| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GRAVITY BENEFITS INC3 | 26701 DUBLIN WOODS CIR STE 2 BONITA SPRINGS, FL 341357227 | METROPOLITAN LIFE INSURANCE COMPANY | $19K | $3K | $21K | 11.81% |
| GRETCHEN C SAX3 | 14620 BALD EAGLE DR FORT MYERS, FL 33912 | AFLAC | $13K | $179 | $13K | 10.43% |
| LAURA ANNE CALARCO3 Filed as: LAURA ANNE DAVIDSON | 206 WILLOWICK DR NAPLES, FL 34110 | AFLAC | $2K | $51 | $2K | 1.84% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA A CHAMBLISS | 2059 PINE RIVER DR KINGWOOD, TX 77339 | AFLAC | $1K | $51 | $1K | 1.08% |
| SUSAN C BRIMHALL3 | 3921 CAPE SAN BLAS RD PORT SAINT JOE, FL 32456 | AFLAC | $678 | $51 | $729 | 0.59% |
| LARRY D DENNY3 Filed as: LARRY J MOORE | 3270 HAMPTON BLVD ALVA, FL 33920 | AFLAC | $554 | — | $554 | 0.45% |
| BARBARA J DYE3 | 1834 LAKEVIEW BLVD N FT MYERS, FL 33903 | AFLAC | $413 | — | $413 | 0.33% |
| HAROLD L STAFFORD3 | 15655 77TH TRL N PALM BEACH GARDENS, FL 33418 | AFLAC | $286 | — | $286 | 0.23% |
| DEREK R MANN3 | 5925 RIVERCHASE DR APT 416 PHENIX CITY, AL 36867 | AFLAC | $275 | — | $275 | 0.22% |
| JIMMY D BOONE3 | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC | $265 | — | $265 | 0.21% |
| MALLIBIS FERNANDEZ3 | 1842 41ST TER SW NAPLES, FL 34116 | AFLAC | $182 | $74 | $256 | 0.21% |
| ERIC W HIRSCHKORN3 | 718 SE ABLETT LN PORT ST LUCIE, FL 34984 | AFLAC | $182 | — | $182 | 0.15% |
| JENNIFER A LECLAIRE3 | 9182 ESTERO RIVER CIR ESTERO, FL 33928 | AFLAC | $157 | — | $157 | 0.13% |
| ALAN LECLAIRE3 | 10600 CHEVROLET WAY STE 202 ESTERO, FL 33928 | AFLAC | $142 | — | $142 | 0.11% |
| J W GRIMES INC3 Filed as: JW GRIMES INC | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $140 | — | $140 | 0.11% |
| C HUDSON AND ASSOCIATES3 | 2843 TWIN PINE RD THOMSON, GA 30824 | AFLAC | $140 | — | $140 | 0.11% |
| DEXTER ANTONIO HARRIS3 | 100 GALLERIA PARKWAY SUITE 900 ATLANTA, GA 30339 | AFLAC | $136 | — | $136 | 0.11% |
| JACQUELINE WIER3 | 1326 CAPE CORAL PKWY E STE 1 CAPE CORAL, FL 33904 | AFLAC | $136 | — | $136 | 0.11% |
| KELLI RUFFINO3 Filed as: KELLI D RUFFINO | 2011 SW 8TH PL CAPE CORAL, FL 33991 | AFLAC | $115 | — | $115 | 0.09% |
| CHRISTINA HAGAR3 | 4295 GLASGOW CT NORTH FORT MYERS, FL 33903 | AFLAC | $111 | — | $111 | 0.09% |
| CASE PEARLMAN CORP BENEFITS INC3 | 7780 CAMBRIDGE MANOR PL STE B FORT MYERS, FL 33907 | AFLAC | $108 | — | $108 | 0.09% |
| JAMES W BENCIN3 | 11 SHELDRAKE LN WEST PALM BEACH, FL 33418 | AFLAC | $78 | — | $78 | 0.06% |
| BRENDA LYNN GARRETT3 | 13489 VILLA DI PRESERVE LN ESTERO, GA 33928 | AFLAC | $52 | — | $52 | 0.04% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: CRAIG H BROWN | 1303 AUBURN LAKES CIR VENICE, FL 34292 | AFLAC | $35 | — | $35 | 0.03% |
| DEBORAH L JONGES3 | PO BOX 31994 PALM BEACH GARDENS, FL 33420 | AFLAC | $18 | — | $18 | 0.01% |
| JOSE L AVILA3 | 15031 PUNTA RASSA RD APT 506 FORT MYERS, FL 33908 | AFLAC | $16 | — | $16 | 0.01% |
| JAYNE A STALLINGS3 | 8056 TIGER PALM WAY FORT MYERS, FL 33966 | AFLAC | $14 | — | $14 | 0.01% |
| RAIMEY CORPORATION3 | 12450 BRANTLEY COMMONS CT FT MYERS, FL 33907 | AFLAC | $9 | — | $9 | 0.01% |
| SAMANTHA J AYBAR3 | 1317 TRIANDA LN NAPLES, FL 34119 | AFLAC | $8 | — | $8 | 0.01% |
| VINCENT CHARLES MCDOWELL3 | 1426 E IRON EAGLE DR EAGLE, ID 83616 | AFLAC | $8 | — | $8 | 0.01% |
| ROBERT G RHINE3 | 130 SE 43RD STREET CAPE CORAL, FL 33904 | AFLAC | $5 | — | $5 | 0.00% |
| RANDOLPH POWERS3 | PO BOX 101088 CAPE CORAL, FL 33910 | AFLAC | $4 | — | $4 | 0.00% |
| JOSHUA BUZZARD3 | 7458 TRESCOTT DR LAKE WORTH, FL 33467 | AFLAC | $3 | — | $3 | 0.00% |
| ANGEL STOKEY3 | 15761 PRENTISS POINTE CIR APT 102 FORT MYERS, FL 33908 | AFLAC | $3 | — | $3 | 0.00% |
| THOMAS B HERBY3 | PO BOX 152832 CAPE CORAL, FL 33915 | AFLAC | $3 | — | $3 | 0.00% |
| JULIE W CRAIG3 | 15655 77TH TRL N PALM BEACH GARDENS, FL 33418 | AFLAC | $2 | — | $2 | 0.00% |
| CRAIG A HANSEN3 | 200 17TH AVE E APT 404 SEATTLE, WA 98112 | AFLAC | $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 | 281 | 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) | 283 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 252 | $830K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 411 | $181K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 411 | $181K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 411 | $181K |
| Short-term disability | AFLAC | 252 | $124K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 411 | $181K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 411 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.