| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL, INC. | 1200 PLANTATION ISLAND DRIVE S SUITE 210 ST. AUGUSTINE, FL 320803115 | FLORIDA COMBINED LIFE | $15K | — | $15K | 9.17% |
| MFB FINANCIAL DBA THE BAILEY GROUP3 | 1200 PLANTATION ISLAND DR STE 210 SAINT AUGUSTINE, FL 32080 | SUN LIFE ASSURANCE COMPANY OF CANADA | $10K | $1K | $12K | 17.15% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY # 2-125 AUSTIN, TX 78746 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $416 | $416 | 0.61% |
| HEIDI HANSEN3 | 12 FOX VALLEY DR ORANGE PARK, FL 32073 | AFLAC | $5K | $332 | $5K | 7.42% |
| MARK BAILEY3 | 1200 PLANTATION ISLAND DR S STE 210 ST AUGUSTINE, FL 32080 | AFLAC | $1K | — | $1K | 1.81% |
| KRYSTINA EBERHART3 | 5584 HARBORSIDE DR TAMPA, FL 33615 | AFLAC | $944 | $66 | $1K | 1.53% |
| MARK A LINSNER3 Filed as: MARK LINSNER | 153 BLANDING BLVD STE 3 ORANGE PARK, FL 32073 | AFLAC | $544 | $27 | $571 | 0.86% |
| JAMEY MILLER INC3 | 4811 BEACH BLVD STE 107 JACKSONVILLE, FL 32207 | AFLAC | $471 | $39 | $510 | 0.77% |
| HAUGHT FINANCIAL GRP INC3 | PO BOX 3158 PONTE VEDRA BEACH, FL 32204 | AFLAC | $461 | — | $461 | 0.70% |
| FRAN C HARGARTEN III3 Filed as: FRAN HARGARTEN III | 1140 MOSSY ROCK RD NW KENNESAW, GA 30152 | AFLAC | $239 | — | $239 | 0.36% |
| THOMAS JAMES OLLER3 Filed as: THOMAS OLLER | 2410 SOUTHERN LINKS DR FLEMING ISLAND, FL 32003 | AFLAC | $224 | — | $224 | 0.34% |
| CHRIS GUZEWICH3 | 1007 DRAKE FEATHER DR ORANGE PARK, FL 32065 | AFLAC | $158 | — | $158 | 0.24% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $150 | — | $150 | 0.23% |
| TRACI R BATTEN3 Filed as: TRACI BATTEN | 216 MAITLAND AVE MAITLAND, FL 32701 | AFLAC | $85 | — | $85 | 0.13% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $78 | — | $78 | 0.12% |
| SHADEL & ASSOCIATES LLC3 | 4811 BEACH BLVD STE 107 JACKSONVILLE, FL 32207 | AFLAC | $75 | — | $75 | 0.11% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 1005 BELLA VISTA BLVD APT 119 ST AUGUSTINE, FL 32092 | AFLAC | $58 | — | $58 | 0.09% |
| BRANDON ADAMS3 | 74 CROWN COLONY RD ST AUGUSTINE, FL 32092 | AFLAC | $44 | — | $44 | 0.07% |
| LINDA LITTLE3 | 6565 PERKINS DR MACON, GA 31216 | AFLAC | $43 | — | $43 | 0.07% |
| JAMES R MIRABELLI3 Filed as: JAMES MIRABELLI | 21426 GOSIER WAY BOCA RATON, FL 33428 | AFLAC | $42 | — | $42 | 0.06% |
| JIMMY D BOONE3 Filed as: JIMMY BOONE | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC | $39 | — | $39 | 0.06% |
| CHRISTINE M SINTAY3 Filed as: CHRISTINE SINTAY | 1972 ALCOVA RIDGE DR LAS VEGAS, NV 89135 | AFLAC | $30 | — | $30 | 0.05% |
| J C ADAMS INC3 Filed as: J C ADAMS | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $25 | — | $25 | 0.04% |
| AARON ANTHONY3 | 1700 FOUNTAIN CT APT 1303 COLUMBUS, GA 31904 | AFLAC | $14 | — | $14 | 0.02% |
| VERA I CRUICE3 Filed as: VERA CRUICE | 11445 DRAKEWOOD CT JACKSONVILLE, FL 32223 | AFLAC | $12 | — | $12 | 0.02% |
| PHILIP L GREEN3 Filed as: PHILIP GREEN | 3948 S THIRD STREET SUITE #175 JACKSONVILLE BEACH, FL 32250 | AFLAC | $11 | — | $11 | 0.02% |
| NICOLE SMITH3 | 4326 ELLIPSE DR JACKSONVILLE, FL 32246 | AFLAC | $10 | — | $10 | 0.02% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $9 | — | $9 | 0.01% |
| JEFFREY M SINTAY3 Filed as: JEFFREY SINTAY | 1972 ALCOVA RIDGE DR LAS VEGAS, NV 89135 | AFLAC | $8 | — | $8 | 0.01% |
| CECIL SALMON3 | 95 EDWARD DR PALM COAST, FL 32164 | AFLAC | $8 | — | $8 | 0.01% |
| MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $6 | — | $6 | 0.01% |
| ELAINE COX3 | 3355 DOROTHEA RD JACKSONVILLE, FL 32216 | AFLAC | $3 | — | $3 | 0.00% |
| LAURA HEILIG3 | 13768 OAK TREE TER JACKSONVILLE, FL 32224 | AFLAC | $2 | — | $2 | 0.00% |
| ROBERT P FERRONE3 Filed as: ROBERT FERRONE | 1701 WILLIAMS CT APT 202 COLUMBUS, GA 31904 | AFLAC | $2 | — | $2 | 0.00% |
| HEIDI HANSEN3 | 12 FOX VALLEY DR ORANGE PARK, FL 32073 | AFLAC | $2K | $36 | $2K | 3.69% |
| GLORIA BUSSEY3 | 3680 COQUINA KEY DR SE ST PETERSBURG, FL 33705 | AFLAC | $438 | — | $438 | 0.94% |
| HAUGHT FINANCIAL GRP INC3 | PO BOX 3158 PONTE VEDRA BEACH, FL 32204 | AFLAC | $295 | — | $295 | 0.64% |
| LINDA LITTLE3 | 6565 PERKINS DR MACON, GA 31216 | AFLAC | $272 | — | $272 | 0.59% |
| JAMEY MILLER INC3 | 4811 BECAH BLVD STE 107 JACKSONVILLE, FL 32207 | AFLAC | $234 | $7 | $241 | 0.52% |
| FRAN C HARGARTEN III3 Filed as: FRAN HARGARTEN III | 1140 MOSSY ROCK RD NW KENNESAW, GA 30152 | AFLAC | $238 | — | $238 | 0.51% |
| MARK BAILEY3 | 1200 PLANTATION ISLAND DR S SUITE 210 ST AUGUSTINE, FL 32080 | AFLAC | $230 | — | $230 | 0.50% |
| KRYSTINA EBERHART3 | 5584 HARBORSIDE DR TAMPA, FL 33615 | AFLAC | $200 | $7 | $207 | 0.45% |
| DAVID K MOBLEY3 Filed as: DAVID MOBLEY | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $169 | — | $169 | 0.36% |
| MARK A LINSNER3 Filed as: MARK LINSNER | 153 BLANDING BLVD STE 3 ORANGE PARK, FL 32073 | AFLAC | $132 | — | $132 | 0.28% |
| THE HORTON GROUP3 Filed as: R HORTON GRIFFIN JR | 116 N DAWSON ST THOMASVILLE, GA 31792 | AFLAC | $128 | — | $128 | 0.28% |
| CHRIS GUZEWICH3 | 1007 DRAKE FEATHER DR ORANGE PARK, FL 32065 | AFLAC | $121 | — | $121 | 0.26% |
| THOMAS JAMES OLLER3 Filed as: THOMAS OLLER | 2410 SOUTHERN LINKS DR FLEMING ISLAND, FL 32003 | AFLAC | $109 | — | $109 | 0.23% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES HARBOUR | 1100 ALAKEA STREET SUITE 3200 HONOLULU, HI 96813 | AFLAC | $78 | — | $78 | 0.17% |
| J W GRIMES INC3 Filed as: J W GRIMES | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $74 | — | $74 | 0.16% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6750 N ANDREWS AVE SUITE 200 FT LAUDERDALE, FL 33309 | AFLAC | $65 | — | $65 | 0.14% |
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL | 1200 PLANTATION ISLAND DR S STE 210 SAINT AUGUSTINE, FL 32080 | AFLAC | $61 | — | $61 | 0.13% |
| JIMMY D BOONE3 Filed as: JIMMY BOONE | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC | $59 | — | $59 | 0.13% |
| TRACI R BATTEN3 Filed as: TRACI BATTEN | 216 MAITLAND AVE MAITLAND, FL 32701 | AFLAC | $51 | — | $51 | 0.11% |
| SHADEL & ASSOCIATES LLC3 | 4811 BEACH BLVD STE 107 JACKSONVILLE, FL 32207 | AFLAC | $46 | — | $46 | 0.10% |
| BRANDON ADAMS3 | 74 CROWN COLONY RD ST AUGUSTINE, FL 32092 | AFLAC | $46 | — | $46 | 0.10% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $46 | — | $46 | 0.10% |
| PHILIP L GREEN3 Filed as: PHILIP GREEN | 3948 S THIRD STREET SUITE 175 JACKSONVILLE BEACH, FL 32250 | AFLAC | $44 | — | $44 | 0.09% |
| J C ADAMS INC3 Filed as: J C ADAMS | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $36 | — | $36 | 0.08% |
| VERA I CRUICE3 Filed as: VERA CRUICE | 11445 DRAKEWOOD CT JACKSONVILLE, FL 32223 | AFLAC | $32 | — | $32 | 0.07% |
| CHRISTINE M SINTAY3 Filed as: CHRISTINE SINTAY | 1972 ALCOVA RIDGE DR LAS VEGAS, NV 89135 | AFLAC | $32 | — | $32 | 0.07% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 1005 BELLA VISTA BLVD APT 119 ST AUGUSTINE, FL 32084 | AFLAC | $31 | — | $31 | 0.07% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $27 | — | $27 | 0.06% |
| ELAINE COX3 | 3355 DOROTHEA ROAD JACKSONVILLE, FL 32216 | AFLAC | $21 | — | $21 | 0.05% |
| ROBERT L TRAPNELL JR3 Filed as: ROBERT TRAPNELL JR | 15 N INDIAN RIVER DR APT 705 COCOA, FL 32922 | AFLAC | $19 | — | $19 | 0.04% |
| JAMES R MIRABELLI3 Filed as: JAMES MIRABELLI | 21426 GOSIER WAY BOCA RATON, FL 33428 | AFLAC | $18 | — | $18 | 0.04% |
| AARON ANTHONY3 | 1700 FOUNTAIN CT APT 1303 COLUMBUS, GA 31904 | AFLAC | $13 | — | $13 | 0.03% |
| LAURA HEILIG3 | 13768 OAK TREE TER JACKSONVILLE, FL 32224 | AFLAC | $10 | — | $10 | 0.02% |
| MARK C LEE3 Filed as: MARK LEE | 1444 SOUTH 17TH ST WILMINGTON, NC 28401 | AFLAC | $8 | — | $8 | 0.02% |
| ROBERT P FERRONE3 Filed as: ROBERT FERRONE | 1701 WILLIAMS CT APT 202 COLUMBUS, GA 31904 | AFLAC | $8 | — | $8 | 0.02% |
| NICOLE SMITH3 | 4326 ELLIPSE DR JACKSONVILLE, FL 32246 | AFLAC | $6 | — | $6 | 0.01% |
| CECIL SALMON3 | 95 EDWARD DR PALM COAST, FL 32164 | AFLAC | $4 | — | $4 | 0.01% |
| JEFFREY M SINTAY3 Filed as: JEFFREY SINTAY | 1972 ALCOVA RIDGE DR LAS VEGAS, NV 89135 | AFLAC | $3 | — | $3 | 0.01% |
| OMER S BASS IV3 Filed as: OMER BASS IV | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $3 | — | $3 | 0.01% |
| JAMES HARRIS3 | 6329 RIVERMONT CT COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 0.00% |
| MICHELE HASKELL3 | PO BOX 440307 JACKSONVILLE, FL 32222 | AFLAC | $1 | — | $1 | 0.00% |
| MFB FINANCIAL INC3 | 1200 PLANTATION ISLAND DR STE 120 ST AUGUSTINE, FL 320803115 | HUMANA INSURANCE COMPANY | $3K | $10 | $3K | 9.94% |
| HEIDI HANSEN3 | 12 FOX VALLEY DR ORANGE PARK, FL 32073 | AFLAC | $1K | $141 | $1K | 8.74% |
| MARK BAILEY3 | 1200 PLANTATION ISLAND DR S SUITE 210 ST AUGUSTINE, FL 32080 | AFLAC | $354 | — | $354 | 2.48% |
| KRYSTINA EBERHART3 | 5584 HARBORSIDE DR TAMPA, FL 33615 | AFLAC | $300 | $28 | $328 | 2.30% |
| MARK A LINSNER3 Filed as: MARK LINSNER | 153 BLANDING BLVD SUITE 3 ORANGE PARK, FL 32073 | AFLAC | $150 | $9 | $159 | 1.11% |
| JAMEY MILLER INC3 | 4811 BEACH BLVD STE 107 JACKSONVILLE, FL 32207 | AFLAC | $108 | $20 | $128 | 0.90% |
| HAUGHT FINANCIAL GRP INC3 | PO BOX 3158 PONTE VEDRA BEACH, FL 32204 | AFLAC | $75 | — | $75 | 0.53% |
| THOMAS JAMES OLLER3 Filed as: THOMAS OLLER | 2410 SOUTHERN LINKS DR FLEMING ISLAND, FL 32003 | AFLAC | $36 | — | $36 | 0.25% |
| CHRIS GUZEWICH3 | 1007 DRAKE FEATHER DR ORANGE PARK, FL 32065 | AFLAC | $33 | — | $33 | 0.23% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6750 N ANDREWS AVE STE 200 FT LAUDERDALE, FL 33309 | AFLAC | $23 | — | $23 | 0.16% |
| FRAN C HARGARTEN III3 Filed as: FRAN HARGARTEN III | 1140 MOSSY ROCK RD NW KENNESAW, GA 30152 | AFLAC | $21 | — | $21 | 0.15% |
| MFB FINANCIAL INC3 Filed as: MFB FINANCIAL | 1200 PLANTATION ISLAND DR S STE 210 SAINT AUGUSTINE, FL 32080 | AFLAC | $20 | — | $20 | 0.14% |
| GLORIA BUSSEY3 | 3680 COQUINA KEY DR SE ST PETERSBURG, FL 33705 | AFLAC | $16 | — | $16 | 0.11% |
| DAVID K MOBLEY3 Filed as: DAVID MOBLEY | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $16 | — | $16 | 0.11% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $16 | — | $16 | 0.11% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $15 | — | $15 | 0.11% |
| MATTHEW SHANE STRONG3 Filed as: MATTHEW STRONG | 5628 SKINNER DR APOLLO BEACH, FL 33572 | AFLAC | $15 | — | $15 | 0.11% |
| LINDA LITTLE3 | 6565 PERKINS DR MACON, GA 31216 | AFLAC | $14 | — | $14 | 0.10% |
| TRACI R BATTEN3 Filed as: TRACI BATTEN | 216 MAITLAND AVE MAITLAND, FL 32701 | AFLAC | $14 | — | $14 | 0.10% |
| SHADEL & ASSOCIATES LLC3 | 4811 BEACH BLVD STE 107 JACKSONVILLE, FL 32207 | AFLAC | $12 | — | $12 | 0.08% |
| VERA I CRUICE3 Filed as: VERA CRUICE | 11445 DRAKEWOOD CT JACKSONVILLE, FL 32223 | AFLAC | $11 | — | $11 | 0.08% |
| PHILIP L GREEN3 Filed as: PHILIP GREEN | 3948 S THIRD STREET STE 175 JACKSONVILLE BEACH, FL 32250 | AFLAC | $9 | — | $9 | 0.06% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 1005 BELLA VISTA BLVD APT 119 ST AUGUSTINE, FL 32084 | AFLAC | $9 | — | $9 | 0.06% |
| JIMMY D BOONE3 Filed as: JIMMY BOONE | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC | $8 | — | $8 | 0.06% |
| R GRIFFIN JR3 | 116 N DAWSON ST THOMASVILLE, GA 31792 | AFLAC | $8 | — | $8 | 0.06% |
| J W GRIMES INC3 Filed as: J W GRIMES | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $8 | — | $8 | 0.06% |
| JAMES R MIRABELLI3 Filed as: JAMES MIRABELLI | 21426 GOSIER WAY BOCA RATON, FL 33428 | AFLAC | $7 | — | $7 | 0.05% |
| J C ADAMS INC3 Filed as: J C ADAMS | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $5 | — | $5 | 0.04% |
| BRANDON ADAMS3 | 74 CROWN COLONY RD SAINT AUGUSTINE, FL 32092 | AFLAC | $4 | — | $4 | 0.03% |
| JEFFREY M SINTAY3 Filed as: JEFFREY SINTAY | 1972 ALCOVA RIDGE DR LAS VEGAS, NV 89135 | AFLAC | $3 | — | $3 | 0.02% |
| AARON ANTHONY3 | 1700 FOUNTAIN CT APT 1303 COLUMBUS, GA 31904 | AFLAC | $2 | — | $2 | 0.01% |
| CECIL SALMON3 | 95 EDWARD DR PALM COAST, FL 32164 | AFLAC | $1 | — | $1 | 0.01% |
| ROBERT P FERRONE3 Filed as: ROBERT FERRONE | 1701 WILLIAMS CT APT 202 COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 0.01% |
| MARK C LEE3 Filed as: MARK LEE | 1444 SOUTH 17TH ST WILMINGTON, NC 28401 | AFLAC | $1 | — | $1 | 0.01% |
| BENEFITS TECHNOLOGIES LLC3 | 1200 E TAFT AVE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $7 | — | $7 | 0.24% |
| THOMAS O'NEAL DOUGLAS JR3 | 605 TIMBER POND DR PONTE VEDRA BEACH, FL 32082 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4 | — | $4 | 0.13% |
| MFB FINANCIAL DBA THE BAILEY GROUP3 | 1200 PLANTATION ISLAND DR STE 210 ST AUGUSTINE, FL 32080 | UNION SECURITY INSURANCE COMPANY | $335 | — | $335 | 15.00% |
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 | 430 | 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) | 430 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA HEATLH, INC. | 416 | $2.1M |
| Dental | FLORIDA COMBINED LIFE | 313 | $160K |
| Vision | HUMANA INSURANCE COMPANY | 251 | $29K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 414 | $71K |
| Long-term disability | UNION SECURITY INSURANCE COMPANY | 3 | $2K |
| Other(4 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 414 | $195K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 416 | — |
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."
No prospect flags tripped on this filing.