| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS INC | 101 STARCREST DRIVE NORTH CLEARWATER, FL 33765 | AETNA LIFE INSURANCE CO. | $34K | — | $34K | 9.05% |
| ROGER BOUCHARD INSURANCE INC3 | PO BOX 6090 CLEARWATER, FL 34618 | HUMANA INSURANCE COMPANY | $4K | — | $4K | 4.26% |
| MARSH & MCLENNAN AGENCY LLC3 | 101 STARCREST DR CLEARWATER, FL 33765 | HUMANA INSURANCE COMPANY | $957 | — | $957 | 1.03% |
| VARIOUS - SEE ATTACHED3 | — | AFLAC | $10K | $264 | $10K | 12.57% |
| ROGER BOUCHARD INSURANCE INC3 | 101 N STARCREST DR CLEARWATER, FL 33758 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | 14.99% |
| VARIOUS - SEE ATTACHED3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 6.45% |
| JANET MARTINEZ3 | 9850 NW 41ST ST STE 100 MIAMI, FL 33178 | LEGALPLANS, USA | — | $518 | $518 | 10.00% |
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 | 191 | 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) | 191 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 166 | $379K |
| Dental | HUMANA INSURANCE COMPANY | 107 | $93K |
| Vision | HUMANA INSURANCE COMPANY | 107 | $93K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 195 | $43K |
| Other(4 contracts, 4 carriers) | AFLAC | 195 | $174K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195 | — |
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.