| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JO ANN KIRKLAND3 | 436 SOWELL RD DOTHAN, AL 36301 | AFLAC | $7K | $139 | $7K | 11.39% |
| JOHN DORAN SHEPPARD3 | 801 W MAIN ST DOTHAN, AL 36301 | AFLAC | $2K | $30 | $2K | 3.44% |
| THE HORTON GROUP3 Filed as: MEGHAN HORTON BOWEN | 8650 MINNIE BROWN RD STE 124 MONTGOMERY, AL 36117 | AFLAC | $712 | $27 | $739 | 1.13% |
| DANIEL S ADAMS3 | 3857 SCOTT CHURCH RD MARIANNA, FL 32448 | AFLAC | $401 | $2 | $403 | 0.61% |
| MICHAEL FOWLER3 | 2204 EXECUTIVE PARK DR OPELIKA, AL 36801 | AFLAC | $282 | — | $282 | 0.43% |
| LARRY L JENKINS3 | 285 N FOSTER ST STE 313 DOTHAN, AL 36303 | AFLAC | $209 | — | $209 | 0.32% |
| ROBERT P FERRONE3 Filed as: ROBERT C MOBLEY | 7139 BROAD RIVER RD IRMO, SC 29063 | AFLAC | $117 | — | $117 | 0.18% |
| CAMREON A MICHELS3 | 1800 GREYSTONE SUMMIT DR UNIT 1806 CUMMING, GA 30040 | AFLAC | $115 | — | $115 | 0.18% |
| JOHN W AMOS3 | 10051 VETERANS PKWY STE B-2 MIDLAND, GA 31820 | AFLAC | $95 | — | $95 | 0.14% |
| SAIC INC | 1639 BRADLEY PARK D ST 500 BOX 358 COLUMBUS, GA 31904 | AFLAC | $94 | — | $94 | 0.14% |
| THOMAS ALONZO RICHARDS3 | 1208 FIVE MILE RD EUFAULA, AL 36027 | AFLAC | $75 | — | $75 | 0.11% |
| BENEFIT SOURCE INC3 Filed as: THE BENEFIT SOURCE INC | PO BOX 241146 MONTGOMERY, AL 36124 | AFLAC | $41 | — | $41 | 0.06% |
| KEITH BELICH3 | 2740 CENTRAL PKWY MONTGOMERY, AL 36106 | AFLAC | $25 | — | $25 | 0.04% |
| KATHY B MOBLEY3 | 173 WAVERLY CIR WAVERLY HALL, GA 31831 | AFLAC | $10 | — | $10 | 0.02% |
| LEWIS K GATHRIGHT JR3 | PO BOX 165 GOOCHLAND, VA 23063 | AFLAC | $6 | — | $6 | 0.01% |
| JOHN TODD LEE3 | 322 FARMHOUSE RD ELLERSLIE, GA 31807 | AFLAC | $4 | — | $4 | 0.01% |
| STAN A SHERLIN3 | 773 TOWNE LAKE DR MONTGOMERY, AL 36117 | AFLAC | $2 | — | $2 | 0.00% |
| BRIAN E HICKS3 | 188 FRONT ST STE 11639 FRANKLIN, TN 37064 | AFLAC | $2 | — | $2 | 0.00% |
| CHAMCO LLC3 | 8 NIGHTWIND CT COLUMBUS, GA 31909 | AFLAC | $2 | — | $2 | 0.00% |
| BRIAN K CHAMBERS3 | 8 NIGHTWIND CT COLUMBUS, GA 31909 | AFLAC | — | — | $0 | 0.00% |
| LYNNE HUDGINS MOORE3 | 8650 MINNIE BROWN RD STE 150 MONTGOMERY, AL 36117 | AFLAC | — | — | $0 | 0.00% |
| JOEL SANDERS3 | 2165 HALCYON BLVD MONTGOMERY, AL 36117 | AFLAC | — | — | $0 | 0.00% |
| DAVID S MADDOX3 | PO BOX 9341 DOTHAN, AL 36304 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | — | $0 | 0.00% |
| MICHAEL E. JOHNSON | 424 WATERMAN ST SE MARIETTA, GA 30060 | RELIANCE MATRIX | $2K | — | $2K | 15.00% |
| MGIS | 111 S MAIN ST SUITE 400 SALT LAKE CITY, UT 84111 | RELIANCE MATRIX | — | $15 | $15 | 0.12% |
| DAVID S MADDOX3 | PO BOX 9341 DOTHAN, AL 36304 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | — | $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 | 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 |
|---|---|---|---|
| Vision | AFLAC | 72 | $66K |
| Life insurance(4 contracts, 3 carriers) | AFLAC | 140 | $129K |
| Short-term disability | AFLAC | 72 | $66K |
| Long-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 140 | $57K |
| Stop-loss / reinsurancereinsurance | TOKIO MARINE HHC | 104 | $200K |
| Other(2 contracts, 2 carriers) | AFLAC | 139 | $110K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 140 | — |
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."
No prospect flags tripped on this filing.