| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4010 W BOY SCOUT BLVD SUITE 200 TAMPA, FL 33607 | HEALTH OPTIONS, INC. (HMO) | $41K | $0 | $41K | 5.00% |
| CHET PRATHER HORNE3 | 2847 POST ROAD SARASOTA, FL 34231 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5K | $54 | $5K | 7.99% |
| MARK J JELLEMA3 | 12521 HONORE AVE APT 116 SARASOTA, FL 34238 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1K | $13 | $1K | 2.41% |
| CHRISTINE P HORNE3 | 3224 DARTMOUTH LANE SARASOTA, FL 34239 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $737 | $0 | $737 | 1.20% |
| SHERI CROOK INC3 | 2151 COOK LN ALVA, FL 33920 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $545 | $13 | $558 | 0.91% |
| BARTLEIN AND ASSOC INC3 | 22465 PANTHER LOOP BRADENTON, FL 34202 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $322 | $0 | $322 | 0.52% |
| JUSTIN M REYNOLDS3 | 8433 ENTERPRISE CIR STE 100 LAKEWOOD RANCH, FL 34202 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $252 | $0 | $252 | 0.41% |
| MARY-ANNE MCKAY3 | 3360 TALLYWOOD CT SARASOTA, FL 34237 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $212 | $0 | $212 | 0.35% |
| JOHN J GRUND3 | 4119 24TH AVE W BRADENTON, FL 34205 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $185 | $0 | $185 | 0.30% |
| ROGER BOUCHARD INSURANCE INC3 | PO BOX 6090 CLEARWATER, FL 33758 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $114 | $0 | $114 | 0.19% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS AGCY | 101 N STARCREST DR. PO BOX 6090 CLEARWATER, FL 33765 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $108 | $0 | $108 | 0.18% |
| MELINDA ADAMS3 | 480 SCHOONER ST NORTH PORT, FL 34287 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $87 | $0 | $87 | 0.14% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS INC | PO BOX 6090 101 N STARCREST DR. CLEARWATER, FL 33758 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $85 | $0 | $85 | 0.14% |
| MARY REBECCA WEATHERLY3 | 1934 E LEEWYNN DR SARASOTA, FL 34240 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $73 | $0 | $73 | 0.12% |
| MEGHAN E MINNEHAN3 | 916 KNOWLES ST ROYAL OAK, MI 48067 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $72 | $0 | $72 | 0.12% |
| NICOLE LYNN RIHANEK3 | 1205 6TH AVE E APT 4312 BRADENTON, FL 34208 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $58 | $0 | $58 | 0.09% |
| ROBERT J HORNE3 | 3224 DARTMOUTH LANE SARASOTA, FL 34239 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $56 | $0 | $56 | 0.09% |
| SUSAN C BRIMHALL3 | PO BOX 8 LAKE PLACID, NY 12946 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $55 | $0 | $55 | 0.09% |
| PMB INSURANCE SERVICES3 | 8705 MISTY CREEK DR SARASOTA, FL 34241 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $48 | $0 | $48 | 0.08% |
| REBECCA A MCQUILLEN3 | 1108 67TH STREET CT E BRADENTON, FL 34208 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $40 | $0 | $40 | 0.07% |
| J W GRIMES INC3 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $39 | $0 | $39 | 0.06% |
| ROGER L KNIGHT3 | 4715 HIGHGROVE RD TALLAHASSEE, FL 32309 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $23 | $0 | $23 | 0.04% |
| LESLI L STRICKLAND3 | PO BOX 1161 ELLENTON, FL 34222 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $22 | $0 | $22 | 0.04% |
| GRAVES INC3 | 5659 W HOLIDAY ST HOMOSASSA, FL 34446 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $16 | $0 | $16 | 0.03% |
| JAMES P SMITH3 | 4388 WAXWING CT BOYNTON BEACH, FL 33436 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $16 | $0 | $16 | 0.03% |
| DEBBY MIEDEMA3 | 5365 BARTOLOMEO ST SARASOTA, FL 34238 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $11 | $0 | $11 | 0.02% |
| JANINE FOX3 | 18 HAVILAND DR SCHENECTADY, NY 12302 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $10 | $0 | $10 | 0.02% |
| DAVID E BARTSCHY3 | 48 BRADSHAW RD HIAWASSEE, GA 30546 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $10 | $0 | $10 | 0.02% |
| LELAND E MCCRAVY3 | 9736 SPYGLASS DR VILLA RICA, GA 30180 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $10 | $0 | $10 | 0.02% |
| JAMES (JAY) GRIMES3 | 554 ROBERT WILLIAMS RD PINE MOUNTAIN, GA 31822 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $7 | $0 | $7 | 0.01% |
| RANDALL BARTLEIN3 | 22465 PANTHER LOOP BRADENTON, FL 34202 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $6 | $0 | $6 | 0.01% |
| JEFFREY GLENN YARISH3 | 8575 SUNSET CT TREASURE ISLAND, FL 33706 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | $0 | $5 | 0.01% |
| C HUDSON AND ASSOCIATES3 | 2843 TWIN PINE RD THOMSON, GA 30824 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | $0 | $5 | 0.01% |
| FRANCIS V CRUZ3 | 150 MAPLE DR WEXFORD, PA 15090 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | $0 | $5 | 0.01% |
| HORACE R WEAVER III3 | 106 FOUNTAIN DR SLIDELL, LA 70458 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | $0 | $3 | 0.00% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES A HARBOUR | 405 BARSCHALL DR COLUMBUS, GA 31904 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | $0 | $3 | 0.00% |
| MARK C LEE3 | 11500 COUNTY LINE RD MIDLAND, GA 31820 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | $0 | $3 | 0.00% |
| ELLEN D JAMES3 | 5110 TARI STREAM WAY BRANDON, FL 33511 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | $0 | $2 | 0.00% |
| JENNIFER B MOREHEAD3 | 13412 WHITBY RD HUDSON, FL 34667 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | $0 | $2 | 0.00% |
| OMER S BASS IV3 | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | $0 | $2 | 0.00% |
| KIMBERLY DIAN CROCKETT3 | 505 LEE ROAD 214 PHENIX CITY, AL 36870 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | $0 | $2 | 0.00% |
| DELORES ELAINE PINKOWSKI3 | HC 64 BOX 1815 CASTLE VALLEY, UT 84532 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | $0 | $2 | 0.00% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4211 W BOY SCOUT BLVD STE 800 TAMPA, FL 33607 | HUMANA INSURANCE COMPANY (DENTAL PPO) | $4K | $653 | $5K | 10.98% |
| ROGER BOUCHARD INSURANCE INC3 | PO BOX 6090 CLEARWATER, FL 33758 | HUMANA INSURANCE COMPANY (DENTAL PPO) | $15 | $0 | $15 | 0.03% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4211 W BOY SCOUT BLVD STE 800 TAMPA, FL 33607 | HUMANA INSURANCE COMPANY (VISION) | $913 | $139 | $1K | 13.47% |
| ROGER BOUCHARD INSURANCE INC3 | PO BOX 6090 CLEARWATER, FL 33758 | HUMANA INSURANCE COMPANY (VISION) | $15 | $0 | $15 | 0.19% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4211 W BOY SCOUT BLVD STE 800 TAMPA, FL 33607 | COMPBENEFITS COMPANY (DENTAL HMO) | $414 | $187 | $601 | 14.61% |
| ROGER BOUCHARD INSURANCE INC3 | PO BOX 6090 CLEARWATER, FL 33758 | COMPBENEFITS COMPANY (DENTAL HMO) | $4 | $0 | $4 | 0.10% |
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 | 126 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY (DENTAL PPO) | 75 | $50K |
| Vision | HUMANA INSURANCE COMPANY (VISION) | 78 | $8K |
| Short-term disability | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | 77 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 92 | — |
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.