| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EVAN D CROSS3 | 100 ALLERTON RD MILTON, MA 02186 | AFLAC | $6K | $319 | $6K | 15.03% |
| CHRISTOPHER M. ALLEN3 Filed as: CHRISTOPHER JOHN CULLINAN | 188 S MAIN ST COHASSET, MA 02025 | AFLAC | $834 | $65 | $899 | 2.27% |
| DAVID S HALLETT3 | 8 BROOKS ST WINCHESTER, MA 01890 | AFLAC | $275 | — | $275 | 0.69% |
| GEORGE BIRCH3 | 68 JOYCE KILMER RD WEST ROXBURY, MA 02132 | AFLAC | $159 | $26 | $185 | 0.47% |
| AMANDA BAGLEY3 | 2313 STEARNS HILL RD WALTHAM, MA 02451 | AFLAC | $41 | $16 | $57 | 0.14% |
| DAVID KAHL3 | 1230 JOHN B WHITE SR BLVD SPARTANBURG, SC 29306 | AFLAC | $47 | — | $47 | 0.12% |
| DANIEL P CLARK3 | 33 LANDAU RD PLAINVILLE, MA 02762 | AFLAC | $39 | — | $39 | 0.10% |
| RJSW & ASSOCIATES INC3 | 1344 VICKERS RD TALLAHASSEE, FL 32303 | AFLAC | $23 | — | $23 | 0.06% |
| ELAINE L MILLS3 | 8877 SE 180TH AVENUE RD OCKLAWAHA, FL 32179 | AFLAC | $20 | — | $20 | 0.05% |
| MAUREEN E SNOW3 | 68 WINGATE RD HOLLISTON, MA 01746 | AFLAC | $14 | — | $14 | 0.04% |
| KATTY W COHEN3 | 21711 TOWN PLACE DR BOCA RATON, FL 33433 | AFLAC | $12 | — | $12 | 0.03% |
| DAVID G BAKER3 | 1531 SUNFLOWER FIELD PL MATTHEWS, NC 28104 | AFLAC | $10 | — | $10 | 0.03% |
| SOUTHEAST PLANNING3 | ASSOCIATES INC 5 DEPOT ST ATHENS, OH 45701 | AFLAC | $10 | — | $10 | 0.03% |
| DAVID SPRINGER3 Filed as: DAVID B SPRINGER | 2986 SAINT STEVENS DR TALLAHASSEE, FL 32312 | AFLAC | $9 | — | $9 | 0.02% |
| JIMMY R MATHIS3 | P O BOX 2371 OCALA, FL 34478 | AFLAC | $8 | — | $8 | 0.02% |
| J W GRIMES INC3 | 8033 SPLENDOR WAY COLUMBUS, GA 31904 | AFLAC | $7 | — | $7 | 0.02% |
| JOHN B DRZEWIECKI JR3 | 370 SOUTHSHIRE DR BENNINGTON, VT 05201 | AFLAC | $6 | — | $6 | 0.02% |
| KATHRYN G KEMPTON3 | 837 RIFES FORD RD VERONA, VA 24482 | AFLAC | $6 | — | $6 | 0.02% |
| JOEY C ADAMS3 | 317 NORTHEAST 36TH AVE STE 6 OCALA, FL 34470 | AFLAC | $6 | — | $6 | 0.02% |
| ROBERT E KEMMER3 | PO BOX 352 BUFFALO, OH 43722 | AFLAC | $6 | — | $6 | 0.02% |
| GSL MARKETING INC3 | PO BOX 358198 GAINESVILLE, FL 32635 | AFLAC | $4 | — | $4 | 0.01% |
| NATHAN A HUMMER3 | 5 WEBBER RD WESTFORD, MA 01886 | AFLAC | $4 | — | $4 | 0.01% |
| C HUDSON AND ASSOCIATES3 | 2843 TWIN PINE RD THOMSON, GA 30824 | AFLAC | $4 | — | $4 | 0.01% |
| JORDAN LYNN FUNK3 | 917 COUNTY ROAD 100 N THOMPSONVILLE, IL 62890 | AFLAC | $4 | — | $4 | 0.01% |
| BRANDON ADAMS3 Filed as: BRANDON CARL ADAMS | 64 SHELBY DR CRAWFORDVILLE, FL 32327 | AFLAC | $4 | — | $4 | 0.01% |
| JOEY C ADAMS3 | 317 NORTHEAST 36TH AVE SUITE 6 OCALA, FL 34470 | AFLAC | $3 | — | $3 | 0.01% |
| JOHN M WASHO3 | 24956 WOLF BAY TER ORANGE BEACH, AL 36561 | AFLAC | $2 | — | $2 | 0.01% |
| SCOTT A SMITH3 | 6340 SUGARLOAF PKWY STE 200 DULUTH, GA 30097 | AFLAC | $2 | — | $2 | 0.01% |
| INSURANCE PARTNERS AGENCY INC3 Filed as: INSURANCE PARTNERS AGENCY LLC | 5 DEPOT ST ANTHENS, OH 45701 | AFLAC | $2 | — | $2 | 0.01% |
| ACRISURE LLC3 Filed as: ACRISURE WALLSTREET PARTNERS LLC | 158 PRINTERS LN NEW LONDON, NC 28127 | AFLAC | $2 | — | $2 | 0.01% |
| MARGARET E LOCHNER3 | 365 WALLOOMSAC RD BENNINGTON, VT 05201 | AFLAC | $1 | — | $1 | 0.00% |
| LEWIS K GATHRIGHT JR3 | PO BOX 165 GOOCHLAND, VA 23063 | AFLAC | $1 | — | $1 | 0.00% |
| JULIE W CRAIG3 | 4930 VILLAGE GREEN DR EL DORADO HILLS, CA 95762 | AFLAC | $1 | — | $1 | 0.00% |
| JOSHUA K HOPPE3 | 85076 MAJESTIC WALK CIR FERNANDINA BEACH, FL 32034 | AFLAC | $0 | — | $0 | 0.00% |
| ROBERT P FERRONE3 | PO BOX 246 HAMILTON, GA 31811 | AFLAC | $0 | — | $0 | 0.00% |
| JOHN C RASCHELLA3 | 20521 TAHITIAN BLVD ESTERO, FL 33928 | AFLAC | $0 | — | $0 | 0.00% |
| MARKUS MUELLER3 | 7665 FIELDSTONE RANCH SQ VERO BEACH, FL 32967 | AFLAC | $0 | — | $0 | 0.00% |
| DENA JORDAN3 Filed as: DENA JORDAN KILGORE | 5753 HIGHWAY 85 N PMB 8179 CRESTVIEW, FL 32536 | AFLAC | $0 | — | $0 | 0.00% |
| MARK C LEE3 | 8229 FRANK HOUSER AVE COLUMBUS, GA 31909 | AFLAC | $0 | — | $0 | 0.00% |
| JILL SCIRPO3 | 6 WILLETT POND RD WESTWOOD, MA 02090 | AFLAC | $0 | — | $0 | 0.00% |
| ACRISURE LLC3 Filed as: ACRISURE MIDWEST PART INS SERV LLC | 158 PRINTERS LN NEW LONDON, NC 28127 | AFLAC | $0 | — | $0 | 0.00% |
| OMER S BASS IV3 | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $0 | — | $0 | 0.00% |
| GREGORY D HILL3 Filed as: GREGORY DALE HILL | 16142 SWALLOWTAIL PL MIDLOTHIAN, VA 23113 | AFLAC | $0 | — | $0 | 0.00% |
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 | 2,051 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,053 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 2,921 | $1.2M |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | 2,358 | $192K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,051 | $438K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 38 | $41K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,052 | $307K |
| Other(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,051 | $498K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,921 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.