| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VALENT GROUP3 Filed as: VALENT GROUP, LLC | 3500 BLUE LAKE DRIVE BIRMINGHAM, AL 35243 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $16K | $0 | $16K | 5.38% |
| VALENT GROUP3 Filed as: VALENT GROUP, LLC | 3500 BLUE LAKE DRIVE, SUITE 120 VESTAVIA, AL 35243 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $33K | $8K | $41K | 18.80% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $132 | $132 | 0.06% |
| VALENT GROUP3 Filed as: VALENT GROUP, LLC | 3500 BLUE LAKE DRIVE, SUITE 120 VESTAVIA, AL 35243 | VISION SERVICE PLAN | $4K | $0 | $4K | 9.99% |
| HAYES BOGEYFREE LLC3 Filed as: HAYES BOGEYFREE, LLC | 2040 PARKS MILL DRIVE GREENSBORO, GA 30642 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 7.02% |
| ALICIA B CLIFTON3 Filed as: ALICIA BEAZLEY CLIFTON | 1715 SPARTAN LANE HOSCHTON, GA 30548 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 3.38% |
| WILLIAM WARDLAW JR3 Filed as: WILLIAM MERRITT WARDLAW JR. | 195 GARFIELD STREET SANTA ROSA BEACH, FL 32459 | CONTINENTAL AMERICAN INSURANCE COMPANY | $544 | $0 | $544 | 1.51% |
| STEVEN VORDERLANDWEHR3 Filed as: STEVEN M. VORDERLANDWEHR | 1018 HIGHGROVE DRIVE MONROE, GA 30655 | CONTINENTAL AMERICAN INSURANCE COMPANY | $117 | $0 | $117 | 0.33% |
| RICHARD SCOTT HAYES3 | 2040 PARKS MILL DRIVE GREENSBORO, GA 30642 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | $0 | $38 | 0.11% |
| DUSTIN ROBERT JOHNSON3 Filed as: DUSTIN R. JOHNSON & OTHER AGENTS | 58 MODA LANE ATLANTA, GA 30316 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | $0 | $27 | 0.08% |
| TARRAH SMITHSON3 | 410 BAROQUE DRIVE ALPHARETTA, GA 30009 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | $0 | $14 | 0.04% |
| MYRA C. SCHMIDT3 Filed as: MYRA SCHMIDT | 101 CAPE CHARLES DRIVE GREENVILLE, SC 29615 | AFLAC | $821 | $0 | $821 | 7.68% |
| DANIEL FITZGERALD INC3 Filed as: DANIEL FITZGERALD | 4119 SHADY OAKS DRIVE AUGUSTA, GA 30907 | AFLAC | $225 | $0 | $225 | 2.10% |
| THOMAS ROBERT GIDDENS3 Filed as: THOMAS GIDDENS | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $78 | $0 | $78 | 0.73% |
| ALICIA CLIFTON3 | 1715 SPARTAN LANE HOSCHTON, GA 30548 | AFLAC | $75 | $0 | $75 | 0.70% |
| ANGELA SMITH AND OTHER AGENTS3 | 4926 GA HIGHWAY 42 NORTH FORSYTH, GA 31029 | AFLAC | $62 | $0 | $62 | 0.58% |
| KAY COLLINS3 | 159 PA JOHNS ROAD NE MILLEDGEVILLE, GA 31061 | AFLAC | $31 | $0 | $31 | 0.29% |
| CINDY WILLIAMS3 | 4541 HICKORY SHORES BOULEVARD GULF BREEZE, FL 32563 | AFLAC | $27 | $0 | $27 | 0.25% |
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 | 741 | 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) | 741 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 705 | $289K |
| Vision | VISION SERVICE PLAN | 326 | $44K |
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 741 | $228K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 741 | $218K |
| Other(3 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 741 | $264K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 741 | — |
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.