| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 8430 ENTERPRISE CIRCLE SUITE 110 LAKEWOOD RANCH, FL 34202 | HEALTH OPTIONS, INC. | $31K | $0 | $31K | 4.00% |
| ACRISURE LLC3 | 8430 ENTERPRISE CIRCLE SUITE 110 LAKEWOOD RANCH, FL 34202 | BLUE CROSS BLUE SHIELD OF FLORIDA | $20K | $0 | $20K | 4.00% |
| ACRISURE LLC3 | 8430 ENTERPRISE CIRCLE SUITE 110 LAKEWOOD RANCH, FL 34202 | FLORIDA COMBINED LIFE | $5K | $0 | $5K | 8.39% |
| FLORIDA BLUE3 Filed as: MONICA SCOTT FLORIDA BLUE | 4800 DEERWOOD CAMPUS PARKWAY # DC2/2 JACKSONVILLE, FL 32246 | FLORIDA COMBINED LIFE | $2K | $0 | $2K | 4.11% |
| FLORIDA BLUE3 Filed as: RANDALL WOOD FLORIDA BLUE | 4800 DEERWOOD CAMPUS PARKWAY # DC2/2 JACKSONVILLE, FL 32246 | FLORIDA COMBINED LIFE | $367 | $0 | $367 | 0.66% |
| FLORIDA BLUE3 Filed as: GERALD THOMAS FLORIDA BLUE | 4800 DEERWOOD CAMPUS PARKWAY # DC2/2 JACKSONVILLE, FL 32246 | FLORIDA COMBINED LIFE | $367 | $0 | $367 | 0.66% |
| DIANA COLE DENHAM3 | 4405 WINGATE ROAD MYAKKA CITY, FL 34251 | AFLAC | $701 | $365 | $1K | 3.08% |
| ACRISURE LLC3 | 2965 ALT 19 N PALM HARBOR, FL 34683 | AFLAC | $946 | $0 | $946 | 2.73% |
| DAVID BRIAN MORRIS3 | 3731 CASTLE DRIVE ZEPHYRHILLS, FL 33540 | AFLAC | $194 | $82 | $276 | 0.80% |
| JUSTIN M REYNOLDS3 | 8433 ENTERPRISE CIRCLE SUITE 100 LAKEWOOD RANCH, FL 34202 | AFLAC | $271 | $0 | $271 | 0.78% |
| JESSICA P PATRAW3 | 5306 MACCAUGHEY DRIVE NORTH PORT, FL 34287 | AFLAC | $165 | $72 | $237 | 0.68% |
| SHERI CROOK INC3 | 2151 COOK LANE ALVA, FL 33920 | AFLAC | $132 | $93 | $225 | 0.65% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS INC | PO BOX 6090 CLEARWATER, FL 33758 | AFLAC | $207 | $0 | $207 | 0.60% |
| ERIC B MATHIS3 | 5310 HAYDEN BLVD SARASOTA, FL 34232 | AFLAC | $183 | $0 | $183 | 0.53% |
| SHANE F LAMAY3 | 6311 ATRIUM DRIVE SUITE 204 LAKEWOOD RANCH, FL 34202 | AFLAC | $130 | $0 | $130 | 0.38% |
| JUAN GUTIERREZ3 | 2547 SUNNYSIDE STREET SARASOTA, FL 34202 | AFLAC | $121 | $0 | $121 | 0.35% |
| DANIEL C DENHAM3 | 4405 WINGATE ROAD MYAKKA CITY, FL 34251 | AFLAC | $103 | $18 | $121 | 0.35% |
| MARK J JELLEMA3 | 3719 ALOHA DRIVE SARASOTA, FL 34232 | AFLAC | $113 | $0 | $113 | 0.33% |
| MELINDA ADAMS3 | 480 SCHOONER STREET NORTH PORT, FL 34287 | AFLAC | $82 | $0 | $82 | 0.24% |
| BARTLEIN AND ASSOC INC3 | 22465 PANTHER LOOP BRADENTON, FL 34202 | AFLAC | $71 | $0 | $71 | 0.21% |
| K & J NELSON INC3 Filed as: K AND J NELSON | 8512 WESTERLAND DRIVE LAND O LAKES, FL 34637 | AFLAC | $37 | $0 | $37 | 0.11% |
| JOHN J GRUND3 | 4119 24TH AVE W BRADENTON, FL 34205 | AFLAC | $36 | $0 | $36 | 0.10% |
| CHARMAINE K HAYDEN3 | 3908 MAVERICK AVE SARASOTA, FL 34233 | AFLAC | $33 | $0 | $33 | 0.10% |
| BRADLEY MILAN CLARK3 | 2256 HYDE PARK STREET SARASOTA, FL 34239 | AFLAC | $15 | $14 | $29 | 0.08% |
| SUSAN C BRIMHALL3 | PO BOX 336 SMITH STATION, AL 36877 | AFLAC | $21 | $0 | $21 | 0.06% |
| JAMES (JAY) GRIMES3 Filed as: JAMES JAY GRIMES | 554 ROBERT WILLIAMS ROAD PINE MOUNTAIN, GA 31822 | AFLAC | $18 | $0 | $18 | 0.05% |
| RENA L HELM3 | 6115 13TH AVE E BRADENTON, FL 34208 | AFLAC | $17 | $0 | $17 | 0.05% |
| KATHERINE ZAROWITZ3 | 4402 OLIVIA AVE ROYAL OAK, MI 48073 | AFLAC | $14 | $0 | $14 | 0.04% |
| BRIAN KEITH O'NEAL3 | 2424 ALHAVEN TER NORTH PORT, FL 34286 | AFLAC | $4 | $9 | $13 | 0.04% |
| G SCOTT COOKE3 Filed as: SCOTT C BLACK | 5509 FORESTER POND AVE SARASOTA, FL 34243 | AFLAC | $12 | $0 | $12 | 0.03% |
| LTC INS & FIN PARTNERS INC3 | 6203 MARINA DRIVE HOLMES BEACH, FL 34217 | AFLAC | $11 | $0 | $11 | 0.03% |
| REBECCA A MCQUILLEN3 Filed as: REBECCA MCQUILLON | 1108 67TH STREET CT E BRADENTON, FL 34208 | AFLAC | $9 | $0 | $9 | 0.03% |
| FRANCIS V CRUZ3 | 150 MAPLE DRIVE WEXFORD, PA 15090 | AFLAC | $6 | $0 | $6 | 0.02% |
| JANINE FOX3 | 18 HAVILAND DR SCHENECTADY, NY 12302 | AFLAC | $5 | $0 | $5 | 0.01% |
| HORACE R WEAVER III3 | 106 FOUNTAIN DRIVE SLIDELL, LA 70458 | AFLAC | $1 | $0 | $1 | 0.00% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES A HARBOUR | 405 BARSCHALL DRIVE COLUMBUS, GA 31904 | AFLAC | $1 | $0 | $1 | 0.00% |
| KIMBERLY DIAN CROCKETT3 | 505 LEE ROAD 214 PHENIX CITY, AL 36870 | AFLAC | $1 | $0 | $1 | 0.00% |
| ROGER L KNIGHT3 | 4715 HIGHGROVE ROAD TALLAHASSEE, FL 32309 | AFLAC | $1 | $0 | $1 | 0.00% |
| JENNIFER B MOREHEAD3 | 13412 WHITBY ROAD HUDSON, FL 34667 | AFLAC | $1 | $0 | $1 | 0.00% |
| J W GRIMES INC3 Filed as: J.W. GRIMES INC | 6165 WATERFORD ROAD COLUMBUS, GA 31904 | AFLAC | $1 | $0 | $1 | 0.00% |
| ACRISURE LLC3 | 8430 ENTERPRISE CIRCLE SUITE 110 LAKEWOOD RANCH, FL 34202 | BLUE CROSS BLUE SHIELD OF FLORIDA | $2K | $0 | $2K | 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 | 139 | 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) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH OPTIONS, INC. | 115 | $1.3M |
| Dental | FLORIDA COMBINED LIFE | 139 | $55K |
| Vision | BLUE CROSS BLUE SHIELD OF FLORIDA | 110 | $16K |
| Other | AFLAC | 39 | $35K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 139 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.