| 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 | $13K | — | $13K | 5.06% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS INC | 101 STARCREST DRIVE CLEARWATER, FL 33765 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 10.42% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS INC | — | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $2K | $2K | 6.86% |
| MOORE, BRITTANY3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 13.21% |
| BLANCO, JOHAN3 Filed as: BLANCO, KATHERINE | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 12.83% |
| LETCAVAGE, ALAN3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $794 | — | $794 | 8.36% |
| HEIPLE, JOHN3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $715 | — | $715 | 7.52% |
| BLANCO, JOHAN3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $476 | — | $476 | 5.01% |
| HORN & FRANCE3 Filed as: HORN, BRENT | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $325 | — | $325 | 3.42% |
| HAMILTON INSURANCE AGENCY3 Filed as: HAMILTON, PATRICK | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $215 | — | $215 | 2.26% |
| LEWIS WATKINS FARMER AGENCY INC3 Filed as: LEWIS, KENNETH | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $151 | — | $151 | 1.59% |
| SUTPHIN, JAMES3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $142 | — | $142 | 1.49% |
| PETERS, SABINA3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $48 | — | $48 | 0.51% |
| MARTIN INSURANCE GROUP3 Filed as: MARTIN, PATRICIA | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $48 | — | $48 | 0.51% |
| MCCREA, LUCILLE3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $33 | — | $33 | 0.35% |
| FITZGERALD CLAYTON, JAMES & KASTEN3 Filed as: FITZGERALD, ALYSSA | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $29 | — | $29 | 0.31% |
| ZHEPAN, KRISTINA3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $15 | — | $15 | 0.16% |
| DOROUGH, ASHTON3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $12 | — | $12 | 0.13% |
| GIL, WILMAR3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $11 | — | $11 | 0.12% |
| CROMER WEST, MILDRED3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $11 | — | $11 | 0.12% |
| THOMPSON FLANAGAN BENEFITS GROUP3 Filed as: THOMPSON, JACOB | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $10 | — | $10 | 0.11% |
| CRUZ CRUZ-HEREMURU3 Filed as: CRUZ, DANIEL | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $6 | — | $6 | 0.06% |
| DAVID JOSEPH MULVANEY3 | 1480 LAKESIDE DRIVE VENICE, FL 34293 | AFLAC | $181 | $20 | $201 | 3.40% |
| BRENDA LYNN GARRETT3 | 12475 KENTWOOD AVENUE FORT MYERS, FL 33913 | AFLAC | $170 | — | $170 | 2.88% |
| BARTLEIN AND ASSOC INC3 | 22465 PANTHER LOOP BRADENTON, FL 34202 | AFLAC | $45 | — | $45 | 0.76% |
| JUAN GUTIERREZ3 | 2547 SUNNYSIDE STREET SARASOTA, FL 34239 | AFLAC | $35 | — | $35 | 0.59% |
| JULIE W CRAIG3 | 10722 NORTHWEST 20TH DRIVE CORAL SPRINGS, FL 33071 | AFLAC | $28 | — | $28 | 0.47% |
| SHERI CROOK INC3 | 2151 COOK LANE ALVA, FL 33920 | AFLAC | $24 | $4 | $28 | 0.47% |
| DEXTER ANTONIO HARRIS3 | 100 GALLERIA PARKWAY SOUTHEAST SUITE 900 ATLANTA, GA 30339 | AFLAC | $23 | — | $23 | 0.39% |
| HAROLD L STAFFORD3 | 8544 TOWNLEY ROAD APARTMENT 1B HUNTERSVILLE, NC 28078 | AFLAC | $18 | — | $18 | 0.30% |
| MARK J JELLEMA3 | 3719 ALOHA DRIVE SARASOTA, FL 34232 | AFLAC | $14 | $4 | $18 | 0.30% |
| JESSICA P PATRAW3 | 5306 MACCAUGHEY DRIVE NORTH PORT, FL 34287 | AFLAC | $16 | — | $16 | 0.27% |
| JULIE W CRAIG3 | 8544 TOWNLEY ROAD APARTMENT 1B HUNTERSVILLE, NC 28078 | AFLAC | $12 | — | $12 | 0.20% |
| MELINDA ADAMS3 | 480 SCHOONER STREET NORTH PORT, FL 34287 | AFLAC | $12 | — | $12 | 0.20% |
| ROGER L KNIGHT3 | 4715 HIGHGROVE ROAD TALLAHASSEE, FL 32309 | AFLAC | $10 | — | $10 | 0.17% |
| ERIC B MATHIS3 | 5310 HAYDEN BOULEVARD SARASOTA, FL 34232 | AFLAC | $8 | — | $8 | 0.14% |
| HARRY E HUNT JR3 | 5707 45TH STREET EAST LOT 208 BRADENTON, FL 34203 | AFLAC | $8 | — | $8 | 0.14% |
| J W GRIMES INC3 | 6165 WATERFORD ROAD COLUMBUS, GA 31904 | AFLAC | $7 | — | $7 | 0.12% |
| HAROLD L STAFFORD3 | 10722 NORTHWEST 20TH DRIVE CORAL SPRINGS, FL 33071 | AFLAC | $5 | — | $5 | 0.08% |
| DEREK R MANN3 | 111 LEE ROAD 802 UNIT 122 VALLEY, AL 36854 | AFLAC | $5 | — | $5 | 0.08% |
| SUSAN C BRIMHALL3 | PO BOX 13877 MEXICO BEACH, FL 33410 | AFLAC | $4 | — | $4 | 0.07% |
| JAMES (JAY) GRIMES3 | 554 ROBERT WILLIAMS ROAD PINE MOUNTAIN, GA 31822 | AFLAC | $3 | — | $3 | 0.05% |
| FRANK ROBERT SOBOCINSKI3 | 528 SWEET BAY CIRCLE JUPITER, FL 33458 | AFLAC | $2 | — | $2 | 0.03% |
| SUSAN P WATLEY3 | 6366 INDEPENDENCE DRIVE COLUMBUS, GA 31909 | AFLAC | $2 | — | $2 | 0.03% |
| SUZANN T EUSEPI-GREEN3 | PO BOX 631 JUPITER, FL 33468 | AFLAC | $2 | — | $2 | 0.03% |
| RENEE ANN BLINN ZELLHART3 | 8433 ENTERPRISE CIRCLE SUITE 100 LAKEWOOD RANCH, FL 34202 | AFLAC | $2 | — | $2 | 0.03% |
| JEFFREY GLENN YARISH3 | 16122 ARMISTEAD LANE ODESSA, FL 33556 | AFLAC | $2 | — | $2 | 0.03% |
| GRAVES INC3 | 5659 WEST HOLIDAY STREET HOMOSASSA, FL 34446 | AFLAC | $1 | — | $1 | 0.02% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES A HARBOUR | 405 BARSCHALL DRIVE COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 0.02% |
| JESSICA RAE ESKEW3 | 10426 SPRINGROSE DRIVE TAMPA, FL 33626 | AFLAC | $1 | — | $1 | 0.02% |
| MARK C LEE3 | 11500 COUNTY LINE ROAD MIDLAND, GA 31820 | AFLAC | $1 | — | $1 | 0.02% |
| MARY REBECCA WEATHERLY3 | 1934 EAST LEEWYNN DRIVE SARASOTA, FL 34240 | AFLAC | $1 | — | $1 | 0.02% |
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 | 141 | 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) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH OPTIONS | 50 | $262K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 126 | $32K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 126 | $32K |
| Life insurance(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 126 | $48K |
| Prescription drug | HEALTH OPTIONS | 50 | $262K |
| Other(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 126 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 126 | — |
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.