| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M.E. WILSON COMPANY, LLC3 Filed as: M.E. WILSON COMPANY LLC | 300 W PLATT ST TAMPA, FL 33606 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $6K | $6K | 2.95% |
| CASE BENEFIT CONSULTANTS3 Filed as: CASE BENEFIT CONSULTANTS LLC | 4760 TAMIAMI TRL N STE 25 NAPLES, FL 34103 | AFLAC | $3K | — | $3K | 2.87% |
| ROSE G MCLAUGHLIN3 | 337 COUNTRY CLUB DR NAPLES, FL 34110 | AFLAC | $2K | $18 | $2K | 2.52% |
| KELLY A IRVINE3 Filed as: KELLY ANN IRVINE | 15801 WHITE ORCHID LN FORT MYERS, FL 33908 | AFLAC | $2K | $65 | $2K | 2.11% |
| BRIONY PFLUEGER3 | 1714 SW 43RD LN CAPE CORAL, FL 33914 | AFLAC | $1K | $372 | $1K | 1.53% |
| LAC INSURANCE SERVICES3 | 1927 SE 8TH AVE CAPE CORAL, FL 33990 | AFLAC | $1K | $65 | $1K | 1.52% |
| DIXIE A SMITH3 | 114 MAIN AVE N FAYETTEVILLE, TN 37334 | AFLAC | $967 | $65 | $1K | 1.13% |
| SHELLEY HARTSELL3 | 8735 WESTMORELAND LAKE DR CORNELIUS, NC 28031 | AFLAC | $706 | $109 | $815 | 0.90% |
| MANUELA LLINAS OCHOA3 | 901 CYPRESS GROVE DR APT 203 POMPANO BEACH, FL 33069 | AFLAC | $483 | — | $483 | 0.53% |
| ALAN LECLAIRE3 Filed as: ALAN R LECLAIRE | 28 GEORGETOWN FORT MYERS, FL 33919 | AFLAC | $365 | $62 | $427 | 0.47% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAMPTON WOOD DR BOCA RATON, FL 33433 | AFLAC | $314 | $92 | $406 | 0.45% |
| MATTHEW SHANE STRONG3 | 3860 COLONIAL BLVD STE 200 FORT MYERS, FL 33966 | AFLAC | $368 | — | $368 | 0.40% |
| CYNTHIA ALANE DAVIS3 | 2916 SE 159TH LANE RD SUMMERFIELD, FL 34491 | AFLAC | $335 | — | $335 | 0.37% |
| LUZ ELENA SERVI3 | 6127 S RAINBOW BLVD STE 110 LAS VEGAS, NV 89118 | AFLAC | $310 | — | $310 | 0.34% |
| CINDY K RICHARDS3 | 114 WINDING WAY NORMANDY, TN 37360 | AFLAC | $234 | $17 | $251 | 0.28% |
| MELANIE H KELLEY3 | 112 FOXBORO PL NW HUNTSVILLE, AL 35806 | AFLAC | $215 | — | $215 | 0.24% |
| L A D FINANCIAL CORP3 | 13308 ALTON RD PALM BEACH GARDENS, FL 33418 | AFLAC | $202 | — | $202 | 0.22% |
| JONATHAN P DUNN3 | 3337 TWIN RIDGE DR CHARLOTTE, NC 28210 | AFLAC | $175 | $13 | $188 | 0.21% |
| DAVID M CRUMLEY3 | 240 WILSON PIKE CIR STE 200 BRENTWOOD, TN 37027 | AFLAC | $154 | $13 | $167 | 0.18% |
| STEVE D SERVI3 | 6127 S RAINBOW BLVD STE 110 LAS VEGAS, NV 89118 | AFLAC | $160 | — | $160 | 0.18% |
| DAVID M CRUMLEY3 | 5111 MARYLAND WAY STE 210 BRENTWOOD, TN 37027 | AFLAC | $158 | — | $158 | 0.17% |
| JOSEPH E PHILLIPS3 | 2118 AMBOY CT CHARLOTTE, NC 28205 | AFLAC | $151 | $4 | $155 | 0.17% |
| LINDA F BEDGOOD3 | 1241 NW 85TH TER PLANTATION, FL 33322 | AFLAC | $138 | — | $138 | 0.15% |
| SAIC INC3 | 1639 BRADLEY PARK DR ST 500 BOX 358 COLUMBUS, GA 31904 | AFLAC | $134 | — | $134 | 0.15% |
| JAMIE HARTT3 | 23285 WILBER AVE PORT CHARLOTTE, FL 33980 | AFLAC | $123 | — | $123 | 0.14% |
| BARRY CAMPBELL3 | 5278 LICKTON PIKE GOODLETTSVILLE, TN 37072 | AFLAC | $119 | — | $119 | 0.13% |
| CNL ENTERPRISES INC3 | 278 PLANTATION SPRINGS DR FLORENCE, AL 35630 | AFLAC | $115 | — | $115 | 0.13% |
| MITZIE B BLUE3 | 4880 WALLBURG LANDING ST APT 210 WINSTON SALEM, NC 27107 | AFLAC | $111 | — | $111 | 0.12% |
| TIMOTHY MCANDREWS3 | 5483 MARINE AVE LAWNDALE, CA 90260 | AFLAC | $106 | — | $106 | 0.12% |
| MARIA C ORTIZ3 | 7400 SW 50TH TER STE 300 MIAMI, FL 33155 | AFLAC | $99 | — | $99 | 0.11% |
| CHRISTEL M HONEY3 | 114 MAIN AVE N FAYETTEVILLE, TN 37334 | AFLAC | $99 | — | $99 | 0.11% |
| DONNA R MYERS3 | PO BOX 669 STATESVILLE, NC 28687 | AFLAC | $98 | — | $98 | 0.11% |
| NOLAN DOYLE MCCUE3 | 242 HERITAGE PARK DR STE 108 MURFREESBORO, TN 37129 | AFLAC | $90 | $3 | $93 | 0.10% |
| JENNIE WALKER STILLS3 | 501 CLEAR WOOD CT WAXHAW, NC 28173 | AFLAC | $69 | $10 | $79 | 0.09% |
| JANE E TUCKER3 | 409 AMOS GAMBLE RD SHELBYVILLE, TN 37160 | AFLAC | $77 | — | $77 | 0.08% |
| BRENDA LYNN GARRETT3 | 12475 KENTWOOD AVE FORT MYERS, FL 33913 | AFLAC | $73 | — | $73 | 0.08% |
| MARSHA K LAVENDER3 | PO BOX 322 EVA, AL 35621 | AFLAC | $67 | — | $67 | 0.07% |
| RND FINANCIAL ASSOCIATES INC3 | 605 UNIVERSE BLVD APT T816 JUNO BEACH, FL 33408 | AFLAC | $62 | — | $62 | 0.07% |
| ALFRED RIETKERK3 | 3120 NE 47TH ST FORT LAUDERDALE, FL 33308 | AFLAC | $60 | — | $60 | 0.07% |
| KELSEY DAVID EVERT3 | 2055 N MOUNT JULIET RD STE 201 MOUNT JULIET, TN 37122 | AFLAC | $42 | $13 | $55 | 0.06% |
| LUKE COPELAND3 | 519 WELLS RD MERIDIANVILLE, AL 35759 | AFLAC | $44 | — | $44 | 0.05% |
| NANCY HUFF3 | 35 CHURCH ST S CONCORD, NC 28025 | AFLAC | $43 | — | $43 | 0.05% |
| KIM J WILLIAMS3 | 2685 WILLIAMS RD LEWISVILLE, NC 27023 | AFLAC | $42 | — | $42 | 0.05% |
| JAMES C FARMER JR3 | 641 OLD HICKORY BLVD UNIT 60 BRENTWOOD, TN 37027 | AFLAC | $37 | — | $37 | 0.04% |
| INFINITY BENEFIT SOLUTIONS INC3 | 7962 NW 7TH CT PLANTATION, FL 33324 | AFLAC | $36 | — | $36 | 0.04% |
| LOUIS CULLEN SMITH3 | 3205 QUIET TREE GRV OLD HICKORY, TN 37138 | AFLAC | $36 | — | $36 | 0.04% |
| CHARLES HOWARD JOBE3 | 4087 HUNTERS WAY BRUNSWICK, OH 44212 | AFLAC | $36 | — | $36 | 0.04% |
| ORTS ENTERPRISES INC3 | 14551 S TRAVEL DR UNIT 432 DRAPER, UT 84020 | AFLAC | $32 | — | $32 | 0.04% |
| JANET LYNN BOMWELL3 | 3652 CINCINNATI ST NORTH PORT, FL 34286 | AFLAC | $28 | $4 | $32 | 0.04% |
| NICHOLAS STILLS3 Filed as: NICHOLAS B STILLS | 501 CLEAR WOOD CT WAXHAW, NC 28173 | AFLAC | $31 | — | $31 | 0.03% |
| ASHLEY P RADER3 | 230 BANKSHIRE RD BEECHGROVE, TN 37018 | AFLAC | $31 | — | $31 | 0.03% |
| RALPH H KEELER3 Filed as: RALPH S MANN | 90 VIRGINIA WAY ROGERSVILLE, AL 35652 | AFLAC | $30 | — | $30 | 0.03% |
| SUSAN E. KEELER3 Filed as: SUSAN E KEELER | 9222 54TH CT E PARRISH, FL 34219 | AFLAC | $30 | — | $30 | 0.03% |
| STEVEN ELLERTH3 | 108 NESTLEDOWN CROSSING BELL BUCKLE, TN 37020 | AFLAC | $30 | — | $30 | 0.03% |
| GWEN NICHOLS BUTLER3 | 1090 13TH AVE NW HICKORY, NC 28601 | AFLAC | $29 | — | $29 | 0.03% |
| STEVEN E DALABA3 | 7683 SEDGEWICK RIDGE RD LEWISVILLE, NC 27023 | AFLAC | $28 | — | $28 | 0.03% |
| R AND L SUPPLEMENTAL BENEFITS INC3 | PO BOX 893 FLORENCE, AL 35631 | AFLAC | $26 | — | $26 | 0.03% |
| DANIEL A VERDUN3 | 4 JASON LN MORRISTOWN, NJ 07960 | AFLAC | $25 | — | $25 | 0.03% |
| KATLIN E LEE3 | 8650 MINNIE BROWN RD # 151 MONTGOMERY, AL 36117 | AFLAC | $24 | — | $24 | 0.03% |
| FRED A KRESSATY3 | 155 PARISH DR WAYNE, NJ 07470 | AFLAC | $24 | — | $24 | 0.03% |
| ANGELA DRAKE3 Filed as: ANGELA N DRAKE | 126 WINSFORD CT MURFREESBORO, TN 37130 | AFLAC | $19 | $3 | $22 | 0.02% |
| ERIN C TOMLINSON3 | 278 DRURY LN ALBERTVILLE, AL 35950 | AFLAC | $21 | — | $21 | 0.02% |
| CAROLYN S LEVEILLE3 | 11223 SUN TREE RD HUDSON, FL 34667 | AFLAC | $18 | — | $18 | 0.02% |
| VBTN, INC3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $17 | — | $17 | 0.02% |
| OLGA CORNIDE TEAKELL3 | 184 ELMWOOD LN NAPLES, FL 34112 | AFLAC | $17 | — | $17 | 0.02% |
| JOSEPH P CALARCO3 Filed as: JOSEPH N MCBRIDE | 106 AMY LN MUSCLE SHOALS, AL 35661 | AFLAC | $16 | — | $16 | 0.02% |
| KATHERINE L SIMOS3 | 1605 CONRAD RD LEWISVILLE, NC 27023 | AFLAC | $15 | — | $15 | 0.02% |
| VALERIE KAY POVEY3 | 3107 KNOX CIR SW DECATUR, AL 35603 | AFLAC | $15 | — | $15 | 0.02% |
| RONALD E KIRKLAND3 | 1044 HARBOR RIDGE RD GUNTERSVILLE, AL 35976 | AFLAC | $15 | — | $15 | 0.02% |
| BRENT L GOODE3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $15 | — | $15 | 0.02% |
| JERRY BLUE3 | 1200 EASTCHESTER DR STE 204 HIGH POINT, NC 27265 | AFLAC | $14 | — | $14 | 0.02% |
| MARTA M SASTRE3 | 1214 COLUMBUS BLVD CORAL GABLES, FL 33134 | AFLAC | $13 | — | $13 | 0.01% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS SERV INC | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $13 | — | $13 | 0.01% |
| DOMINICK R SIRACUSA3 | 225 DOLSON AVE STE 304 MIDDLETOWN, NY 10940 | AFLAC | $13 | — | $13 | 0.01% |
| CHERISE M WADE3 | 1931 HIGHWAY 90 W SEALY, TX 77474 | AFLAC | $11 | — | $11 | 0.01% |
| JOHN ROGER MYERS3 | PO BOX 669 STATESVILLE, NC 28687 | AFLAC | $11 | — | $11 | 0.01% |
| NORMAN WILKINS3 Filed as: NORMAN C WILKINS | 405 COALMONT RD HELENA, AL 35080 | AFLAC | $10 | — | $10 | 0.01% |
| JAMES SMITH3 Filed as: JAMES B SMITH | 100 NW 62ND ST STE 630 FT LAUDERDALE, FL 33309 | AFLAC | $10 | — | $10 | 0.01% |
| SHAWN K STEPHENS3 | 1323 GRAHAM TRACE LN LEAGUE CITY, TX 77573 | AFLAC | $10 | — | $10 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: JAMES GRAYDON BROWN | 2522 OWENS LANDING TRL NW KENNESAW, GA 30152 | AFLAC | $10 | — | $10 | 0.01% |
| J MICHAEL BUTLER3 | 1090 13TH AVE NW HICKORY, NC 28601 | AFLAC | $9 | — | $9 | 0.01% |
| FRANK ROBERT SOBOCINSKI3 | 528 SWEET BAY CIR JUPITER, FL 33458 | AFLAC | $9 | — | $9 | 0.01% |
| JAY S OLEARY3 | 1802 EAVES CT NOLENSVILLE, NC 37135 | AFLAC | $8 | — | $8 | 0.01% |
| CHAD JACOBSEN3 | 205 RIVER FALLS DR APEX, NC 27539 | AFLAC | $7 | — | $7 | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH H WILLIS JR | 1431 NE 55TH ST FORT LAUDERDALE, FL 33334 | AFLAC | $6 | — | $6 | 0.01% |
| DAVID S MORRIS3 | 950 PENINSULA CORPORATE CIR STE 1005 BOCA RATON, FL 33487 | AFLAC | $6 | — | $6 | 0.01% |
| REID ALFORD3 Filed as: REID W ALFORD | 300 CAHABA PARK CIR STE 133 BIRMINGHAM, AL 35242 | AFLAC | $6 | — | $6 | 0.01% |
| JOHN TODD LEE3 | 322 FARMHOUSE RD ELLERSLIE, GA 31807 | AFLAC | $6 | — | $6 | 0.01% |
| JUAN C FERLINI3 | 13826 CHRISTIAN BARRETT DR MOORPARK, CA 93021 | AFLAC | $5 | — | $5 | 0.01% |
| ANGEL E HILL3 | 4125 SE 23RD TER OCALA, FL 34480 | AFLAC | $5 | — | $5 | 0.01% |
| DONALD HUDSON3 | 8010 N CREEK WAY CITRUS SPRINGS, FL 34434 | AFLAC | $5 | — | $5 | 0.01% |
| STAN A SHERLIN3 | 773 TOWNE LAKE DR MONTGOMERY, AL 36117 | AFLAC | $4 | — | $4 | 0.00% |
| ERIN C TOMLINSON3 | 109 MOONGLOW TRL HUNTSVILLE, AL 35806 | AFLAC | $4 | — | $4 | 0.00% |
| ALVIN J LILLEY3 | 5684 CR 437 SITE 65 PRINCETON, TX 75407 | AFLAC | $3 | — | $3 | 0.00% |
| RUSSELL TINNEY3 | 3440 TORRINGTON WAY APT 7 STE 101 FAYETTEVILLE, VA 28314 | AFLAC | $3 | — | $3 | 0.00% |
| JOHN B YARBOROUGH3 | 1113 MOUNTAIN OAKS DR HOOVER, AL 35226 | AFLAC | $3 | — | $3 | 0.00% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DR KNOXVILLE, TN 37922 | AFLAC | $2 | — | $2 | 0.00% |
| CARMEN VILLAS3 | 269 MARACA ST PUNTA GORDA, FL 33983 | AFLAC | $2 | — | $2 | 0.00% |
| DE VITA B MCKENZIE3 | 300 E ESPLANADE DR STE 1220 OXNARD, CA 93036 | AFLAC | $2 | — | $2 | 0.00% |
| CHRISTINE M SINTAY3 | 2645 GRASSY SPRING PL LAS VEGAS, NV 89135 | AFLAC | $2 | — | $2 | 0.00% |
| KATRINA D AIKEN3 | 2511 JUDITH ST LYNCHBURG, VA 24501 | AFLAC | $2 | — | $2 | 0.00% |
| MARIA ORBE3 | 8362 PINES BLVD STE 250 PEMBROKE PINES, FL 33024 | AFLAC | $2 | — | $2 | 0.00% |
| DEBORAH A WITHEY3 | 2149 6TH ST NW HICKORY, NC 28601 | AFLAC | $2 | — | $2 | 0.00% |
| ERIC BROGAN3 Filed as: ERIC E MILLER | 728 MERCER PL HUNTERSVILLE, NC 28078 | AFLAC | $2 | — | $2 | 0.00% |
| BRIAN E HICKS3 | 188 FRONT ST STE 11639 FRANKLIN, TN 37064 | AFLAC | $2 | — | $2 | 0.00% |
| MELISSA A SCHOFIELD3 | 910 W KATHLEEN RD PHOENIX, CT 85023 | AFLAC | $1 | — | $1 | 0.00% |
| LYNNE HUDGINS MOORE3 | 8650 MINNIE BROWN RD STE 150 MONTGOMERY, AL 36117 | AFLAC | $1 | — | $1 | 0.00% |
| ANGEL E HILL3 | 24921 NE 136TH LN FORT MC COY, FL 32134 | AFLAC | $1 | — | $1 | 0.00% |
| JAVIER L ORTIZ3 | 9620 NE 2ND AVE STE 203 MIAMI SHORES, FL 33138 | AFLAC | $1 | — | $1 | 0.00% |
| JOANNA G MATHERLY3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $1 | — | $1 | 0.00% |
| JOEL SANDERS3 | 2165 HALCYON BLVD MONTGOMERY, AL 36117 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN W AMOS3 | 10051 VETERANS PKWY STE B-2 MIDLAND, GA 31820 | AFLAC | $1 | — | $1 | 0.00% |
| ELIZABETH CUSHING3 | 74 TRESTLE LEAF PITTSBORO, NC 27312 | AFLAC | $1 | — | $1 | 0.00% |
| MEGHAN MOFFATT LUCAS3 Filed as: MEGHAN M MILLER | 728 MERCER PL HUNTERSVILLE, NC 28078 | AFLAC | $1 | — | $1 | 0.00% |
| BRANDON C ADAMS3 | 268 SW SHOREWOOD DR DUNNELLON, FL 34431 | AFLAC | $0 | — | $0 | 0.00% |
| ALFRED E DEVINE3 | 324 DEVINE WAY SILER CITY, NC 27344 | AFLAC | $0 | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANE COMP EIN 59-1031071 NONE | Other services; Named fiduciary; Float revenue; Claims processing; Participant communication; Contract Administrator; Direct payment from the plan; Non-monetary compensation Service code 12 | — | $14K |
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 | 292 | 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) | 294 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 464 | $773K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 298 | $220K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 298 | $220K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 298 | $220K |
| Short-term disability(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 298 | $311K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 298 | $220K |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 298 | $311K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 464 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.