| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INSURANCE, INC | 5310 CLARK ROAD SUITE 1 SARASOTA, FL 34233 | HEALTH OPTIONS, INC. | $13K | — | $13K | 5.00% |
| ROGER BOUCHARD INSURANCE INC3 | 101 STARCREST DRIVE CLEARWATER, FL 33765 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $1K | $4K | 14.69% |
| NATIONAL BENEFIT CENTER3 Filed as: NATIONAL BENEFIT CENTER LLC | 1105 NORTH MARKET STREET SUITE 1300 WILMINGTON, DE 19801 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $32 | — | $32 | 0.11% |
| KATHERINE BLANCO3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $416 | — | $416 | 4.27% |
| JOHAN BLANCO3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $238 | — | $238 | 2.44% |
| KENNETH C MEIER CORP3 Filed as: KENNETH LEWIS | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $200 | — | $200 | 2.05% |
| PATRICIA A DUNCAN3 Filed as: PATRICIA MARTIN | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $61 | — | $61 | 0.63% |
| BUCK GLOBAL LLC3 Filed as: BUCK MAYDEN | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $32 | — | $32 | 0.33% |
| SABINA PETERS3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $27 | — | $27 | 0.28% |
| ASHTON CONSULTING INC3 Filed as: ASHTON DOROUGH | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $23 | — | $23 | 0.24% |
| KRISTINA J KUNZ3 Filed as: KRISTINA ZHEPAN | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $13 | — | $13 | 0.13% |
| WILMAR GIL3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $11 | — | $11 | 0.11% |
| DAVID JOSEPH MULVANEY3 | 1480 LAKESIDE DRIVE VENICE, FL 34293 | AFLAC | $285 | $28 | $313 | 4.13% |
| BRENDA LYNN GARRETT3 | 107 SOUTH SAN AGUSTIN DRIVE MOORSVILLE, NC 28117 | AFLAC | $117 | — | $117 | 1.54% |
| JUAN GUTIERREZ3 | 2547 SUNNYSIDE STREET SARASOTA, FL 34239 | AFLAC | $94 | — | $94 | 1.24% |
| MARK J JELLEMA3 | 3719 ALOHA DRIVE SARASOTA, FL 34232 | AFLAC | $70 | $6 | $76 | 1.00% |
| BARTLEIN AND ASSOCIATES INC3 | 5577 BROADCAST COURT SARASOTA, FL 34240 | AFLAC | $65 | — | $65 | 0.86% |
| JUSTIN M REYNOLDS3 | 8433 ENTERPRISE CIRCLE SUITE 100 LAKEWOOD RANCH, FL 34202 | AFLAC | $45 | $6 | $51 | 0.67% |
| BRENDA LYNN GARRETT3 | 13489 VILLA DI PRESERVE LANE ESTERO, FL 33928 | AFLAC | $39 | — | $39 | 0.51% |
| JULIE W CRAIG3 | 5381 WEST HILLSBORO BOULEVARD APARTMENT 108 COCONUT CREEK, FL 33073 | AFLAC | $37 | — | $37 | 0.49% |
| MELINDA ADAMS3 | 480 SCHOONER STREET NORTH PORT, FL 34287 | AFLAC | $33 | — | $33 | 0.44% |
| HARRY E HUNT JR3 | 5707 45TH STREET EAST LOT 208 BRADENTON, FL 34203 | AFLAC | $26 | — | $26 | 0.34% |
| HAROLD L STAFFORD3 | 10722 NORTHWEST 20TH DRIVE CORAL SPRINGS, FL 33071 | AFLAC | $22 | — | $22 | 0.29% |
| DEXTER ANTONIO HARRIS3 | 100 GALLERIA PARKWAY SUITE 900 ATLANTA, GA 30339 | AFLAC | $21 | — | $21 | 0.28% |
| DEREK R MANN3 | 2708 SUMMERFIELD PLACE PHENIX CITY, AL 36867 | AFLAC | $16 | — | $16 | 0.21% |
| ROBER L KNIGHT3 | 4715 HIGH GROVE ROAD TALLAHASSEE, FL 32309 | AFLAC | $15 | — | $15 | 0.20% |
| EBM ENTERPRISES INC3 | 705 PLACIDO WAY NORTHEAST ST PETERSBURG, FL 33704 | AFLAC | $12 | — | $12 | 0.16% |
| JOEL M LUSTGARTEN3 | 3000 NORTH OCEAN DRIVE APARTMENT 20B RIVIERA BEACH, FL 33404 | AFLAC | $10 | — | $10 | 0.13% |
| J W GRIMES INC3 Filed as: JW GRIMES INC | 6165 WATERFORD ROAD COLUMBUS, GA 31904 | AFLAC | $10 | — | $10 | 0.13% |
| CARLOS DOUGLAS HEINLEIN3 | 7532 AGUILA DRIVE SARASOTA, FL 34240 | AFLAC | $7 | — | $7 | 0.09% |
| CHRISTINA MARIE DONATELLA3 | 11669 TEMPEST HARBOR LOOP VENICE, FL 34292 | AFLAC | $6 | — | $6 | 0.08% |
| SUSAN C BRIMHALL3 | 3921 CAPE SAN BLAS ROAD PORT SAINT JOE, FL 32456 | AFLAC | $5 | — | $5 | 0.07% |
| JAMES (JAY) GRIMES3 | 4272 PERSIMMON WOODS DRIVE NORTH CHARLESTON, SC 29420 | AFLAC | $5 | — | $5 | 0.07% |
| GRAVES INC3 | 5659 WEST HOLIDAY STREET HOMOSASSA, FL 34446 | AFLAC | $4 | — | $4 | 0.05% |
| FRANK ROBERT SOBOCINSKI3 | 528 SWEET BAY CIRCLE JUPITER, FL 33458 | AFLAC | $2 | — | $2 | 0.03% |
| SUE EUSEPI3 | PO BOX 631 JUPITER, FL 33468 | AFLAC | $2 | — | $2 | 0.03% |
| SUSAN P WATLEY3 | 6366 INDEPENDENCE DRIVE COLUMBUS, GA 31909 | AFLAC | $2 | — | $2 | 0.03% |
| JEFFREY GLENN YARISH3 | 16122 ARMISTEAD LANE ODESSA, FL 33556 | AFLAC | $2 | — | $2 | 0.03% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES A HARBOUR | 1100 ALAKEA STREET SUITE 3200 HONOLULU, HI 96813 | AFLAC | $2 | — | $2 | 0.03% |
| RENEE ANN BLINN ZELLHART3 | 8433 ENTERPRISE CIRCLE SUITE 100 LAKEWOOD RANCH, FL 34202 | AFLAC | $2 | — | $2 | 0.03% |
| MARK C LEE3 | 1444 SOUTH 17TH STREET WILMINGTON, NC 28401 | AFLAC | $1 | — | $1 | 0.01% |
| MARY REBECCA WEATHERLY3 | 1934 EAST LEEWYNN DRIVE SARASOTA, FL 34240 | AFLAC | $1 | — | $1 | 0.01% |
| JESSICA RAE ESKEW3 | 10426 SPRINGROSE DRIVE TAMPA, FL 33626 | AFLAC | $1 | — | $1 | 0.01% |
| OMER S BASS IV3 | 565 WEST GATEWAY COURT MERRITT ISLAND, FL 32952 | AFLAC | $1 | — | $1 | 0.01% |
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 | 100 | 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) | 100 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH OPTIONS, INC. | 51 | $262K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 108 | $30K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 108 | $30K |
| Life insurance(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 108 | $48K |
| Prescription drug | HEALTH OPTIONS, INC. | 51 | $262K |
| Other(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 108 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 108 | — |
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.