| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF GA INC | 3483 SATTELITE BLVD SUITE 100 DULUTH, GA 30096 | BLUE CROSS BLUE SHIELD OF GA | $36K | $0 | $36K | 5.42% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF GA | 3483 SATELLITE BLVD SUITE 100 DULUTH, GA 30096 | GREATER GEORGIA LIFE INSURANCE COMPANY | $36K | $0 | $36K | 55.72% |
| BLAKE A THOMAS JR3 Filed as: BLAKE THOMAS JR | 435 CHATENAY PL JOHNS CREEK, GA 30096 | AFLAC | $36K | $0 | $36K | 293.70% |
| KATTY W COHEN3 Filed as: KATTY COHEN | 21711 TOWN PLACE DRIVE BOCA RATON, FL 33433 | AFLAC | $598 | $33 | $631 | 5.15% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS OF GA | 3483 SATELLITE BLVD SUITE 100 DULUTH, GA 30096 | AFLAC | $406 | $0 | $406 | 3.31% |
| DUSTIN ROBERT JOHNSON3 Filed as: DUSTIN JOHNSON | 50 HURT PLZ SE SUITE 995 ATLANTA, GA 30303 | AFLAC | $307 | $15 | $322 | 2.63% |
| ELENI A NIKOLAS3 Filed as: ELENI NIKOLAS | 50 HURT PLZ SE SUITE 1630 ATLANTA, GA 30303 | AFLAC | $188 | $15 | $203 | 1.66% |
| ANITA L SARRATT3 Filed as: ANITA SARRATT | 1032 FRIENDSHIP CHURCH RD DOUGLASVILLE, GA 30134 | AFLAC | $162 | $0 | $162 | 1.32% |
| JAVIER ORTIZ3 | 165 NE 96TH ST MIAMI SHORES, FL 33138 | AFLAC | $81 | $0 | $81 | 0.66% |
| G SCOTT COOKE3 | 2832 NE 17TH AVE WILTON, FL 33334 | AFLAC | $62 | $0 | $62 | 0.51% |
| DAVID C CLOUD JR3 Filed as: DAVID CLOUD | 1301 SHILOH RD NW SUITE 1020 KENNESAW, GA 30144 | AFLAC | $30 | $0 | $30 | 0.24% |
| THOMAS METZGER3 | 1083 E COTTONWOOD WAY PALANTINE, IL 60074 | AFLAC | $25 | $0 | $25 | 0.20% |
| LEE RYAN MCGRAW3 Filed as: LEE MCGRAW | 1170 MANN ROAD DOUGLASVILLE, GA 30134 | AFLAC | $22 | $0 | $22 | 0.18% |
| JOSEPH S WILLIAMS3 Filed as: JOSEPH WILLIAMS | 2400 HERODIAN WAY SE SUITE 170 SMYRNA, GA 30080 | AFLAC | $13 | $0 | $13 | 0.11% |
| KENDALL C HUDSON3 Filed as: KENDALL HUDSON | 801 NORTHPOINT PARKWAY SUITE 35 WEST PALM BEACH, FL 33407 | AFLAC | $13 | $0 | $13 | 0.11% |
| THOMAS GIDDENS3 | P.O. BOX 2517 KENNESAW, GA 30158 | AFLAC | $12 | $0 | $12 | 0.10% |
| MICAH MESSER3 | 790 HERRELL ROAD VILLA RICA, GA 30180 | AFLAC | $11 | $0 | $11 | 0.09% |
| CINDY WILLIAMS3 | 1925 CATAMARAN DRIVE NAVARRE, FL 32566 | AFLAC | $9 | $0 | $9 | 0.07% |
| STEPHEN MCCAULEY3 | 2791 SADDLEBROOK WAY NW MARIETTA, GA 30064 | AFLAC | $6 | $0 | $6 | 0.05% |
| CHARLES B LACY JR3 Filed as: CHARLES LACY | 3284 WOODED WAY JEFFERSONVILLE, IN 47130 | AFLAC | $4 | $0 | $4 | 0.03% |
| C HUDSON AND ASSOCIATES3 | 2843 TWIN PINE ROAD THOMASON, GA 30824 | AFLAC | $4 | $0 | $4 | 0.03% |
| THOMAS BAXTER3 | P.O. BOX 86 FAYETTEVILLE, GA 30214 | AFLAC | $4 | $0 | $4 | 0.03% |
| ALFRED RIETKERK3 | 3120 NE 47TH STREET FORT LAUDERDALE, FL 33308 | AFLAC | $2 | $0 | $2 | 0.02% |
| CHARLES HUDSON3 | 2843 TWIN PINE ROAD THOMASON, GA 30824 | AFLAC | $1 | $0 | $1 | 0.01% |
| RONALD S SANDERS3 Filed as: RONALD SANDERS | 1194 E LAKEVIEW DRT SAN TAN VALLEY, AZ 85143 | AFLAC | $1 | $0 | $1 | 0.01% |
| DEXTER ANTONIO HARRIS3 Filed as: DEXTER HARRIS | 100 GALLERIA PARKWAY SUITE 900 ATLANTA, GA 30339 | AFLAC | $1 | $0 | $1 | 0.01% |
| PAUL SHELBY AMOS II3 Filed as: PAUL AMOS II | 1932 WYNNTON ROAD 14TH FL COLUMBUS, GA 31999 | AFLAC | $1 | $0 | $1 | 0.01% |
| LANCE OSBORNE3 | 21822 SEACREST LANE HUNTINGTON BEACH, CA 92646 | AFLAC | $1 | $0 | $1 | 0.01% |
| ALLISON FARRIS WENDELBERGER3 | 1839 YGNACIO VALLEY ROAD SUITE 393 WALNUT CREEK, CA 94698 | AFLAC | $1 | $0 | $1 | 0.01% |
| DEBORAH B SMITH3 Filed as: DEBORAH SMITH | 4720 TWIN OAKS DRIVE KENNESAW, GA 30152 | AFLAC | $1 | $0 | $1 | 0.01% |
| KATHERINE LATIMER3 | 90 CECILY CT FORTSON, GA 31808 | AFLAC | $1 | $0 | $1 | 0.01% |
| SUWAT ASSAWAMATIYANONT3 | 1800 NE 48TH COURT FORT LAUDERDALE, FL 33308 | AFLAC | $1 | $0 | $1 | 0.01% |
| RICHARD MICHAEL TIDWELL3 Filed as: RICHARD TIDWELL | 5511 KINGSLEY MANOR CUMMING, GA 30041 | AFLAC | $1 | $0 | $1 | 0.01% |
| RYAN E MCPHAIL3 Filed as: RYAN MCPHAIL | 206 ARBOR CT CANTON, GA 30114 | AFLAC | $1 | $0 | $1 | 0.01% |
| CHRISTIE MARZARI3 | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $1 | $0 | $1 | 0.01% |
| JAMES W BENCIN3 Filed as: JAMES BENCIN | 11 SHELDRAKE LANE WEST PALM BEACH, FL 33418 | AFLAC | $1 | $0 | $1 | 0.01% |
| MICHAEL LEROY COY3 Filed as: MICHAEL COY | 3571 FAR WEST BLVD 42 AUSTIN, TX 78731 | AFLAC | $1 | $0 | $1 | 0.01% |
| SCOTTI MADISON3 | 3330 COBB PARKWAY SUITE 324-3 ACWORTH, GA 30101 | AFLAC | $1 | $0 | $1 | 0.01% |
| ALEXANDER WARD3 | 5194 FOREST VIEW CT SE MABLETON, GA 30128 | AFLAC | $1 | $0 | $1 | 0.01% |
| AMY A O SHIELDS3 Filed as: AMY SHIELDS | 5159 CALGARY DRIVE DOUGLASVILLE, GA 30135 | AFLAC | $1 | $0 | $1 | 0.01% |
| FRANK ROBERT SOBOCINSKI3 Filed as: FRANK SOBOCINSKI | 528 SWEET BAY CIRCLE JUPITER, FL 33458 | AFLAC | $1 | $0 | $1 | 0.01% |
| JONATHAN W MCCUTCHEON3 Filed as: JONATHAN MCCUTCHEON | 1150 MALLARD LAKE DRIVE BOGART, GA 30622 | AFLAC | $1 | $0 | $1 | 0.01% |
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 | 136 | 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) | 136 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF GA | 95 | $664K |
| Dental | BLUE CROSS BLUE SHIELD OF GA | 95 | $664K |
| Vision | BLUE CROSS BLUE SHIELD OF GA | 95 | $664K |
| Life insurance(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF GA | 136 | $728K |
| Short-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 136 | $65K |
| Long-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 136 | $65K |
| Other | AFLAC | 51 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 136 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.