| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 7077 BONNEVAL RD STE 120 JACKSONVILLE, FL 322164043 | BLUE CROSS BLUE SHIELD OF FLORIDA | $63K | — | $63K | 3.28% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 322024941 | BLUE CROSS BLUE SHIELD OF FLORIDA | $33K | — | $33K | 1.72% |
| HYLANT GROUP INC3 | 7077 BONNEVAL RD STE 120 JACKSONVILLE, FL 322164043 | BLUE CROSS BLUE SHIELD OF FLORIDA | $13K | — | $13K | 3.34% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 322024941 | BLUE CROSS BLUE SHIELD OF FLORIDA | $6K | — | $6K | 1.66% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | UNION SECURITY INSURANCE COMPANY | $9K | — | $9K | 3.99% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATES INC | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | UNION SECURITY INSURANCE COMPANY | $8K | — | $8K | 3.37% |
| JEAN WILLIAMS III3 Filed as: JEAN B WILLIAMS | 7077 BONNEVAL ROAD STE 380 JACKSONVILLE, FL 32216 | UNION SECURITY INSURANCE COMPANY | $6K | — | $6K | 2.66% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | $4K | $13K | 9.64% |
| JEAN WILLIAMS III3 | 7077 BONNEVAL RD STE 380 JACKSONVILLE, FL 32216 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 4.30% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATES INC | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 4.24% |
| VARIOUS - SEE ATTACHED3 Filed as: CONTINENTAL AMERICAN - SEE ATTACHED | PO BOX 427 COLUMBIA, SC 29202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27K | — | $27K | 21.57% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 436045684 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $1K | $4K | 10.62% |
| JEAN WILLIAMS III3 | 7077 BONNEVAL RD STE 380 JACKSONVILLE, FL 32216 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 4.91% |
| HARDEN & ASSOCIATES3 | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 4.11% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $1K | $4K | 9.72% |
| JEAN WILLIAMS III3 | 7077 BONNEVAL RD STE 380 JACKSONVILLE, FL 32216 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 4.32% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATES INC | 501 RIVERIDE AVE STE 1000 JACKSONVILLE, FL 32202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 4.20% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $404 | $201 | $605 | 9.76% |
| JEAN WILLIAMS III3 | 7077 BONNEVAL RD STE 380 JACKSONVILLE, FL 32216 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $269 | — | $269 | 4.34% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN & ASSOCIATES INC | 501 RIVERSIDE AVE STE 1000 JACKSONVILLE, FL 32202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $257 | — | $257 | 4.15% |
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 | 429 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 431 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 240 | $2.3M |
| Dental | UNION SECURITY INSURANCE COMPANY | 284 | $230K |
| Vision | UNION SECURITY INSURANCE COMPANY | 284 | $230K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 429 | $39K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 188 | $38K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 213 | $137K |
| Prescription drug(2 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 240 | $2.3M |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 429 | $132K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 429 | — |
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.