| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 7077 BONNEVAL RD STE 550 JACKSONVILLE, FL 32216 | BLUE CROSS BLUE SHIELD OF FLORIDA | $77K | $0 | $77K | 4.00% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | SUN LIFE ASSURANCE COMPANY OF CANADA | $11K | $0 | $11K | 10.01% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF AMERICA | $7K | $0 | $7K | 10.00% |
| SABRINA HASKELL3 | 430 RYDER CUP LANE CLEMMONS, NC 27012 | AFLAC | $493 | $0 | $493 | 2.86% |
| CAROLYN SEGARS3 | 2734 BAYVIEW RD JACKSONVILLE, FL 32210 | AFLAC | $462 | $29 | $491 | 2.85% |
| DAVID C SWEIGARD3 Filed as: DAVID SWEIGARD | 2603 PELLICER RD SAINT AUGUSTINE, FL 32092 | AFLAC | $142 | $12 | $154 | 0.89% |
| AMANDA HENGESBACH3 | 13189 HITCHING POST RD DEWITT, MI 48820 | AFLAC | $100 | $0 | $100 | 0.58% |
| TAMMY S GARDNER3 Filed as: TAMMY SHIPP | PO BOX 1263 CROSS CITY, FL 32628 | AFLAC | $90 | $0 | $90 | 0.52% |
| JEREMY M HASKELL3 Filed as: JEREMY HASKELL | 430 RYDER CUP LN CLEMMONS, NC 27012 | AFLAC | $80 | $0 | $80 | 0.46% |
| SLR INSURANCE SOLUTIONS INC3 | 179 PINE HAVEN DR ST JOHNS, FL 32259 | AFLAC | $71 | $0 | $71 | 0.41% |
| C H ROBINSON & ASSOCIATES INC3 | 9969 NW 16TH RD GAINESVILLE, FL 32606 | AFLAC | $65 | $0 | $65 | 0.38% |
| ANGEL E HILL3 Filed as: ANGEL HILL | 3100 NE 97TH ST RD ANTHONY, FL 32617 | AFLAC | $64 | $0 | $64 | 0.37% |
| SANDRA ADAMS3 | 1817 CYPRESS POINT RD OCALA, FL 34472 | AFLAC | $57 | $0 | $57 | 0.33% |
| BRYAN LIBBY3 | PO BOX 554 HILLIARD, FL 32046 | AFLAC | $25 | $29 | $54 | 0.31% |
| HYLANT GROUP INC3 | 24 FRANK LLOYD WRIGHT DR ANN ARBOR, MI 48105 | AFLAC | $52 | $0 | $52 | 0.30% |
| ASSURANCE AGENCY LTD3 Filed as: CHERRY ASSURANCE GROUP INC | 1425 PIEDMONT DR E STE 101B TALLAHASSEE, FL 32308 | AFLAC | $51 | $0 | $51 | 0.30% |
| MARK A RAYMER3 Filed as: MARK RAYMER | 625 E BIG BEAVER RD STE 103 TROY, MI 48083 | AFLAC | $46 | $0 | $46 | 0.27% |
| JEREMY C ALFORD3 Filed as: JEREMY ALFORD | 3700 WINDMEADOWS BLVD APT DD295 GAINESVILLE, FL 32608 | AFLAC | $43 | $0 | $43 | 0.25% |
| JAMEY MILLER INC3 | 2202 57TH ST SE AUBURN, WA 98092 | AFLAC | $27 | $12 | $39 | 0.23% |
| DONNA WALKER3 | 4544 PALMETTO COVE LN JACKSONVILLE, FL 32258 | AFLAC | $37 | $0 | $37 | 0.21% |
| THE SCHATZIE GROUP NORTH LLC3 | 4796 SAWGRASS DR W ANN ARBOR, MI 48108 | AFLAC | $35 | $0 | $35 | 0.20% |
| EDWARD O WALTER3 Filed as: EDWARD WALTER III | PO BOX 1377 GRAND RAPIDS, MI 49501 | AFLAC | $33 | $0 | $33 | 0.19% |
| JANINA CRAMPTON3 | 475 JENKINSBURG RD GRIFFIN, GA 30223 | AFLAC | $29 | $0 | $29 | 0.17% |
| ROBERT P FERRONE3 Filed as: ROBERT FERRONE | 262 AUTUMN TRAIL WAY WAVERLY HALL, GA 31831 | AFLAC | $22 | $0 | $22 | 0.13% |
| SHANNON TROWBRIDGE3 | 202 SPRINGRISE LN SUMMERVILLE, SC 29486 | AFLAC | $22 | $0 | $22 | 0.13% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $20 | $0 | $20 | 0.12% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES HARBOUR | 405 BARSCHALL DR COLUMBUS, GA 31904 | AFLAC | $20 | $0 | $20 | 0.12% |
| FREDERICK GIRBACH3 | 272 MARK HANNAH CT SALINE, MI 48176 | AFLAC | $19 | $0 | $19 | 0.11% |
| ROBERT L TRAPNELL JR3 Filed as: ROBERT TRAPNELL JR | 15 N INDIAN RIVER DR APT 705 COCOA, FL 32922 | AFLAC | $18 | $0 | $18 | 0.10% |
| PATRICK FULLER3 | 6381 ISLAND LAKE DR EAST LANSING, MI 48823 | AFLAC | $16 | $0 | $16 | 0.09% |
| KACY A GRUENKEMEYER3 Filed as: KACY GRUENKEMEYER | 558 CLINGMANS LN CHATTANOOGA, TN 37419 | AFLAC | $13 | $0 | $13 | 0.08% |
| LINDA HILL3 | 840 KING CT EAST LANSING, MI 48823 | AFLAC | $13 | $0 | $13 | 0.08% |
| MICHAEL C WALKER3 Filed as: MICHAEL TRUDEAU | 30229 SCHOENHERR RD STE 100 WARREN, MI 48088 | AFLAC | $13 | $0 | $13 | 0.08% |
| RENEE M TRUDEAU3 Filed as: RENEE TRUDEAU | 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 | 0.06% |
| DAVID K MOBLEY3 Filed as: DAVID MOBLEY | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $10 | $0 | $10 | 0.06% |
| SHAUN M KLUG3 Filed as: SHAUN KLUG | 46389 SPINNING WHEEL DR CANTON, MI 48187 | AFLAC | $9 | $0 | $9 | 0.05% |
| ALAN BERGMANN3 | 461 COKESBURY DR THE VILLAGES, FL 32162 | AFLAC | $6 | $0 | $6 | 0.03% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 40 AVERY ST SAINT AUGUSTINE, FL 32084 | AFLAC | $6 | $0 | $6 | 0.03% |
| MARIE MICHELE HASKELL3 Filed as: MARIE HASKELL | 5023 EAGLE POINT DR JACKSONVILLE, FL 32244 | AFLAC | $5 | $0 | $5 | 0.03% |
| TLANDA MCDONALD3 | 1855 TIVERTON RD BLOOMFIELD HILLS, MI 48304 | AFLAC | $3 | $0 | $3 | 0.02% |
| J W GRIMES INC3 Filed as: JW GRIMES INC | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $3 | $0 | $3 | 0.02% |
| MICHELLE PULLAM3 | 209 S ROSE ST BURBANK, CA 91505 | AFLAC | $3 | $0 | $3 | 0.02% |
| JAMES BULLOCK3 | 3715 POWDERHORN DR OKEMOS, MI 48864 | AFLAC | $2 | $0 | $2 | 0.01% |
| HEIDI E GLAUB3 Filed as: HEIDI GLAUB | 4404 SAINT ANDREWS ST HOWELL, MI 48843 | AFLAC | $2 | $0 | $2 | 0.01% |
| ANDREW K GLAUB3 Filed as: ANDREW GLAUB | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $2 | $0 | $2 | 0.01% |
| OMER S BASS IV3 Filed as: OMER BASS | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $1 | $0 | $1 | 0.01% |
| CHRISTOPHER D BOULDREY3 Filed as: CHRISTOPHER BOULDREY | PO BOX 602 CONCORD, MI 49237 | AFLAC | $1 | $0 | $1 | 0.01% |
| ANNIE GLAUB3 | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $1 | $0 | $1 | 0.01% |
| MARK C LEE3 Filed as: MARK LEE | 11500 COUNTY LINE RD MIDLAND, GA 32820 | AFLAC | $1 | $0 | $1 | 0.01% |
| DAWN T SUCHECKI3 Filed as: DAWN SUCHECKI | 225 S WATER ST WILMINGTON, NC 28401 | AFLAC | $1 | $0 | $1 | 0.01% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 103 LAUGHING GULL LN CARRABELLE, FL 32322 | AFLAC | $1 | $0 | $1 | 0.01% |
| THOMAS W BOSTON3 Filed as: THOMAS RINGWALD | 37231 N 110TH ST SCOTTSDALE, AZ 85262 | AFLAC | $1 | $0 | $1 | 0.01% |
| JAMES C SNIDER JR3 Filed as: JAMES SNIDER JR | 457 MANOR RD MAITLAND, FL 32751 | AFLAC | $1 | $0 | $1 | 0.01% |
| RANDALL D LADNER3 Filed as: RANDALL KIMBLER | PO BOX 302 HESPERIA, MI 49421 | AFLAC | $1 | $0 | $1 | 0.01% |
| BRIAN DAY3 | 13189 HITCHING POST RD DEWITT, MI 48820 | AFLAC | $1 | $0 | $1 | 0.01% |
| CATHERINE L LEE3 Filed as: CATHERINE LEE | 10 NUN ST WILMINGTON, NC 28401 | AFLAC | $1 | $0 | $1 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TELADOC HEALTH, INC EIN 04-3705970 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $9K |
| HYLANT GROUP INC BROKER | Contract Administrator Service code 13 | 811 MADISON AVE FL 8 TOLEDO, OH 43604 | $1K |
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 | 191 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 191 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 159 | $1.9M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 144 | $109K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 144 | $109K |
| Life insurance | LIFE INSURANCE COMPANY OF AMERICA | 191 | $74K |
| Short-term disability | LIFE INSURANCE COMPANY OF AMERICA | 191 | $74K |
| Long-term disability | LIFE INSURANCE COMPANY OF AMERICA | 191 | $74K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 159 | $1.9M |
| Other(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 191 | $2.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 191 | — |
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.