| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN LLC BOUCHARD | 5310 CLARK ROAD SUITE 1 SARASOTA, FL 34233 | HEALTH OPTIONS | $16K | — | $16K | 4.54% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS INC | 101 STARCREST DRIVE CLEARWATER, FL 33765 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $1K | $5K | 13.52% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INSURANCE, INC | PO BOX 6090 CLEARWATER, FL 33758 | HEALTH OPTIONS | $2K | — | $2K | 11.79% |
| BLANCO, JOHAN3 Filed as: BLANCO, KATHERINE | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $518 | — | $518 | 4.66% |
| BLANCO, JOHAN3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $265 | — | $265 | 2.38% |
| LEWIS WATKINS FARMER AGENCY INC3 Filed as: LEWIS, KENNETH | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $115 | — | $115 | 1.03% |
| MOORE, BRITTANY3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $84 | — | $84 | 0.76% |
| MARTIN INSURANCE GROUP3 Filed as: MARTIN, PATRICIA | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $33 | — | $33 | 0.30% |
| FITZGERALD CLAYTON, JAMES & KASTEN3 Filed as: FITZGERALD, ALYSSA | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $27 | — | $27 | 0.24% |
| HEIPLE, JOHN3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $21 | — | $21 | 0.19% |
| THOMPSON FLANAGAN BENEFITS GROUP3 Filed as: THOMPSON, JACOB | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $17 | — | $17 | 0.15% |
| HAMILTON INSURANCE AGENCY3 Filed as: HAMILTON, PATRICK | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $15 | — | $15 | 0.13% |
| PETERS, SABINA3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $15 | — | $15 | 0.13% |
| ZHEPAN, KRISTINA3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $14 | — | $14 | 0.13% |
| DOROUGH, ASHTON3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $12 | — | $12 | 0.11% |
| CRUZ CRUZ-HEREMURU3 Filed as: CRUZ, DANIEL | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $11 | — | $11 | 0.10% |
| PIDDINGTON, SARAH3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $11 | — | $11 | 0.10% |
| CROMER WEST, MILDRED3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $10 | — | $10 | 0.09% |
| SPIDEL, NATHAN3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $4 | — | $4 | 0.04% |
| LETCAVAGE, ALAN3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $3 | — | $3 | 0.03% |
| FLETCHER INSURANCE GROUP3 Filed as: FLETCHER, ELENI | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| EUGENE RIDER3 | 624 ESTUARY DRIVE PALMA SOLA, FL 34209 | AFLAC | $967 | — | $967 | 12.52% |
| BRENDA GARRETT3 | 12475 KENTWOOD AVENUE FORT MYERS, FL 33913 | AFLAC | $157 | — | $157 | 2.03% |
| JENNIFER FRANCEY TAGGART3 Filed as: JENNIFER TAGGART | 6405 CORAL CREEK COURT ELLETON, FL 34222 | AFLAC | $126 | — | $126 | 1.63% |
| NICOLE LYNN RIHANEK3 Filed as: NICOLE RIHANEK | 1205 2ND AVENUE EAST UNIT 4312 BRADENTON, FL 34206 | AFLAC | $81 | — | $81 | 1.05% |
| RANDALL BARTLEIN3 | 2831 RINGLING BOULEVARD SUITE B203 SARASOTA, FL 34237 | AFLAC | $38 | — | $38 | 0.49% |
| JULIE W CRAIG3 | 8544 TOWNLEY ROAD APARTMENT 1B HUNTERSVILLE, NC 28078 | AFLAC | $37 | — | $37 | 0.48% |
| HAROLD L STAFFORD3 | 8544 TOWNLEY ROAD APARTMENT 1B HUNTERSVILLE, NC 28078 | AFLAC | $22 | — | $22 | 0.28% |
| JUAN GUTIERREZ3 | 2547 SUNNYSIDE STREET SARASOTA, FL 34239 | AFLAC | $22 | — | $22 | 0.28% |
| DEXTER ANTONIO HARRIS3 Filed as: DEXTER HARRIS | 100 GALLERIA PARKWAY SOUTHEAST SUITE 900 ATLANTA, GA 30339 | AFLAC | $21 | — | $21 | 0.27% |
| DAVID JOSEPH MULVANEY3 Filed as: DAVID MULVANEY | 1480 LAKESIDE DRIVE VENICE, FL 34293 | AFLAC | $12 | — | $12 | 0.16% |
| MARK J JELLEMA3 Filed as: MARK JELLEMA | 12521 HONORE AVENUE APARTMENT 116 SARASOTA, FL 34238 | AFLAC | $11 | — | $11 | 0.14% |
| MELINDA ADAMS3 | 480 SCHOONER STREET NORTH PORT, FL 34287 | AFLAC | $11 | — | $11 | 0.14% |
| ROGER L KNIGHT3 | 4715 HIGHGROVE ROAD TALLAHASSEE, FL 32309 | AFLAC | $10 | — | $10 | 0.13% |
| SHERI CROOK INC3 | 2151 COOK LANE ALVA, FL 33920 | AFLAC | $8 | — | $8 | 0.10% |
| ERIC B MATHIS3 | 5310 HAYDEN BOULEVARD SARASOTA, FL 34232 | AFLAC | $7 | — | $7 | 0.09% |
| J W GRIMES INC3 Filed as: JW GRIMES INC | 6165 WATERFORD ROAD COLUMBUS, GA 31904 | AFLAC | $6 | — | $6 | 0.08% |
| DEREK R MANN3 Filed as: DEREK MANN | 155 LEE ROAD 2213 SALEM, AL 36674 | AFLAC | $5 | — | $5 | 0.06% |
| SUSAN BRIMHALL3 | PO BOX 8 LAKE PLACID, NY 12946 | AFLAC | $4 | — | $4 | 0.05% |
| JAMES (JAY) GRIMES3 Filed as: JAMES GRIMES | 554 ROBERT WILLIAMS ROAD PINE MOUNTAIN, GA 31822 | AFLAC | $3 | — | $3 | 0.04% |
| HARRY E HUNT JR3 Filed as: HARRY HUNT JR | 5707 45TH STREET EAST LOT 208 BRADENTON, FL 34203 | AFLAC | $2 | — | $2 | 0.03% |
| SUSAN P WATLEY3 Filed as: SUSAN WATLEY | 6366 INDEPENDENCE DRIVE COLUMBUS, GA 31909 | AFLAC | $2 | — | $2 | 0.03% |
| FRANK ROBERT SOBOCINSKI3 Filed as: FRANK SOBOCINSKI | 2000 PGA BOULEVARD SUITE 4440 PALM BEACH GARDENS, FL 33408 | AFLAC | $2 | — | $2 | 0.03% |
| SUZANN T EUSEPI-GREEN3 Filed as: SUZANN EUSEPI-GREEN | 216 RIVER DRIVE TEQUESTA, FL 33469 | AFLAC | $2 | — | $2 | 0.03% |
| RENEE ANN BLINN ZELLHART3 Filed as: RENEE BLINN ZELLHART | 8433 ENTERPRISE CIRCLE SUITE 100 LAKEWOOD RANCH, FL 34202 | AFLAC | $2 | — | $2 | 0.03% |
| JEFFREY GLENN YARISH3 Filed as: JEFFREY YARISH | 8575 SUNSET COURT TREASURE ISLAND, FL 33706 | AFLAC | $1 | — | $1 | 0.01% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES HARBOUR | 405 BARSCHALL DRIVE COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 0.01% |
| MARK C LEE3 Filed as: MARK LEE | 11500 COUNTY LINE ROAD MIDLAND, GA 31820 | AFLAC | $1 | — | $1 | 0.01% |
| MARY REBECCA WEATHERLY3 Filed as: MARY WEATHERLY | 1934 EAST LEEWYNN DRIVE SARASOTA, FL 34240 | AFLAC | $1 | — | $1 | 0.01% |
| JESSICA ESKEW3 | 10426 SPRINGROSE DRIVE TAMPA, FL 33626 | 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 | 159 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 161 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | HEALTH OPTIONS | 41 | $376K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 122 | $34K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 122 | $34K |
| Life insurance(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 122 | $53K |
| Prescription drug(2 contracts) | HEALTH OPTIONS | 41 | $376K |
| Other(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 122 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 122 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.