| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LARRY MCGLOCKTON3 | 5546 PEARL STREET JACKSONVILLE, FL 32208 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | — | $6K | 7.41% |
| ELITE INSURANCE ASSOCIATES LLC3 | 1710 SHADOWOOD LANE JACKSONVILLE, FL 32207 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $258 | $3K | 3.52% |
| NELSON BENEFITS GROUP LLC3 Filed as: NELSON BENEFITS GROUP | 35054 KAREN RD CALLAHAN, FL 32011 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.47% |
| CAPTURED MOMENTS BY KATE LLC3 Filed as: CAPTURED MOMENTS BY KATE | 8074 GATE PARKWAY WEST JACKSONVILLE, FL 32216 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $777 | $220 | $997 | 1.14% |
| CATHERINE UNDERWOOD3 | 601 PARK LAKE DRIVE PONTE VEDRA, FL 32081 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $257 | $30 | $287 | 0.33% |
| APEX SOLUTIONS GROUP OF FLORIDA LLC3 | 15770 JIM CT JACKSONVILLE, FL 32218 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $88 | $74 | $162 | 0.19% |
| S & B INSURANCE SOLUTIONS LLC Filed as: S & B INSURANCE SOLUTIONS | 54210 SHERWOOD RD CALLAHAN, FL 32011 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $151 | $7 | $158 | 0.18% |
| PETER JUERGANS3 | 153 PINE STREET ATLANTAC BEACH, FL 32233 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $114 | — | $114 | 0.13% |
| DENISE COLE3 | 5011 BRANCH LANE JACKSONVILLE, FL 32207 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $71 | $3 | $74 | 0.08% |
| PETER C BENES3 Filed as: PETER BENES | 808 ELMWOOD ST ORANGE PARK, FL 32065 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $64 | — | $64 | 0.07% |
| PINKER INSURANCE INC3 | 17166 CUNNINGHAM FARM HILLIARD, FL 32046 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $54 | — | $54 | 0.06% |
| BENJAMIN D ROBERTSON3 Filed as: BENJAMIN ROBERTSON | 471 WEST 70TH ST JACKSONVILLE, FL 32208 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $48 | — | $48 | 0.05% |
| CHEYENNE LEFAIVRE-LINDSEY3 Filed as: CHEYENNE LAFAIVRE-LINDSEY | 3529 COLLWGW PLACE JACKSONVILLW, FL 32205 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $16 | $9 | $25 | 0.03% |
| CLINTON HARDY TALBERT3 | 1564 ARCADIA DRIVE #513 JACKSONVILLE, FL 32207 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| JOHN VRABEL3 | 1527 4TH AVE NORTH JACKSONVILLE BEACH, FL 32250 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
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 | 163 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 163 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Other | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 163 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 163 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.