| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 2840 HILLCREEK DRIVE AUGUSTA, GA 309095628 | HUMANA EMPLOYERS HEALTH PLAN OF GA, INC. | $65K | — | $65K | 4.98% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 2840 HILLCREEK DRIVE AUGUSTA, GA 30909 | GUARDIAN | $21K | — | $21K | 9.48% |
| ASHFORD ADVISORS INC3 Filed as: ASHFORD ADVISORS, INC. | 900 ASHWOOD PARKWAY SUITE 400 ATLANTA, GA 30338 | GUARDIAN | $377 | — | $377 | 0.17% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA ACHS INSURANCE | 1201 TOWN PARK LANE EVANS, GA 308093481 | HUMANA INSURANCE COMPANY | $0 | $6K | $6K | 4.15% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC DBA HEAD CAPITAL | 2840 HILLCREEK DRIVE AUGUSTA, GA 309095628 | HUMANA INSURANCE COMPANY | $5K | — | $5K | 3.63% |
| SAMANTHA LYNN WINNINGHAM3 | 3134 HUNT ROAD ACWORTH, GA 30102 | AFLAC | $892 | $0 | $892 | 1.13% |
| JEFFREY WINNINGHAM3 | 3134 HUNT ROAD ACWORTH, GA 30102 | AFLAC | $688 | $0 | $688 | 0.87% |
| JONATHAN W MCCUTCHEON3 | 1150 MALLARD LAKE DRIVE BOGART, GA 30622 | AFLAC | $227 | — | $227 | 0.29% |
| JUANITA A MOLTIMORE3 | 437 AUTUMN DRIVE RIVERDALE, GA 30274 | AFLAC | $215 | — | $215 | 0.27% |
| BENDAN NEAL DUSHA3 | 4155 SHENANDOAH AVENUE SAINT LOUIS, MO 63110 | AFLAC | $142 | — | $142 | 0.18% |
| THOMAS D BAXTER3 | PO BOX 603 SUNNY SIDE, GA 30284 | AFLAC | $140 | $0 | $140 | 0.18% |
| RICHARD SMITHSON3 Filed as: RICHARD A SMITHSON | 2145 SAULS PLACE ALPHARETTA, GA 30004 | AFLAC | $135 | — | $135 | 0.17% |
| SABRINA M COLLINS3 | 410 MILLEDGE CIRCLE ATHENS, GA 30606 | AFLAC | $121 | — | $121 | 0.15% |
| CHRISTOPHER JAMES CORROW3 | 2796 ASHLEIGH LANE ALPHARETTA, GA 30004 | AFLAC | $121 | — | $121 | 0.15% |
| MILLAN B TERRELL3 | 1299 BATTLECREEK ROAD STE 240 JONESBORO, GA 30236 | AFLAC | $66 | — | $66 | 0.08% |
| ANDY B GLENN II3 | 2999 DOUGLAS BLVD SUITE 180 ROSEVILLE, CA 95661 | AFLAC | $44 | $0 | $44 | 0.06% |
| VANDEGRIFFE INC3 Filed as: VANDEGRIFFE INC. | 6025 BRADFORD COURT JEFFERSON CITY, MO 65101 | AFLAC | $33 | — | $33 | 0.04% |
| THOMAS ROBERT GIDDENS3 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $29 | — | $29 | 0.04% |
| MICHAEL D AISSEN3 | 920 HOLCOMB BRIDGE ROAD STE 200 ROSWELL, GA 30076 | AFLAC | $27 | — | $27 | 0.03% |
| ADDISON R STEWART3 | 3325 FRENCH PARK DRIVE STE 9 EDMOND, OK 73034 | AFLAC | $18 | $0 | $18 | 0.02% |
| KIMBERLY K WILLIAMS3 | 525 BROOKSIDE TERRACE MOORE, OK 73160 | AFLAC | $17 | $0 | $17 | 0.02% |
| JAMES MICHAEL WILLIAMS3 Filed as: JAMES WILLIAMS | 525 BROOKSIDE TERRACE OKLAHOMA CITY, OK 73160 | AFLAC | $17 | $0 | $17 | 0.02% |
| MELYNDA RAY-MCCUTCHEON3 | 1150 MALLARD LAKE DRIVE BOGART, GA 30622 | AFLAC | $16 | — | $16 | 0.02% |
| NATHAN L HARRISON3 | 5301 E VISTA RICA STREET PARADISE VALLEY, AZ 85253 | AFLAC | $14 | — | $14 | 0.02% |
| MRS JACKSON BOYUM3 | 2040 SKYLAR LEIGH DRIVE BUFORD, GA 30518 | AFLAC | $10 | — | $10 | 0.01% |
| BOBBY R STEWART3 | 3501 FRENCH PARK DRIVE STE E EDMOND, OK 73034 | AFLAC | $9 | — | $9 | 0.01% |
| JOHN A BACON3 | 30837 SPRING VALLEY ROAD PAOLA, KS 66071 | AFLAC | $4 | — | $4 | 0.01% |
| JOHN MYERS3 | 17635 ORRVILLE ROAD ACWORTH, GA 30101 | AFLAC | $4 | — | $4 | 0.01% |
| SCOTT A SMITH3 | 5300 OAKBROOK PARKWAY SUITE 300 NORCROSS, GA 30093 | AFLAC | $4 | — | $4 | 0.01% |
| DEBORAH B SMITH3 | 5703 BRYNWOOD CIRCLE NW ACWORTH, GA 30101 | AFLAC | $3 | — | $3 | 0.00% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DRIVE WALNUT CREEK, CA 94598 | AFLAC | $2 | — | $2 | 0.00% |
| DUSTIN ROBERT JOHNSON3 | 745 W BROMPTON AVENUE APT 1 CHICAGO, IL 60657 | AFLAC | $2 | — | $2 | 0.00% |
| STEVEN VORDERLANDWEHR3 | 1018 HIGHGROVE DRIVE MONROE, GA 30655 | AFLAC | $2 | — | $2 | 0.00% |
| RYAN D HODGES3 | 4328 RIVERVIEW DRIVE PEACHTREE CORNERS, GA 30097 | AFLAC | $2 | — | $2 | 0.00% |
| WENDY M RANKIN3 | 114 BROAD STREET APT 201 ROME, GA 30161 | AFLAC | $2 | — | $2 | 0.00% |
| ANA MARIE GARCIA SMITH3 | 110 VANDERVIEW DRIVE SEYMOUR, TN 37865 | AFLAC | $1 | — | $1 | 0.00% |
| SUSAN REDDOCH BUFFINGTON3 | PO BOX 344 MANCHESTER, GA 31816 | AFLAC | $1 | — | $1 | 0.00% |
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. |
| Total participants (= "Plan participants" tile) | 136 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA EMPLOYERS HEALTH PLAN OF GA, INC. | 126 | $1.3M |
| Dental | HUMANA INSURANCE COMPANY | 127 | $135K |
| Vision | HUMANA INSURANCE COMPANY | 127 | $135K |
| Life insurance | GUARDIAN | 136 | $222K |
| Short-term disability | GUARDIAN | 136 | $222K |
| Long-term disability | GUARDIAN | 136 | $222K |
| Other(2 contracts, 2 carriers) | GUARDIAN | 136 | $301K |
| 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.