| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FALLON BENEFITS GROUP INC.3 Filed as: FALLON BENEFITS GROUP INC | 3060 PEACHTREE ROAD NW STE 1650 ATLANTA, GA 30305 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $63K | — | $63K | 3.58% |
| FALLON BENEFITS GROUP INC.3 Filed as: FALLON BENEFITS GROUP INC | 3060 PEACHTREE RD NW STE 1650 ATLANTA, GA 30305 | METROPOLITAN LIFE INSURANCE COMPANY | $42K | $135 | $42K | 14.83% |
| SAMANTHA LYNN WINNINGHAM3 | 3134 HUNT ROAD ACWORTH, GA 30102 | AFLAC | $3K | $165 | $3K | 8.05% |
| JEFFREY WINNINGHAM3 | 3134 HUNT RD ACWORTH, GA 30102 | AFLAC | $2K | $144 | $2K | 3.91% |
| BRIDGETT DAIL3 | 5217 STONE STATION DRIVE RALEIGH, NC 27616 | AFLAC | $813 | $102 | $915 | 2.13% |
| HEYWARD RICHARDSON JR3 | 161 PONTIAC BUSINESS CENTER STE 1020 ELGIN, SC 29045 | AFLAC | $633 | — | $633 | 1.47% |
| RICHARD SMITHSON3 | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $459 | $34 | $493 | 1.15% |
| CHRISTOPHER JAMES CORROW3 | 2796 ASHLEIGH LANE ALPHARETTA, GA 30004 | AFLAC | $435 | $50 | $485 | 1.13% |
| JUANITA A MOLTIMORE3 Filed as: JUANITA MOLTIMORE | 437 AUTUMN DRIVE RIVERDALE, GA 30274 | AFLAC | $375 | $12 | $387 | 0.90% |
| TEATOR'S INS PROTECTION SERVICES3 | 524 TROUTWOOD PL FUQUAY VARINA, NC 27526 | AFLAC | $216 | $20 | $236 | 0.55% |
| MICHAEL D AISSEN3 | 920 HOLCOMB BRIDGE RD STE 200 ROSWELL, GA 30076 | AFLAC | $189 | $28 | $217 | 0.51% |
| DAVID C BERRY3 Filed as: DAVID BERRY | 2545 HEATHWAY DR FLORENCE, SC 29501 | AFLAC | $180 | $20 | $200 | 0.47% |
| DAVID G COMBS3 | 1041 WINDERMERE XING CUMMING, GA 30041 | AFLAC | $195 | — | $195 | 0.45% |
| TODD HOLLINS3 | 2047 WILDFLOWER RD BLYTHEWOOD, SC 29016 | AFLAC | $161 | — | $161 | 0.37% |
| WILLIAM L BAKER IV3 Filed as: WILLIAM BAKER IV | 2310 S MIAMI BLVD STE 239 DURHAM, NC 27703 | AFLAC | $135 | $20 | $155 | 0.36% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JERRY WILLIS | 2870 PEACHTREE RD NW 898 ATLANTA, GA 30305 | AFLAC | $113 | — | $113 | 0.26% |
| ROBERT SPENCE YARBROUGH3 | 1820 THE EXCHANGE SE STE 750 ATLANTA, GA 30339 | AFLAC | $85 | — | $85 | 0.20% |
| ALEXANDER B WARD3 | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | AFLAC | $85 | — | $85 | 0.20% |
| JACQUELINE NEAL3 | 3405 N OAK ST APT E MYRTLE BEACH, SC 29577 | AFLAC | $79 | — | $79 | 0.18% |
| THOMAS ROBERT GIDDENS3 | P O BOX 2517 KENNESAW, GA 30156 | AFLAC | $62 | — | $62 | 0.14% |
| J KENNETH SKINNER3 | P O BOX 41 NASHVILLE, GA 31639 | AFLAC | $54 | — | $54 | 0.13% |
| REGGIE C BROCK3 Filed as: REGGIE BROCK | 188 WESTBROOK DR ACWORTH, GA 30101 | AFLAC | $45 | — | $45 | 0.10% |
| TERRANCE M LUCZAJ3 Filed as: TERRANCE LUCZAJ | 1201 MAIN ST STE 2300 COLUMBIA, SC 29201 | AFLAC | $31 | $9 | $40 | 0.09% |
| PARTNERS BENEFIT GROUP LLC3 | 104 E 10TH ST TIFTON, GA 31794 | AFLAC | $35 | — | $35 | 0.08% |
| LINDA W RABB3 Filed as: LINDA RABB | 58 FALLOW LANE ACWORTH, GA 30101 | AFLAC | $34 | — | $34 | 0.08% |
| SCOTT A SMITH3 Filed as: SCOTT SMITH | 5300 OAKBROOK PKWY BLDG 300 STE 350 NORCROSS, GA 30093 | AFLAC | $28 | — | $28 | 0.07% |
| AUDREY C TROTTIE3 Filed as: AUDREY TROTTIE | 2382 CLIFTON SPRINGS RD DECATUR, GA 30034 | AFLAC | $25 | — | $25 | 0.06% |
| DAVID C CLOUD JR3 | 1301 SHILOH RD NW STE 1020 KENNESAW, GA 30144 | AFLAC | $21 | — | $21 | 0.05% |
| JUSTIN M GUIDI3 Filed as: JUSTIN GUIDI | 555 N PLEASANTBURG DR STE 200 GREENVILLE, SC 29607 | AFLAC | $16 | — | $16 | 0.04% |
| ELIZABETH SMITH3 | 5712 RIVERSIDE PL RICHMOND, VA 23225 | AFLAC | $16 | — | $16 | 0.04% |
| KELLY LEBSACK3 | 829 NORTH ELM ST GREENSBORO, NC 27401 | AFLAC | $15 | — | $15 | 0.03% |
| DEREK B DAVIS3 Filed as: DEREK DAVIS | 164 COOL RUN CT SW OCEAN ISLE BEACH, NC 28469 | AFLAC | $13 | — | $13 | 0.03% |
| RODNEY A MCCLURE3 Filed as: RODNEY MCCLURE | 606 REDBUD TERRACE CANTON, GA 30115 | AFLAC | $13 | — | $13 | 0.03% |
| PAUL SHELBY AMOS II3 | 1932 WYNNTON RD 14TH FLOOR COLUMBUS, GA 31999 | AFLAC | $11 | — | $11 | 0.03% |
| SHARON D ROBERTS3 Filed as: SHARON ROBERTS | PO BOX 1129 YOUNG HARRIS, GA 30582 | AFLAC | $11 | — | $11 | 0.03% |
| JOHN P KOWN II3 Filed as: JOHN KNOWN II | 1275 SHILOH RD NW STE 2260 KENNESAW, GA 30144 | AFLAC | $11 | — | $11 | 0.03% |
| BRIAN D ELY3 Filed as: BRIAN ELY | 1820 THE EXCHANGE SE STE 750 ATLANTA, GA 30339 | AFLAC | $10 | — | $10 | 0.02% |
| JARED NICHOLS3 | 1917 CONIFER CIR CHARLOTTE, NC 28213 | AFLAC | $9 | — | $9 | 0.02% |
| MRS JACKSON BOYUM3 | 2040 SKYLAR LEIGH DR BUFORD, GA 30518 | AFLAC | $7 | — | $7 | 0.02% |
| PODNAS INC / BECK & ASSOC3 Filed as: PODNAS INC/BECK & ASSOC | 6900 HILLTOP COURT COLUMBUS, GA 31904 | AFLAC | $7 | — | $7 | 0.02% |
| JONATHAN W MCCUTCHEON3 Filed as: JONATHAN MCCUTCHEON | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $7 | — | $7 | 0.02% |
| JOHN D TYLER3 | 130 DUCK HAWK WAY MARIETTA, SC 29661 | AFLAC | $6 | — | $6 | 0.01% |
| D REGAN BRANDON3 | 214 N NEWSOM ST MINEOLA, TX 75773 | AFLAC | $5 | — | $5 | 0.01% |
| STEVEN VORDERLANDWEHR3 | 1242 HADAWAY TRL LAWRENCEVILLE, GA 30043 | AFLAC | $3 | $2 | $5 | 0.01% |
| LARRY W FLOWERS3 Filed as: LARRY FLOWERS | 2318 PROVINCIAL POINT DR GAINESVILLE, GA 30501 | AFLAC | $4 | — | $4 | 0.01% |
| RHONDA MICHELLE FREEMAN3 | 20601 COUNTY ROAD 190 FLINT, TX 75762 | AFLAC | $4 | — | $4 | 0.01% |
| JILL DENTON3 | 3500 WESTGATE DR STE 602 DURHAM, NC 27707 | AFLAC | $4 | — | $4 | 0.01% |
| DUSTIN ROBERT JOHNSON3 Filed as: DUSTIN JOHNSON | 50 HURT PLZ SE STE 995 ATLANTA, GA 30303 | AFLAC | $2 | $2 | $4 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SERVICES USA INC | 2502 N ROCKY POINT DR STE 400 TAMPA, FL 33607 | AFLAC | $3 | — | $3 | 0.01% |
| TARRAH SMITHSON3 | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $1 | $2 | $3 | 0.01% |
| LARRY WESTON JR3 | 321 WINDSOR RD GREENVILLE, NC 27858 | AFLAC | $2 | — | $2 | 0.00% |
| DEBORAH B SMITH3 Filed as: DEBORAH SMITH | 4720 TWIN OAKS DR NW KENNESAW, GA 30152 | AFLAC | $2 | — | $2 | 0.00% |
| DAYTON LLC3 | 324 OLD WOOD DR COLUMBIA, SC 29212 | AFLAC | $1 | $1 | $2 | 0.00% |
| SCOTTI MADISON3 | 3330 COBB PARKWAY STE 324-3 ACWORTH, GA 30101 | AFLAC | $1 | $1 | $2 | 0.00% |
| JAMES D DUDLEY3 Filed as: JAMES DUDLEY | 1355 LYNNFIELD RD STE 259 MEMPHIS, TN 38119 | AFLAC | $1 | — | $1 | 0.00% |
| LANCE OSBORNE3 | 21822 SEACREST LN HUNTINGTON BEACH, CA 92646 | AFLAC | $1 | — | $1 | 0.00% |
| CHRISTIE MARZARI3 | 1932 WYNNTON RD COLUMBUS, GA 31999 | AFLAC | $1 | — | $1 | 0.00% |
| LEE RYAN MCGRAW3 Filed as: LEE MCGRAW | 1170 MANN RD DOUGLASVILLE, GA 30134 | AFLAC | $1 | — | $1 | 0.00% |
| KEVIN R MCFADDEN3 Filed as: KEVIN MCFADDEN | 2612 LOHR DR MT PLEASANT, SC 29466 | AFLAC | — | $1 | $1 | 0.00% |
| FALLON BENEFITS GROUP INC.3 Filed as: FALLON BENEFITS GROUP INC | 3060 PEACHTREE ST NW STE 1650 ATLANTA, GA 30305 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC | $2K | — | $2K | 13.27% |
| JEFFREY WINNINGHAM3 | 3134 HUNT ROAD ACWORTH, GA 30102 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | — | $4K | 69.54% |
| VOLUNTARY BENEFITS AT WORK3 | 1820 THE EXCHANGE STE 750 ATLANTA, GA 30339 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 19.87% |
| CHRISTOPHER JAMES CORROW3 Filed as: CHRISTOPHER J CORROW | 2796 ASHLEIGH LANE ALPHARETTA, GA 30004 | TRANSAMERICA LIFE INSURANCE COMPANY | $560 | — | $560 | 9.94% |
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 | 205 | 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) | 205 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 293 | $1.7M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 518 | $303K |
| Vision | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC | 269 | $17K |
| Life insurance(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 518 | $334K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 518 | $285K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 518 | $285K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 518 | $337K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 518 | — |
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.