| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KITCHNER & ASSOCIATES INC3 | 7020 PROFESSIONAL PKWY E STE 100 SARASOTA, FL 34240 | BLUE CROSS BLUE SHIELD OF FLORIDA | $21K | — | $21K | 6.00% |
| KITCHNER & ASSOCIATES INC3 | STE 100 SARASOTA, FL 34240 | HEALTH OPTIONS | $13K | — | $13K | 6.00% |
| KITCHNER & ASSOCIATES INC3 | 7020 PROFESSIONAL PKWY E SUITE 100 SARASOTA, FL 34240 | GUARDIAN | $3K | $4K | $7K | 16.50% |
| DOUGLAS A SMOOT3 | 3714 65TH AVE E SARASOTA, FL 34243 | AFLAC | $743 | $72 | $815 | 4.84% |
| IBUSINESS SOLUTIONS INC3 | 7020 PROFESSIONAL PKWY STE 100 SARASOTA, FL 34240 | AFLAC | $249 | — | $249 | 1.48% |
| SHERI CROOK INC3 | 2151 COOK LN ALVA, FL 33920 | AFLAC | $125 | $17 | $142 | 0.84% |
| SHANE F LAMAY3 | 4380 TRAILS DR SARASOTA, FL 34232 | AFLAC | $128 | — | $128 | 0.76% |
| BARTLEIN AND ASSOC INC3 | 22465 PANTHER LOOP BRADENTON, FL 34202 | AFLAC | $124 | — | $124 | 0.74% |
| VOLUNTARY BENEFITS DONE RIGHT3 | 1400 MUSTANG ST NOKOMIS, FL 34275 | AFLAC | $108 | — | $108 | 0.64% |
| JUSTIN M REYNOLDS3 | 8433 ENTERPRISE CIR STE 100 LAKEWOOD RANCH, FL 34202 | AFLAC | $38 | — | $38 | 0.23% |
| SUSAN C BRIMHALL3 | PO BOX 8 LAKE PLACID, NY 12946 | AFLAC | $38 | — | $38 | 0.23% |
| JOAN A FARNHAM3 | 113 BROOKWOOD DR THOMASVILLE, GA 31792 | AFLAC | $21 | — | $21 | 0.12% |
| TOM FARRELL CONWAY3 | 13123 BLISS LOOP BRADENTON, FL 34211 | AFLAC | $19 | — | $19 | 0.11% |
| JEFFREY GLENN YARISH3 Filed as: JEFFREY GLENN YARNISH | 16122 ARMISTEAD LN ODESSA, FL 33556 | AFLAC | $9 | — | $9 | 0.05% |
| ERIC B MATHIS3 | 5310 HADEN BLVD SARASOTA, FL 34232 | AFLAC | $8 | — | $8 | 0.05% |
| MARK J JELLEMA3 | 12521 HONORE AVE APT 116 SARASOTA, FL 34238 | AFLAC | $6 | — | $6 | 0.04% |
| REBECCA A MCQUILLEN3 | 1108 67TH STREET CT E BRADENTON, FL 34208 | AFLAC | $6 | — | $6 | 0.04% |
| JANINE FOX3 | 18 HAVILAND DR SCHENECTADY, NY 12302 | AFLAC | $5 | — | $5 | 0.03% |
| JESSICA RAE ESKEW3 | 10426 SPRINGROSE DR TAMPA, FL 33626 | AFLAC | $4 | — | $4 | 0.02% |
| MARY REBECCA WEATHERLY3 | 1934 E LEEWYNN DR SARASOTA, FL 34240 | AFLAC | $4 | — | $4 | 0.02% |
| NICOLE LYNN RIHANEK3 | 1205 6TH AVE E APT 4312 BRADENTON, FL 34208 | AFLAC | $4 | — | $4 | 0.02% |
| SUSAN C BRIMHALL3 | PO BOX 13877 MEXICO BEACH, FL 33410 | AFLAC | $3 | — | $3 | 0.02% |
| FRANCIS V CRUZ3 | 150 MAPLE DR WEXFORD, PA 15090 | AFLAC | $1 | — | $1 | 0.01% |
| KITCHNER & ASSOCIATES INC3 | 7020 PROFESSIONAL PKWY E STE 100 SARASOTA, FL 34240 | USABLE LIFE | $375 | — | $375 | 11.94% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 | 4800 DEERWOOD CAMPUS PKWY #DC2/2 JACKSONVILLE, FL 32246 | USABLE LIFE | $32 | — | $32 | 1.02% |
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 | 120 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 122 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 43 | $351K |
| Dental(2 contracts, 2 carriers) | GUARDIAN | 70 | $59K |
| Vision | GUARDIAN | 70 | $42K |
| Life insurance | USABLE LIFE | 116 | $3K |
| Short-term disability | AFLAC | 23 | $17K |
| Prescription drug | HEALTH OPTIONS | 23 | $210K |
| Other(2 contracts, 2 carriers) | AFLAC | 116 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 116 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.