| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGRAW WENTWORTH | 3331 WEST BIG BEAVER ROAD TROY, MI 48084 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $25K | $15K | $41K | 5.39% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN | 3331 WEST BIG BEAVER ROAD SUITE 200 TROY, MI 48084 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $55K | $25K | $80K | 12.71% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $14K | $3K | $16K | 2.61% |
| NASCA & ASSOCIATES3 Filed as: NASCA AND ASSOC. AND OTHER AGENTS | 303 WEST ERIE STREET, SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $28K | $0 | $28K | 14.04% |
| TAIGA SERVICES3 Filed as: TAIGA SERVICES, LLC | 7476 EAST QUILL LANE SCOTTSDALE, AZ 85255 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12K | $0 | $12K | 6.00% |
| JOHN E CARTER III3 Filed as: JOHN E. CARTER III | 313 TROOP DRIVE FORTSON, GA 31808 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 1.11% |
| RICHARD J. PARKS3 | 924 HILLSDALE DRIVE COLUMBUS, OH 43224 | CONTINENTAL AMERICAN INSURANCE COMPANY | $380 | $0 | $380 | 0.19% |
| SANDRA C MATHIS3 Filed as: SANDRA C. MATHIS | 9212 COLLINWOOD DRIVE MIDLAND, GA 31820 | CONTINENTAL AMERICAN INSURANCE COMPANY | $124 | $0 | $124 | 0.06% |
| JOHNNY HENSLEY JR3 Filed as: JOHNNY HENSLEY, JR. | 975 SAUTTER DRIVE MANSFIELD, OH 44904 | CONTINENTAL AMERICAN INSURANCE COMPANY | $53 | $0 | $53 | 0.03% |
| HEIDI E GLAUB3 Filed as: HEIDI E. GLAUB | 5458 PARKSIDE DRIVE BRIGHTON, MI 48114 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | $0 | $5 | 0.00% |
| JOHN MANDERSON3 Filed as: JOHN BENN | 993 LISMORE DRIVE COLUMBUS, GA 31904 | AFLAC | $3K | $0 | $3K | 4.21% |
| BRIAN K CHAMBERS3 Filed as: BRIAN CHAMBERS AND OTHER AGENTS | 8 NIGHTWIND COURT COLUMBUS, GA 31909 | AFLAC | $2K | $0 | $2K | 2.66% |
| JOHN E CARTER III3 Filed as: JOHN CARTER III | 313 TROOP DRIVE FORTSON, GA 31808 | AFLAC | $1K | $0 | $1K | 1.73% |
| CAMERON A MICHELS3 Filed as: CAMERON MICHELS | 101 AUTUMN GLEN DRIVE WOODSTOCK, GA 30188 | AFLAC | $1K | $0 | $1K | 1.47% |
| LEVI RENTZ3 | 1628 LEE ROAD, SUITE 250 SALEM, AL 36874 | AFLAC | $649 | $0 | $649 | 0.90% |
| GRACE C JACKSON3 Filed as: GRACE JACKSON | 2060 PIERCE ROAD PHEONIX CITY, AL 36867 | AFLAC | $490 | $0 | $490 | 0.68% |
| FRANK GRIFFIN JR3 Filed as: FRANK GRIFFIN JR. | 8601 GARRETT ROAD MIDLAND, GA 31820 | AFLAC | $312 | $0 | $312 | 0.43% |
| TAIGA SERVICES3 | 7476 EAST QUILL LANE SCOTTSDALE, AZ 85255 | HYATT LEGAL PLANS | $1K | $0 | $1K | 10.44% |
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 | 2,800 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 22 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,822 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,919 | $1.4M |
| Short-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,242 | $755K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,242 | $755K |
| Other(7 contracts, 7 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,919 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,919 | — |
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.