| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RANDALL P SATTERFIELD3 | 10550 INDEPENDENCE PT PKW SUITE 203 MATTHEWS, NC 28105 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $41K | — | $41K | 4.35% |
| E BROKER QUOTE LLC3 | 10275 W. HIGGINS RD SUITE 500 ROSEMONT, IL 60018 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $11K | $499 | $12K | 1.22% |
| RANDALL P SATTERFIELD3 | 5332 FINSBURY PLACE CHARLOTTE, NC 28211 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | — | $0 | 0.00% |
| KAREN S WELLS ZELINSKE3 | 2502 ORCHARD BEACH RD MCHENRY, IL 60050 | AFLAC | $2K | $50 | $2K | 2.95% |
| MONICA L LEIVA3 | 556 N ARTESIAN AVE CHICAGO, IL 60612 | AFLAC | $1K | $32 | $1K | 2.22% |
| JANE W FAUST3 | 398 CRESTSIDE DR SE CONCORD, NC 28025 | AFLAC | $1K | $7 | $1K | 2.16% |
| TINA BLUE3 | 1685 LEMMING DR CONCORD, NC 28025 | AFLAC | $924 | $0 | $924 | 1.62% |
| DAVID JACOB HOLPER3 | 22937 ARLINGTON AVE STE 102 TORRANCE, CA 90501 | AFLAC | $399 | $27 | $426 | 0.75% |
| OKSAN K PILAFAS3 | 838 S VILLA AVE VILLA PARK, IL 60181 | AFLAC | $315 | $0 | $315 | 0.55% |
| JOHN H VRATSINAS3 | 1142 W MADISON ST UNIT 305 CHICAGO, IL 60607 | AFLAC | $269 | $16 | $285 | 0.50% |
| ALEXANDER NEJADEH JR3 | PO BOX 2523 SANTA FE SPRINGS, CA 90670 | AFLAC | $271 | $0 | $271 | 0.48% |
| BLAKE A THOMAS JR3 | 435 CHANTENAY PL JOHNS CREEK, GA 30022 | AFLAC | $258 | $0 | $258 | 0.45% |
| ELIZABETH F HARKEY3 | 501 N CHURCH ST STE 300 CHARLOTTE, NC 28202 | AFLAC | $219 | $0 | $219 | 0.38% |
| GWEN NICHOLS BUTLER3 | 1090 13TH AVE NW HICKORY, NC 28601 | AFLAC | $194 | $5 | $199 | 0.35% |
| TINA BLUE3 | 1440 OLD LENOIR R STE D HICKORY, NC 28601 | AFLAC | $159 | $17 | $176 | 0.31% |
| AMY F KLUTTZ3 | 2581 ESSEX DRIVE CONCORD, NC 28025 | AFLAC | $160 | $5 | $165 | 0.29% |
| H J SAMAAN INC3 | 19W152 21ST PL LOMBARD, IL 60148 | AFLAC | $146 | $16 | $162 | 0.28% |
| SUMMER L CAIN3 | 1700 N FARNSWORTH AVE STE 25 AURORA, IL 60505 | AFLAC | $145 | $0 | $145 | 0.25% |
| BLAKE A THOMAS JR3 | 435 CHANTENAY PLACE JOHNS CREEK, GA 30022 | AFLAC | $133 | $0 | $133 | 0.23% |
| LISA PORTER3 Filed as: LISA L PORTER | 107 N ARCADIAN WAY MOORESVILLE, NC 28117 | AFLAC | $127 | $0 | $127 | 0.22% |
| WILLIAM P FLEMING3 | 1511 BRENTWOOD PL MORGANTON, NC 28655 | AFLAC | $105 | $0 | $105 | 0.18% |
| DENNIS J CASSENS3 | 4646 E MARRILL RD STE 1 BYRON, IL 61010 | AFLAC | $87 | $0 | $87 | 0.15% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA V REDDING | 71 COUNTRY CLUB DR BLOOMINGDALE, IL 60108 | AFLAC | $86 | $0 | $86 | 0.15% |
| JENNIFER S SNYDER3 | 213 W 10TH ST OAKBORO, NC 28129 | AFLAC | $78 | $0 | $78 | 0.14% |
| SARAH CHIESA3 | 7838 W RASCHER AVE CHICAGO, IL 60656 | AFLAC | $77 | $0 | $77 | 0.14% |
| MICHAEL SALVAGGIO3 | 1510 GLEN LAKE ROAD HOFFMAN ESTATES, IL 60169 | AFLAC | $69 | $0 | $69 | 0.12% |
| CLAY W CAMPBELL3 | 14720 LIBLEN AVE BELLFLOWER, CA 90706 | AFLAC | $69 | $0 | $69 | 0.12% |
| KRISTEN BRUNZELL3 Filed as: KRISTEN M BRUNZELL | 340 EAST 1ST ST NUMBER 3746 TUSTIN, CA 92781 | AFLAC | $69 | $0 | $69 | 0.12% |
| GREENEN AND ASSOCIATES3 Filed as: GREENEN AND ASSOCIATES LTD | 211 E ILLINOIS ST STE L3 WHEATON, IL 60187 | AFLAC | $53 | $0 | $53 | 0.09% |
| JASON N DOIG3 | 1932 E DEERE AVE STE 240 SANTA ANA, CA 92705 | AFLAC | $47 | $5 | $52 | 0.09% |
| MK SWAN INC3 | 204 S 35TH STE 100 COUNCIL BLUFFS, IA 51501 | AFLAC | $51 | $0 | $51 | 0.09% |
| J MICHAEL BUTLER3 | 1440 OLD LENOIR RD STE A HICKORY, NC 28601 | AFLAC | $50 | $0 | $50 | 0.09% |
| ISAAC H FAUST JR3 | PO BOX 12889 JACKSON, WY 83002 | AFLAC | $44 | $0 | $44 | 0.08% |
| MICHAEL ROBERT YURCZYK3 | 5810 W 78TH ST STE 210 EDINA, MN 55439 | AFLAC | $43 | $0 | $43 | 0.08% |
| SHELLY COLE MORGAN3 | 7140 US HIGHWAY 52 SALISBURY, NC 28146 | AFLAC | $40 | $0 | $40 | 0.07% |
| ROBERT HESLEP3 | 6680 RIVER ISLAND CIRCLE BUFORD, GA 30518 | AFLAC | $40 | $0 | $40 | 0.07% |
| SUMMER L CAIN3 | 1700 N FARNSWORTH AVE STE 25 AURORA, IL 60505 | AFLAC | $35 | $0 | $35 | 0.06% |
| H HOWARD THOMSON3 | 65 PINE AVE 102 LONG BEACH, CA 90802 | AFLAC | $34 | $0 | $34 | 0.06% |
| KRISTEN BRUNZELL3 Filed as: KRISTEN M BRUNZELL | 17291 IRVINE BLVD STE 385 TUSTIN, CA 92780 | AFLAC | $26 | $5 | $31 | 0.05% |
| ORLANDO R DOBRINCU3 | 15419 W 127TH ST LEMONT, IL 60439 | AFLAC | $27 | $0 | $27 | 0.05% |
| MICHAEL I STONESIFER3 | 1305 RIDGE DR CLAYTON, NC 27520 | AFLAC | $24 | $0 | $24 | 0.04% |
| J MICHAEL BUTLER3 | 1440 OLD LENOIR RD STE A HICKORY, NC 28601 | AFLAC | $24 | $0 | $24 | 0.04% |
| BARBIER GROUP INC3 | 414 N ORLEANS ST STE 601 CHICAGO, IL 60654 | AFLAC | $23 | $0 | $23 | 0.04% |
| KATHLEEN S HANSON3 | 5460 E EL PARQUE ST LONG BEACH, CA 90815 | AFLAC | $22 | $0 | $22 | 0.04% |
| ELIZABETH M GASPAROVIC3 | 1531 W RUE JAMES PL PALATINE, IL 60067 | AFLAC | $22 | $0 | $22 | 0.04% |
| CHAD L NELSON3 | 5266 N KUFALK LN BYRON, IL 61010 | AFLAC | $22 | $0 | $22 | 0.04% |
| CHAD L NELSON3 | 490 EAST ROOSEVELT RD STE 203 WEST CHICAGO, IL 60185 | AFLAC | $20 | $0 | $20 | 0.04% |
| MICHAEL A ORTIZ3 | 3219 RENARD LN SAINT CHARLES, IL 60175 | AFLAC | $19 | $0 | $19 | 0.03% |
| RODNEY A MCCLURE3 | 606 REDBUD TER CANTON, GA 30115 | AFLAC | $18 | $0 | $18 | 0.03% |
| JOSEPH A BUZZELLO3 | 9018 BALBOA BLVD STE 254 NORTHRIDGE, CA 91325 | AFLAC | $18 | $0 | $18 | 0.03% |
| ELENI A NIKOLAS3 | 50 HURT PLZ SE STE 1630 ATLANTA, GA 30303 | AFLAC | $17 | $0 | $17 | 0.03% |
| DANIEL E ZECKMAN3 | 1275 SHILOH RD NW STE 2260 KENNESAW, GA 30144 | AFLAC | $16 | $0 | $16 | 0.03% |
| DAVID C CLOUD JR3 | 12 TRENT DR SE ROME, GA 30161 | AFLAC | $13 | $0 | $13 | 0.02% |
| MELISSA K SWAN3 | 204 S 35TH ST STE 100 COUNCIL BLUFFS, IA 51501 | AFLAC | $13 | $0 | $13 | 0.02% |
| JOSHUA J PARISE3 | 7325 JANES AVE WOODRIDGE, IL 60517 | AFLAC | $10 | $0 | $10 | 0.02% |
| ELENI A KRAUSE3 | 50 HURT PLZ SE STE 995 THE HURT BUILDING ATLANTA, GA 30303 | AFLAC | $9 | $0 | $9 | 0.02% |
| ROBERT L GOBLE3 | 1410 4TH STREET DR NW UNIT 208 HICKORY, NC 28601 | AFLAC | $9 | $0 | $9 | 0.02% |
| ALONZO H KENNIEBREW3 | 2507 WESTERN AVE WAUKEGAN, IL 60087 | AFLAC | $9 | $0 | $9 | 0.02% |
| DUSTIN ROBERT JOHNSON3 | 50 HURT PLZ SE STE 995 ATLANTA, GA 30303 | AFLAC | $8 | $0 | $8 | 0.01% |
| KAREN M HUGHES3 | 3120 NE 47TH ST FORT LAUDERDALE, FL 33308 | AFLAC | $8 | $0 | $8 | 0.01% |
| ASHLEY SHAW LLC3 | 603 E WASHINGTON ST STE 100 INDIANAPOLIS, IN 46204 | AFLAC | $8 | $0 | $8 | 0.01% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61548 | AFLAC | $7 | $0 | $7 | 0.01% |
| KATRINA D AIKEN3 | 2511 JUDITH ST LYNCHBURG, VA 24501 | AFLAC | $7 | $0 | $7 | 0.01% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 N CLARK ST STE 625 CHICAGO, IL 60654 | AFLAC | $7 | $0 | $7 | 0.01% |
| JOSEPH A NASCA3 | 28081 W MAPLE AVE BARRINGTON, IL 60010 | AFLAC | $7 | $0 | $7 | 0.01% |
| EXSEPTIONAL SERVICES INC3 | 158 PRINTERS LN NEW LONDON, NC 28127 | AFLAC | $7 | $0 | $7 | 0.01% |
| DEBORAH A WITHEY3 Filed as: DEBORAH A WITNEY | 2149 6TH ST NW HICKORY, NC 28601 | AFLAC | $6 | $0 | $6 | 0.01% |
| GREGORY J SHARP3 | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLAC | $6 | $0 | $6 | 0.01% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 N CLARK ST SUITE 625 CHICAGO, IL 60654 | AFLAC | $6 | $0 | $6 | 0.01% |
| ROBERT STALTER3 Filed as: ROBERT F MIASKOWSKI | 1751 OCONEE PLACE THE VILLAGES, FL 32162 | AFLAC | $6 | $0 | $6 | 0.01% |
| ADAM D ORTIZ3 | 1 E DELAWARE PL APT 31B CHICAGO, IL 60611 | AFLAC | $5 | $0 | $5 | 0.01% |
| BELINDA WEBER3 | 2828 ISLAND POINT DR NW CONCORD, NC 28027 | AFLAC | $5 | $0 | $5 | 0.01% |
| TONY J DELBEN3 | 143 SANDREED DR MOORESVILLE, NC 28117 | AFLAC | $5 | $0 | $5 | 0.01% |
| SCOTT LYDEN3 | 1284 ROSEGATE CT AURORA, IL 60504 | AFLAC | $5 | $0 | $5 | 0.01% |
| THOMAS ROBERT GIDDENS3 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $4 | $0 | $4 | 0.01% |
| MARK D BARBIER3 | 802 DEER TRAIL LN OAK BROOK, IL 60523 | AFLAC | $4 | $0 | $4 | 0.01% |
| JULIE W CRAIG3 | 5381 W HILLSBORO BLVD APT 108 COCONUT CREEK, FL 33073 | AFLAC | $4 | $0 | $4 | 0.01% |
| LISA MARIE QUISENBERRY3 | 929 BOX ELDER DR KIRKWOOD, MO 63122 | AFLAC | $4 | $0 | $4 | 0.01% |
| TODD V MASON3 | 6164 LAWRENCE ST CYPRESS, CA 90630 | AFLAC | $4 | $0 | $4 | 0.01% |
| M SHUSTER3 | 5250 GRAND AVE STE 14 # 363 GURNEE, IL 60031 | AFLAC | $4 | $0 | $4 | 0.01% |
| JEFFREY PAUL SEPESI3 | 158 PRINTERS LANE NEW LONDON, NC 28127 | AFLAC | $4 | $0 | $4 | 0.01% |
| DENA JORDAN3 Filed as: DENA L JORDAN | 641 HIGUERA ST STE 300 SAN LUIS OBISPO, CA 93401 | AFLAC | $3 | $0 | $3 | 0.01% |
| OWEN JOHNSTON3 | 796 N HART ST ORANGE, CO 92867 | AFLAC | $3 | $0 | $3 | 0.01% |
| JOANNA G MATHERLY3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $3 | $0 | $3 | 0.01% |
| IOANNIS T GRATSINOPOULOS3 | 3565 SUMMERLINN DR WEST LINN, OR 97068 | AFLAC | $3 | $0 | $3 | 0.01% |
| JACQUELINE CASTRO3 Filed as: JACQUELINE S CASTRO | 100 WALL ST FL 28 NEW YORK, NY 10005 | AFLAC | $2 | $0 | $2 | 0.00% |
| BRIAN W PATTEN3 | 120 MARGUERITTE DR ST 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $2 | $0 | $2 | 0.00% |
| RONALD S SANDERS3 | 1194 E LAKEVIEW DRT SAN TAN VALLEY, AZ 85143 | AFLAC | $2 | $0 | $2 | 0.00% |
| KNUTE NELSON3 | 3920 KIPLING AVE MINNEAPOLIS, MN 55416 | AFLAC | $2 | $0 | $2 | 0.00% |
| DENNIS J CASSENS3 | 4646 E MARRILL RD BYRON, IL 61010 | AFLAC | $2 | $0 | $2 | 0.00% |
| ORLANDO R DOBRINCU3 | 837 LINDEN CIR HOFFMAN ESTATES, IL 60169 | AFLAC | $2 | $0 | $2 | 0.00% |
| JEFFERY B POPE3 | 4452 TRAILSIDE CT HOFFMAN ESTATES, IL 60192 | AFLAC | $2 | $0 | $2 | 0.00% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DR WALNUT CREEK, CA 94598 | AFLAC | $2 | $0 | $2 | 0.00% |
| MICHAEL E MCCARTHY3 | PO BOX 1047 DUNDEE, IL 60118 | AFLAC | $2 | $0 | $2 | 0.00% |
| LIVIER MARIA RAMIREZ3 | 1107 FAIR OAK AVE UNIT 882 SOUTH PASADENA, CA 91030 | AFLAC | $2 | $0 | $2 | 0.00% |
| STEVEN VORDERLANDWEHR3 | 1242 HADAWAY TRL LAWRENCEVILLE, GA 30043 | AFLAC | $1 | $0 | $1 | 0.00% |
| MICHAEL LEROY COY3 | 3571 FAR WEST BLVD 42 AUSTIN, TX 78731 | AFLAC | $1 | $0 | $1 | 0.00% |
| MELYNDA RAY-MCCUTCHEON3 | 1150 MALLARRD LAKE DR BOGART, GA 30622 | AFLAC | $1 | $0 | $1 | 0.00% |
| ANNE MARIE HUBBARD3 | 5138 RESIDENCIA NEWPORT BEACH, CA 92660 | AFLAC | $1 | $0 | $1 | 0.00% |
| JONATHAN W MCCUTCHEON3 | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $1 | $0 | $1 | 0.00% |
| RYAN E MCPHAIL3 | 206 ARBOR CT CANTON, GA 30114 | AFLAC | $1 | $0 | $1 | 0.00% |
| RICHARD MICHAEL TIDWELL3 | 5511 KINGSLEY MANOR CUMMING, GA 30041 | AFLAC | $1 | $0 | $1 | 0.00% |
| ERIC BROGAN3 Filed as: ERIC E MILLER | 6631 FOX RIDGE CIRCLE DAVIDSON, NC 28036 | AFLAC | $1 | $0 | $1 | 0.00% |
| DEBORAH B SMITH3 | 4720 TWIN OAKS DR NW KENNESAW, GA 30152 | AFLAC | $1 | $0 | $1 | 0.00% |
| MEGHAN MOFFATT LUCAS3 Filed as: MEGHAN M MILLER | 6631 FOX RIDGE CIRCLE DAVIDSON, NC 28036 | AFLAC | $1 | $0 | $1 | 0.00% |
| RONALD MOSTO II3 Filed as: RONALD S MOSTO II | 6610 HARVEST DR PAPILLION, NE 68133 | AFLAC | $1 | $0 | $1 | 0.00% |
| STEVEN VORDERLANDWEHR3 | 1599 AMHEARST MILL DR LAWRENCEVILLE, GA 30043 | AFLAC | $1 | $0 | $1 | 0.00% |
| DEBORAH B SMITH3 | 5703 BRYNWOOD CIR NW ACWORTH, GA 30101 | AFLAC | $1 | $0 | $1 | 0.00% |
| TARRAH SMITHSON3 Filed as: TARRAH L SMITHSON | 449 TIMBER PL MILTON, GA 30101 | AFLAC | $1 | $0 | $1 | 0.00% |
| SCOTTI MADISON3 | 3330 COBB PARKWAY SUITE 324-3 ACWORTH, GA 30101 | AFLAC | $1 | $0 | $1 | 0.00% |
| DUSTIN ROBERT JOHNSON3 | 50 HUT PLZ SE STE 995 ATLANTA, GA 30303 | AFLAC | $1 | $0 | $1 | 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 | 194 | 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) | 194 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 186 | $952K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 169 | $162K |
| Vision | AFLAC | 65 | $57K |
| Life insurance(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 169 | $219K |
| Short-term disability | AFLAC | 65 | $57K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 169 | $162K |
| Other(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 186 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 186 | — |
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.