| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INSURANCE INC. | 101 STARCREST DRIVE NORTH CLEARWATER, FL 33765 | AETNA HEALTH, INC. | $37K | — | $37K | 4.13% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4010 W BOYSCOUT BLVD SUITE 200 TAMPA, FL 33607 | AETNA HEALTH, INC. | $19K | — | $19K | 2.09% |
| CHET PRATHER HORNE3 | 2847 POST ROAD SARASOTA, FL 34231 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $7K | $562 | $7K | 8.75% |
| MARK J JELLEMA3 | 3719 ALOHA DR SARASOTA, FL 34232 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2K | $114 | $2K | 2.81% |
| JUSTIM M REYNOLDS3 | 8433 ENTERPRISE CIR STE 100 LAKEWOOD RANCH, FL 34202 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1K | $114 | $1K | 1.67% |
| CHRISTINE P HORNE3 | 3224 DARTMOUTH LN SARASOTA, FL 34239 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1K | $8 | $1K | 1.35% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INSURANCE INC. | PO BOX 6090 CLEARWATER, FL 33758 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $915 | — | $915 | 1.10% |
| CHET PRATHER HORNE3 | 2847 POST ROAD SARASOTA, FL 34231 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $664 | $0 | $664 | 0.80% |
| BARTLEIN AND ASSOC INC3 | 22465 PANTHER LOOP BRADENTON, FL 34202 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $491 | $0 | $491 | 0.59% |
| MARY-ANNE MCKAY3 | 3360 TALLYWOOD CT SARASOTA, FL 34237 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $416 | $0 | $416 | 0.50% |
| JOHN J GRUND3 | 4119 24TH AVE W BRADENTON, FL 34205 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $243 | — | $243 | 0.29% |
| MELINDA ADAMS3 | 480 SCHOONER ST NORTH PORT, FL 34287 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $220 | — | $220 | 0.26% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS AGCY | 101 STARCREST DRIVE NORTH CLEARWATER, FL 33765 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $148 | — | $148 | 0.18% |
| MEGHAN E MINNEHAN3 | 916 KNOWLES ST ROYAL OAK, MI 48067 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $134 | — | $134 | 0.16% |
| MARY REBECCA WEATHERLY3 | 1934 E LEEWYNN DR SARASOTA, FL 34240 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $126 | — | $126 | 0.15% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS AGCY | PO BOX 6090 CLEARWATER, FL 33758 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $103 | — | $103 | 0.12% |
| SUSAN C BRIMHALL3 | PO BOX 336 SMITHS STATION, AL 36877 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $100 | — | $100 | 0.12% |
| PMB INSURANCE SERVICES3 | 8705 MISTY CREEK DR SARASOTA, FL 34241 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $77 | — | $77 | 0.09% |
| SHERI CROOK INC3 | 2151 COOK LN ALVA, FL 33920 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $72 | — | $72 | 0.09% |
| ROBERT J HORNE3 | 3224 DARTMOUTH LANE SARASOTA, FL 34239 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $60 | — | $60 | 0.07% |
| REBECCA A MCQUILLEN3 | 1108 67TH STREET CT E BRADENTON, FL 34208 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $57 | — | $57 | 0.07% |
| JOHN SUMNER3 Filed as: JOHN A SUMNER | PO BOX 9808 BRADENTON, FL 34206 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $50 | — | $50 | 0.06% |
| J W GRIMES INC3 Filed as: JW GRIMES INC | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $42 | — | $42 | 0.05% |
| ROGER L KNIGHT3 | 4715 HIGHGROVE RD TALLAHASSEE, FL 32309 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $30 | — | $30 | 0.04% |
| JANET LYNN BOMWELL3 | 3652 CINCINATTI ST NORTH PORT, FL 34286 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $25 | — | $25 | 0.03% |
| LESLI L STRICKLAND3 | PO BOX 1161 ELLENTON, FL 34222 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $21 | — | $21 | 0.03% |
| GRAVES INC3 | 5659 W HOLIDAY ST HOMOSASSA, FL 34446 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $20 | — | $20 | 0.02% |
| RANDALL BARTLEIN3 | 22465 PANTHER LOOP BARDENTON, FL 34202 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $19 | — | $19 | 0.02% |
| JANNIE FOX3 | 18 HAVILAND DR SCHENECTADY, NY 12302 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $18 | — | $18 | 0.02% |
| JAMIE HARTT3 | 23285 WILBER AVE PORT CHARLOTTE, FL 33980 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $16 | — | $16 | 0.02% |
| JAMES P SMITH3 | 4388 WAXWING CT BOYNTON BEACH, FL 33436 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $15 | — | $15 | 0.02% |
| JEFFREY GLENN YARISH3 Filed as: JEFFREY GELNN YARISH | 16122 ARMISTEAD LN ODESSA, FL 33556 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $10 | — | $10 | 0.01% |
| BRENDA LYNN GARRETT3 | 5400 GLENWOOD AVE STE G03 RALEIGH, NC 27612 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $10 | — | $10 | 0.01% |
| SANDRA WHITELEY3 Filed as: SANDRA K WHITELEY | 1707 60TH ST S GULFPORT, FL 33707 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $10 | — | $10 | 0.01% |
| DEBBY MIEDEMA3 | 5513 COLONY LAKE LN SARASOTA, FL 34233 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $10 | — | $10 | 0.01% |
| DAVED E BARTSCHY3 | 48 BRADSHAW RD HIAWASSEE, GA 30546 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $10 | — | $10 | 0.01% |
| FRANCIS V CRUZ3 | 19115 LIVINGSTON AVE LUTZ, FL 33559 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $9 | — | $9 | 0.01% |
| LELAND E MCCRAVY3 | 9736 SPYGLASS DR VILLA RICA, GA 30180 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $9 | — | $9 | 0.01% |
| RICHARD PIERRO3 | 5550 26TH ST W STE 7 BRADENTON, FL 34207 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $8 | — | $8 | 0.01% |
| WILLIAM R. WHITELEY3 Filed as: WILLIAM R WHITELEY | 1707 60TH ST S GULFPORT, FL 33707 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $8 | — | $8 | 0.01% |
| JAMES (JAY) GRIMES3 Filed as: JAMES GRIMES | 554 ROBER WILLIAMS RD PINE MOUNTAIN, GA 31822 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $7 | — | $7 | 0.01% |
| NORA M FOLKERS3 | 1121 CANE MILL LN BRADENTON, FL 34212 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $6 | — | $6 | 0.01% |
| JIMMY D BOONE3 | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $6 | — | $6 | 0.01% |
| C HUDSON AND ASSOCIATES3 | 2843 TWIN PINE RD THOMSON, GA 30824 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | 0.01% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES A HARBOUR | 1100 ALAKEA ST STE 3200 HONOLULU, HI 96813 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | 0.01% |
| HORACE R WEAVER III3 | 106 FOUNTAIN DR SLIDELL, LA 70458 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | 0.01% |
| ELLEN D JAMES3 | 3831 MISTY LANDING DR VALRICO, FL 33594 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | 0.00% |
| HAROLD L STAFFORD3 | 10722 NW 20TH DR CORAL SPRINGS, FL 33071 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | 0.00% |
| JENNIFER B MOREHEAD3 | 13412 WHITBY RD HUDSON, FL 34667 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | 0.00% |
| KIMBERLY DIAN CROCKETT3 | 1563 ASHLEY CREEK LN CORDOVA, TN 38016 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | 0.00% |
| W WADE BOTKIN III3 | 307 45TH ST W BRADENTON, FL 34209 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | — | $3 | 0.00% |
| MARK C LEE3 | 1444 S 17TH ST WILMINGTON, NC 28401 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | — | $3 | 0.00% |
| OMER S BASS IV3 Filed as: OMER S BRASS IV | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | — | $2 | 0.00% |
| DELORES ELAINE PINKOWSKI3 | HC 64 BOX 1815 CASTLE VALLEY, UT 84532 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | — | $2 | 0.00% |
| DEBORAH L JONGES3 | PO BOX 31994 PALM BEACH GARDENS, FL 33420 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| WILLIAM R. WHITELEY3 Filed as: WILLIAM R WHITELEY | 1707 60TH ST SOUTH GULFPORT, FL 33707 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| JESSICA RAE ESKEW3 | 10426 SPRINGROSE DR TAMPA, FL 33626 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| FRANK ROBERT SOBOCINSKI3 | 528 SWEET BAY CIR JUPITER, FL 33458 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| JOSHUA BUZZARD3 | 7458 TRESCOTT DR LAKE WORTH, FL 33467 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| JAMES (JAY) GRIMES3 Filed as: JAMES J GRIMES | 554 ROBERT WILLIAMS RD PINE MOUNTAIN, GA 31822 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $0 | — | $0 | 0.00% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INSURANCE INC. | 101 STARCREST DRIVE NORTH CLEARWATER, FL 33765 | HUMANA INSURANCE COMPANY (DENTAL PPO) | $3K | $20 | $3K | 6.74% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4010 W BOYSCOUT BLVD STE 200 TAMPA, FL 33607 | HUMANA INSURANCE COMPANY (DENTAL PPO) | $2K | — | $2K | 3.35% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INSURANCE INC. | 101 STARCREST DRIVE NORTH CLEARWATER, FL 33765 | HUMANA INSURANCE COMPANY (VISION) | $637 | $105 | $742 | 9.12% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4010 W BOYSCOUT BLVD STE 200 TAMPA, FL 33607 | HUMANA INSURANCE COMPANY (VISION) | $328 | — | $328 | 4.03% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INSURANCE INC. | 101 STARCREST DRIVE NORTH CLEARWATER, FL 33765 | COMPBENEFITS COMPANY (DENTAL HMO) | $234 | $4 | $238 | 6.57% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4010 W BOYSCOUT BLVD STE 200 TAMPA, FL 33607 | COMPBENEFITS COMPANY (DENTAL HMO) | $118 | — | $118 | 3.26% |
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 | 154 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY (DENTAL PPO) | 96 | $50K |
| Vision | HUMANA INSURANCE COMPANY (VISION) | 86 | $8K |
| Short-term disability | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | 0 | $83K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 150 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.