUP LN CLEMMONS, NC 27012 | AFLAC | $355 | $0 | $355 | 1.86% |
| HYLANT GROUP INC3 | 24 FRANK LLOYD WRIGHT DR ANN ARBOR, MI 48105 | AFLAC | $303 | $0 | $303 | 1.59% |
| AMANDA HENGESBACH3 | 13189 HITCHING POST RD DEWITT, MI 48820 | AFLAC | $195 | $0 | $195 | 1.02% |
| SABRINA HASKELL3 | 2150 COUNTRY CLUB RD STE 228 WINSTON SALEM, NC 27104 | AFLAC | $169 | $0 | $169 | 0.89% |
| DAVID C SWEIGARD3 | 263 PELLICER RD SAINT AUGUSTINE, FL 32092 | AFLAC | $165 | $0 | $165 | 0.87% |
| CAROLYN SEGARS3 Filed as: CAROLYN D SEGARS | 2734 BAYVIEW RD JACKSONVILLE, FL 32210 | AFLAC | $146 | $0 | $146 | 0.77% |
| BRYAN LIBBY3 Filed as: BRYAN DALE LIBBY | PO BOX 554 HILLIARD, FL 32046 | AFLAC | $124 | $0 | $124 | 0.65% |
| BRYAN LIBBY3 | PO BOX 554 HILLIARD, FL 32046 | AFLAC | $88 | $0 | $88 | 0.46% |
| TAMMY S GARDNER3 Filed as: TAMMY GARDNER | PO BOX 1263 CROSS CITY, FL 32628 | AFLAC | $83 | $0 | $83 | 0.44% |
| JAMEY MILLER INC3 | 2202 57TH ST SE AUBURN, WA 98092 | AFLAC | $81 | $0 | $81 | 0.42% |
| CAROLYN SEGARS3 | 2734 BAYVIEW RD JACKSONVILLE, FL 32210 | AFLAC | $66 | $0 | $66 | 0.35% |
| C H ROBINSON & ASSOCIATES INC3 Filed as: CH ROBINSON & ASSOCIATES INC | 4623 NW 53RD AVE STE 1 GAINESVILLE, FL 32653 | AFLAC | $58 | $0 | $58 | 0.30% |
| JEREMY M HASKELL3 | 430 RYDER CUP LANE CLEMMONS, NC 27012 | AFLAC | $57 | $0 | $57 | 0.30% |
| JEREMY C ALFORD3 | 3700 WINDMEADOWS BLVD APT DD295 GAINESVILLE, FL 32608 | AFLAC | $54 | $0 | $54 | 0.28% |
| MICHELLE G. PULLAM3 Filed as: MICHELLE G PULLAM | PO BOX 898 CORTEZ, FL 34215 | AFLAC | $52 | $0 | $52 | 0.27% |
| ANGEL E HILL3 | 24921 NE 136TH LANE FORT MCCOY, FL 32134 | AFLAC | $51 | $0 | $51 | 0.27% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E STE 101B TALLAHASSEE, FL 32308 | AFLAC | $48 | $0 | $48 | 0.25% |
| MARK A RAYMER3 | 625 E BIG BEAVER RD STE 103 TROY, MI 48083 | AFLAC | $46 | $0 | $46 | 0.24% |
| DONNA WALKER3 Filed as: DONNA RAE WALKER | 4544 PALMETTO COVE LN JACKSONVILLE, FL 32258 | AFLAC | $40 | $0 | $40 | 0.21% |
| JAMEY MILLER INC3 | 10375 CENTURION PKWY N STE 100 JACKSONVILLE, FL 32256 | AFLAC | $37 | $0 | $37 | 0.19% |
| J C ADAMS INC3 Filed as: JC ADAMS INC | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $36 | $0 | $36 | 0.19% |
| EOWALTER3 LLC3 | 42906 SENATE PL NOVI, MI 48375 | AFLAC | $35 | $0 | $35 | 0.18% |
| THE SCHATZIE GROUP NORTH LLC3 | 4796 SAWGRASS DR W ANN ARBOR, MI 48108 | AFLAC | $35 | $0 | $35 | 0.18% |
| SHANNON L TROWBRIDGE3 | 202 SPRINGRISE LN SUMMERVILLE, SC 29486 | AFLAC | $34 | $0 | $34 | 0.18% |
| ANGEL E HILL3 | 4125 SE 23RD TER OCALA, FL 34480 | AFLAC | $32 | $0 | $32 | 0.17% |
| C H ROBINSON & ASSOCIATES INC3 Filed as: CH ROBINSON & ASSOCIATES INC | 4735 NW 53RD AVE STE A GAINESVILLE, FL 32653 | AFLAC | $31 | $0 | $31 | 0.16% |
| LINDA HILL3 | 840 KING CT EAST LANSING, MI 48823 | AFLAC | $30 | $0 | $30 | 0.16% |
| JANINA CRAMPTON3 Filed as: JANINA J CRAMPTON | 475 JENKINSBURG RD GRIFFIN, GA 30223 | AFLAC | $30 | $0 | $30 | 0.16% |
| JEREMY M HASKELL3 | 2150 COUNTRY CLUB RD STE 228 WINSTON SALEM, NC 27104 | AFLAC | $29 | $0 | $29 | 0.15% |
| ROBERT L TRAPNELL JR3 | 15 N INDIAN RIVER DR APT 706 COCOA, FL 32922 | AFLAC | $23 | $0 | $23 | 0.12% |
| ROBERT P FERRONE3 | 262 AUTUMN TRAIL WAY WAVERLY HALL, GA 31831 | AFLAC | $23 | $0 | $23 | 0.12% |
| JOEY C ADAMS3 | 317 NORTHEASAT 36TH AVE STE 6 OCALA, FL 34470 | AFLAC | $22 | $0 | $22 | 0.12% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $19 | $0 | $19 | 0.10% |
| FREDERICK GIRBACH3 Filed as: FREDERICK J GIRBACH | 272 MARK HANNAH CT SALINE, MI 48176 | AFLAC | $19 | $0 | $19 | 0.10% |
| PATRICK FULLER3 Filed as: PATRICK L FULLER | 6381 ISLAND LAKE DR EAST LANSING, MI 48823 | AFLAC | $17 | $0 | $17 | 0.09% |
| ALAN BERGMANN3 | 2144 MADERO DR THE VILLAGES, FL 32159 | AFLAC | $14 | $0 | $14 | 0.07% |
| TLANDA MCDONALD3 | 1855 TIVERTON RD BLOOMFIELD HILLS, MI 48304 | AFLAC | $14 | $0 | $14 | 0.07% |
| KACY A GRUENKEMEYER3 | 543 ALSTON DR CHATTANOOGA, TN 37419 | AFLAC | $13 | $0 | $13 | 0.07% |
| JAMES ARTHUR HARBOUR3 | 405 BARSCHALL DR COLUMBUS, GA 31904 | AFLAC | $13 | $0 | $13 | 0.07% |
| MICHAEL L TRUDEAU3 | 30229 SCHOENHERR RD STE 100 WARREN, MI 48088 | AFLAC | $13 | $0 | $13 | 0.07% |
| DAVID K MOBLEY3 Filed as: DAVID MOBLEY | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $11 | $0 | $11 | 0.06% |
| RENEE M TRUDEAU3 | 30229 SCHOENHERR RD STE 100 WARREN, MI 48088 | AFLAC | $11 | $0 | $11 | 0.06% |
| AG AND ASSOCIATES3 | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $10 | $0 | $10 | 0.05% |
| SHAUN M KLUG3 | 46389 SPINNING WHEEL DR CANTON, MI 48187 | AFLAC | $9 | $0 | $9 | 0.05% |
| JAMES ARTHUR HARBOUR3 | 1100 ALAKEA ST STE 3200 HONOLULU, HI 96813 | AFLAC | $8 | $0 | $8 | 0.04% |
| JOEY C ADAMS3 Filed as: JOEY ADAMS | 317 NORTHEAST 36TH AVE STE 6 OCALA, FL 34470 | AFLAC | $7 | $0 | $7 | 0.04% |
| BRIAN J DAY3 | 13189 HITCHING POST RD DEWITT, MI 48820 | AFLAC | $7 | $0 | $7 | 0.04% |
| JOEY C ADAMS3 Filed as: JOEY ADAMS | PO BOX 729 OCALA, FL 34478 | AFLAC | $7 | $0 | $7 | 0.04% |
| JIMMY LEON JOHNSON3 | 40 AVERY ST SAINT AUGUSTINE, FL 32084 | AFLAC | $6 | $0 | $6 | 0.03% |
| J W GRIMES INC3 Filed as: JW GRIMES INC | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $5 | $0 | $5 | 0.03% |
| ANDREW K GLAUB3 | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $5 | $0 | $5 | 0.03% |
| CATHERINE L LEE3 | 10 NUN ST WILMINGTON, NC 28401 | AFLAC | $3 | $0 | $3 | 0.02% |
| MARIE MICHELE HASKELL3 | 5023 EAGLE POINT DR JACKSONVILLE, FL 32244 | AFLAC | $3 | $0 | $3 | 0.02% |
| CHRISTOPHER D BOULDREY3 | PO BOX 602 CONCORD, MI 49237 | AFLAC | $2 | $0 | $2 | 0.01% |
| JAMES BULLOCK3 | 3715 POWDERHORN DR OKEMOS, MI 48864 | AFLAC | $2 | $0 | $2 | 0.01% |
| RANDALL L KIMBLER3 | PO BOX 302 HESPERIA, MI 49421 | AFLAC | $2 | $0 | $2 | 0.01% |
| HEIDI E GLAUB3 | 4404 SAINT ANDREWS ST HOWELL, MI 48843 | AFLAC | $2 | $0 | $2 | 0.01% |
| CECIL T SALMON3 | 95 EDWARD DR PALM COAST, FL 32164 | AFLAC | $1 | $0 | $1 | 0.01% |
| JAMES R MIRABELLI3 | 801 BRINY AVE APT 1403 POMPANO BEACH, FL 33062 | AFLAC | $1 | $0 | $1 | 0.01% |
| BETH LUANNE KIMBROUGH3 | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $1 | $0 | $1 | 0.01% |
| OMER S BASS IV3 | 656 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $1 | $0 | $1 | 0.01% |
| MARK C LEE3 | 1444 S 17TH ST WILMINGTON, NC 28401 | AFLAC | $1 | $0 | $1 | 0.01% |
| MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $1 | $0 | $1 | 0.01% |
| MARK C LEE3 | 11500 COUNTY LINE RD MIDLAND, GA 31820 | AFLAC | $1 | $0 | $1 | 0.01% |
| TONYA SUE ELMORE3 | 1930 HIGHWAY 71 E MANSFIELD, AR 72944 | AFLAC | $1 | $0 | $1 | 0.01% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $1 | $0 | $1 | 0.01% |
| VICKI M DICKERT3 | 3264 ADDISON LN TALLAHASSEE, FL 32317 | AFLAC | $1 | $0 | $1 | 0.01% |
| MARIE MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $1 | $0 | $1 | 0.01% |
| DAWN T SUCHECKI3 | 225 S WATER ST WILMINGTON, NC 28401 | AFLAC | $1 | $0 | $1 | 0.01% |
| ANNIE GLAUB3 | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $1 | $0 | $1 | 0.01% |
| JAMES C SNIDER JR3 | 457 MANOR RD MAITLAND, FL 32751 | AFLAC | $1 | $0 | $1 | 0.01% |
| THOMAS W RINGWALD3 | 37231 N 110TH ST SCOTTSDALE, AZ 85262 | AFLAC | $1 | $0 | $1 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TELADOC EIN 04-3705970 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $8K |
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 | 152 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 152 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 152 | $1.9M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 133 | $100K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 133 | $100K |
| Life insurance | LIFE INSURANCE COMPANY OF AMERICA | 179 | $110K |
| Short-term disability | LIFE INSURANCE COMPANY OF AMERICA | 179 | $110K |
| Long-term disability | LIFE INSURANCE COMPANY OF AMERICA | 179 | $110K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 152 | $1.9M |
| Other(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 179 | $2.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 179 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.