| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $19K | $15K | $34K | 4.11% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGRAW WENTWORTH | 3331 WEST BIG BEAVER ROAD SUITE 200 TROY, MI 48084 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | -$34 | -$34 | -0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI COLORADO LLC | PO BOX 62817 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $77K | $7K | $84K | 11.24% |
| USI INSURANCE SERVICES LLC3 Filed as: USI COLORADO LLC | 700 BROADWAY STE 1000 DENVER, CO 80203 | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | $13K | — | $13K | 2.00% |
| MJ INSURANCE3 Filed as: VARIOUS AGENTS* | CARE OF CONTINENTAL AMERICAN P.O. BOX 427 COLUMBIA, SC 29202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $50K | — | $50K | 21.15% |
| JOHN L BENN3 | 993 LISMORE DRIVE COLUMBUS, GA 31904 | AFLAC | $3K | — | $3K | 4.29% |
| JOHN E CARTER III3 | 313 TROOP DRIVE FORTSON, GA 31808 | AFLAC | $1K | — | $1K | 1.74% |
| CAMERON A MICHELS3 | 1800 GREYSTONE SUMMIT DRIVE UNIT 1806 CUMMING, GA 30040 | AFLAC | $993 | — | $993 | 1.51% |
| LEVI RENTZ3 | 1628 LEE ROAD SUITE 250 SALEM, AL 36874 | AFLAC | $582 | — | $582 | 0.89% |
| GRACE C JACKSON3 | 2060 PIERCE ROAD PHENIX CITY, AL 36867 | AFLAC | $390 | — | $390 | 0.59% |
| FRANK R GRIFFIN JR3 Filed as: FRANK R GRIFFIN JR. | 8601 GARRETT ROAD PO BOX 233 MIDLAND, GA 31820 | AFLAC | $327 | — | $327 | 0.50% |
| BRIAN E HICKS3 Filed as: BRIAN K CHAMBERS | 8 NIGHTWIND COURT COLUMBUS, GA 31909 | AFLAC | $204 | — | $204 | 0.31% |
| WILLIAM L AMOS & CO INC3 | 6801 RIVER ROAD SUITE 205 COLUMBUS, GA 31904 | AFLAC | $184 | — | $184 | 0.28% |
| SHERRY D MILES3 | 7310 NORTH LAKE DRIVE SUITE B COLUMBUS, GA 31909 | AFLAC | $167 | — | $167 | 0.25% |
| WILLIAM L AMOS III3 | 6801 RIVER ROAD SUITE 205 COLUMBUS, GA 31904 | AFLAC | $124 | — | $124 | 0.19% |
| WILLIAM L AMOS & CO INC3 Filed as: WILLIAM R DAHLIN | 5454 ROARING BRANCH ROAD COLUMBUS, GA 31904 | AFLAC | $117 | — | $117 | 0.18% |
| DANNY ALLEN3 Filed as: DANNY L ALLEN | 2275 QUEEN AVENUE SE APARTMENT 2 ALBANY, OR 97322 | AFLAC | $86 | — | $86 | 0.13% |
| J STAN ALLEN INC3 | 1800 BUENA VISTA ROAD COLUMBUS, GA 31906 | AFLAC | $85 | — | $85 | 0.13% |
| J BECK INC3 | PO BOX 5386 COLUMBUS, GA 31906 | AFLAC | $83 | — | $83 | 0.13% |
| THOMAS R LAWSON3 | 607 SPRING TRAIL CANTON, GA 30115 | AFLAC | $76 | — | $76 | 0.12% |
| JOHN BECK3 | PO BOX 5386 COLUMBUS, GA 31906 | AFLAC | $69 | — | $69 | 0.10% |
| HUSTON WILLOUGHBY JR3 Filed as: HUSTON WILLOUGHBY JR. | 1504 GA HIGHWAY 49 S AMERICUS, GA 31719 | AFLAC | $62 | — | $62 | 0.09% |
| BRADLEY BOLICK3 Filed as: BRADLEY S BOLICK | 6433 FALL BRANCH DRIVE COLUMBUS, GA 31904 | AFLAC | $61 | — | $61 | 0.09% |
| SUSAN REDDOCH BUFFINGTON3 | 400 TAX ROAD SHILOH, GA 31826 | AFLAC | $37 | — | $37 | 0.06% |
| RPM LTD3 | PO BOX 484 BLOOMINGDALE, GA 31302 | AFLAC | $23 | — | $23 | 0.03% |
| JAMES STANLEY ALLEN3 | 1800 BUENA VISTA ROAD COLUMBUS, GA 31906 | AFLAC | $23 | — | $23 | 0.03% |
| SCOTTI MADISON3 | 3330 COBB PARKWAY NW SUITE 324-3 ACWORTH, GA 30101 | AFLAC | $17 | — | $17 | 0.03% |
| NAKIA M BOPP3 | 1985 RIVIERA DRIVE SUITE 103-205 MOUNT PLEASANT, SC 29464 | AFLAC | $17 | — | $17 | 0.03% |
| TERESA LUMMUS3 Filed as: TERESA A LUMMUS | 145 OCONEE WOODS TRAIL SHARPSBURG, GA 30277 | AFLAC | $15 | — | $15 | 0.02% |
| KARIN D WILLIAMSON3 | 4318 VISTA DRIVE GUNTERSVILLE, AL 35976 | AFLAC | $14 | — | $14 | 0.02% |
| C R RAMSEY POTTS3 | PO BOX 484 BLOOMINGDALE, GA 31302 | AFLAC | $12 | — | $12 | 0.02% |
| KARIN D WILLIAMSON3 | 4318 VISTA DRIVE GUNTERSVILLE, AL 35976 | AFLAC | $12 | — | $12 | 0.02% |
| SUE C TUCKER3 | 9856 US HIGHWAY 29 N CUSSETA, AL 36852 | AFLAC | $11 | — | $11 | 0.02% |
| SHANNON L TROWBRIDGE3 | 202 SPRINGRISE LANE SUMMERVILLE, SC 29486 | AFLAC | $10 | — | $10 | 0.02% |
| JENNIFER SMITH3 Filed as: JENNIFER L SMITH | 319 N MAIN AVENUE SUITE 130 SPRINGFIELD, MO 65806 | AFLAC | $8 | — | $8 | 0.01% |
| SAIC INC3 | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $7 | — | $7 | 0.01% |
| CHARLES E MCDANIEL II3 Filed as: CHARLES LEE DAIL JR. | 1287 SUNGLOW DRIVE OCEANSIDE, CA 92056 | AFLAC | $7 | — | $7 | 0.01% |
| DEWAYNE D RAY3 | PO BOX 41 GUNTERSVILLE, AL 35976 | AFLAC | $6 | — | $6 | 0.01% |
| JOHN D TYLER3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $6 | — | $6 | 0.01% |
| LOUIS CULLEN SMITH3 | 3205 QUIET TREE GROVE OLD HICKORY, TN 37138 | AFLAC | $4 | — | $4 | 0.01% |
| NAKIA M BOPP3 | 1985 RIVIERA DRIVE SUITE 103-205 MOUNT PLEASANT, SC 29464 | AFLAC | $3 | — | $3 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: JAMES GRAYDON BROWN | 2522 OWENS LANDING TRAIL NW KENNESAW, GA 30152 | AFLAC | $3 | — | $3 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: RONALD F BROWN | 5150 BAY TOWN CONWAY, AR 72034 | AFLAC | $3 | — | $3 | 0.00% |
| DAVID MORNINGSTAR3 | 11285 DOVEDALE COURT 2ND FLOOR MARRIOTTSVILLE, MD 21104 | AFLAC | $3 | — | $3 | 0.00% |
| JEFFERY TAL WEBB3 | 900 PIERREMONT ROAD SUITE 114 SHREVEPORT, AR 71106 | AFLAC | $3 | — | $3 | 0.00% |
| SUE C TUCKER3 | 1224 PEACOCK AVENUE SUITE 205 COLUMBUS, GA 31906 | AFLAC | $1 | — | $1 | 0.00% |
| DAYTON LLC3 | 324 OLD WOOD DRIVE COLUMBIA, SC 29212 | AFLAC | $1 | — | $1 | 0.00% |
| GARY W JOHNSON3 | 123 CENTER PARK DRIVE SUITE 102 KNOXVILLE, TN 37922 | AFLAC | $1 | — | $1 | 0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI COLORADO LLC | PO BOX 7050 ENGLEWOOD, CO 80155 | HYATT LEGAL PLANS | $686 | $73 | $759 | 8.00% |
| TAIGA SERVICES3 | 7476 EAST QUILL LANE SCOTTSDALE, AZ 85255 | HYATT LEGAL PLANS | $160 | — | $160 | 1.69% |
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 | 2,654 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 28 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,682 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | 4,864 | $644K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,833 | $746K |
| Short-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,154 | $823K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,154 | $823K |
| Stop-loss / reinsurancereinsurance | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | 4,864 | $644K |
| Other(5 contracts, 5 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 4,864 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,864 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.