| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE DALLAS, TX 75201 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $32K | — | $32K | 4.71% |
| KAREN B MATHIS3 Filed as: KAREN MATHIS | 3730 BURLINGTON ROAD ROXBORO, NC 27574 | AFLAC | $58K | $2K | $60K | 13.20% |
| MICHAEL L COUSINS3 Filed as: MICHAEL TOUCHON | 367 COLSON DRIVE GARNER, NC 27529 | AFLAC | $5K | $8 | $5K | 1.15% |
| TODD SYKES3 | 1274 SILKY WILLOW DRIVE WAKE FOREST, NC 27587 | AFLAC | $5K | $304 | $5K | 1.15% |
| JENNIFER VANROEKEL3 | 212 LEE TRACE DRIVE SMITHFIELD, NC 27577 | AFLAC | $3K | — | $3K | 0.72% |
| WILLIAM L BAKER IV3 Filed as: WILLIAM BAKER IV | 2310 S MIAMI BLVD STE 239 DURHAM, NC 27703 | AFLAC | $2K | $56 | $2K | 0.53% |
| ELIZABETH MANGUM3 | 3919 WENTWORTH DRIVE DURHAM, NC 27707 | AFLAC | $2K | — | $2K | 0.39% |
| GREGORY TEATOR3 | 524 TROUTWOOD PLACE FUQUAY VARINA, NC 27526 | AFLAC | $1K | — | $1K | 0.32% |
| LARRY WESTON JR3 Filed as: LARRY WESTON JR. | 321 WINDSOR ROAD GREENVILLE, NC 27858 | AFLAC | $1K | — | $1K | 0.29% |
| JILL DENTON3 | 3500 WESTGATE DRIVE, SUITE 602 DURHAM, NC 27707 | AFLAC | $1K | — | $1K | 0.24% |
| TEATOR'S INS PROTECTION SERVICES3 | 524 TROUTWOOD PLACE FUQUAY VARINA, NC 27526 | AFLAC | $926 | — | $926 | 0.20% |
| STANLEY FLOYD3 | 550 TERRELL LANE LOISBURG, NC 27549 | AFLAC | $785 | — | $785 | 0.17% |
| DAVID BAKER3 | 1531 SUNFLOWER FIELD PLACE MATTHEWS, NC 28104 | AFLAC | $625 | — | $625 | 0.14% |
| NATHANIEL REWEY3 | 186 WAVERLEY STREET ARLINGTON, MA 02476 | AFLAC | $604 | — | $604 | 0.13% |
| GARY TURNER3 | 1 EAGLE DRIVE DURHAM, NC 27712 | AFLAC | $519 | — | $519 | 0.11% |
| JERRY OLIVER CREECH3 Filed as: JERRY CREECH | 5915 SANTO DOMINGO COURT NEW BERN, NC 28560 | AFLAC | $505 | — | $505 | 0.11% |
| THOMAS PEARSON3 | 708 VILLAWOOD COURT RALEIGH, NC 27615 | AFLAC | $503 | — | $503 | 0.11% |
| STEPHEN W CROTTS SR3 Filed as: STEPHEN CROTTS SR | 514 E 3RD STREET UNIT C SILER CITY, NC 27344 | AFLAC | $379 | — | $379 | 0.08% |
| BRIDGETT DAIL3 | 5217 STONE STATION DRIVE RALEIGH, NC 27616 | AFLAC | $369 | — | $369 | 0.08% |
| DAVID MORGAN3 | 906 MERCHANT LEE PLACE MANAKIN SABOT, VA 23103 | AFLAC | $245 | — | $245 | 0.05% |
| SUSAN RUSSELL3 | 921 MALLARD CIRCLE ARNOLD, MD 21012 | AFLAC | $207 | — | $207 | 0.05% |
| TERRI G MOOSE3 Filed as: TERRI MOOSE | 817 GRAMERCY STREET WINSTON SALEM, NC 27104 | AFLAC | $144 | — | $144 | 0.03% |
| D AND V BUTLER INC3 Filed as: J BUTLER | 1440 OLD LENOIR ROAD, SUITE A HICKORY, NC 28601 | AFLAC | $137 | — | $137 | 0.03% |
| K ABERNETHY3 | 2902 SHERYL DRIVE KINSTON, NC 28504 | AFLAC | $96 | — | $96 | 0.02% |
| GORDON VANN3 | 2156 WESLEY LANE GREENVILLE, NC 27858 | AFLAC | $85 | — | $85 | 0.02% |
| THOMAS KELLY JR3 | 4001 TARKLE RIDGE DRIVE KITTY HAWK, NC 27949 | AFLAC | $67 | — | $67 | 0.01% |
| LAUREN E SKINNER3 Filed as: LAUREN SKINNER | 1225 NORRIS STREET RALEIGH, NC 27604 | AFLAC | $60 | — | $60 | 0.01% |
| KIMBERLY STATEN3 | PO BOX 8184 GRAY, TN 37615 | AFLAC | $46 | — | $46 | 0.01% |
| GLENN E LUOMA3 | 151 NATURE TRAIL GREENVILLE, SC 29609 | AFLAC | $36 | — | $36 | 0.01% |
| GERALD MEGGETT3 | 12020 SWALLOW FALLS COURT SILVER SPRING, MD 20904 | AFLAC | $35 | — | $35 | 0.01% |
| JANET PARRY3 | PO BOX 243 CAPE CHARLES, VA 23310 | AFLAC | $32 | — | $32 | 0.01% |
| SHEM J BOSTICK3 Filed as: SHEM BOSTICK | 1620 S DITMAR STREET OCEANSIDE, CA 92054 | AFLAC | $24 | — | $24 | 0.01% |
| SUSAN N ADAMS3 Filed as: SUSAN ADAMS | 10015 W BROAD STREET GLEN ALLEN, VA 23060 | AFLAC | $23 | — | $23 | 0.01% |
| STEVEN KAISER3 | 9511 VIRA DRIVE RALEIGH, NC 27617 | AFLAC | $22 | — | $22 | 0.00% |
| GARY GREENE3 | 1609 W ARLINTON BLVD. SUITE 102 GREENVILLE, NC 27858 | AFLAC | $22 | — | $22 | 0.00% |
| KESIA CHANG3 | 733 BISHOP STREET, SUITE 2530 HONOLULU, HI 96813 | AFLAC | $21 | — | $21 | 0.00% |
| PAMELA BEECH-WHALEY3 | PO BOX 250251 ATLANTA, GA 30325 | AFLAC | $21 | — | $21 | 0.00% |
| SEAN R HILDRETH3 Filed as: SEAN HILDRETH | 434 TUCKER ROAD GRIMESLAND, NC 27837 | AFLAC | $21 | — | $21 | 0.00% |
| DUANE A ADAMS3 Filed as: DUANE ADAMS | 11520 NUCKOLS ROAD SUITE 103 GLEN ALLEN, VA 23059 | AFLAC | $18 | — | $18 | 0.00% |
| CHARLES BONO3 | PO BOX 5506 WILLIAMSBURG, VA 23188 | AFLAC | $18 | — | $18 | 0.00% |
| DONNA STRICKLAND3 | 345 RUBRUM DRIVE HILLSBORO, NC 27278 | AFLAC | $17 | — | $17 | 0.00% |
| CHARLES HOUGH3 | 162 SLATE HILL ROAD TELFORD, TN 37690 | AFLAC | $15 | — | $15 | 0.00% |
| EVERETT C BENNETT3 Filed as: EVERETT BENNETT | 902 POPLAR STREET MILFORD, DE 19963 | AFLAC | $12 | — | $12 | 0.00% |
| HAMIDA M TRAINOR3 Filed as: HAMIDA TRAINOR | 2608 MEADOW ROAD WEST PALM BEACH, FL 33406 | AFLAC | $11 | — | $11 | 0.00% |
| LOIRE LUCAS3 | 2120 SW DANFORTH CIRCLE PALM CITY, FL 34990 | AFLAC | $10 | — | $10 | 0.00% |
| C HUDSON AND ASSOCIATES3 | 2843 TWIN PINE ROAD THOMSON, GA 30824 | AFLAC | $10 | — | $10 | 0.00% |
| LARA K GRANDE3 Filed as: LARA GRANDE | 117 MORNING MIST LANE FRANKLIN, TN 37064 | AFLAC | $9 | — | $9 | 0.00% |
| ABBIE W COFFMAN3 Filed as: ABBIE COFFMAN | 31 HAWTHORN CIRCLE CROSSVILLE, TN 38555 | AFLAC | $8 | — | $8 | 0.00% |
| DEININGER BENEFITS ADVISORS INC3 Filed as: DEININGER BENEFITS ADVISORS INC. | PO BOX 372696 SATELLITE BEACH, FL 32937 | AFLAC | $7 | — | $7 | 0.00% |
| LANCE PITTMAN LLC3 | 125 LITTLE HAWK PLACE MIDLOTHIAN, VA 23114 | AFLAC | $7 | — | $7 | 0.00% |
| DANIEL HIGHSMITH3 Filed as: DANIEL D REECE | 224 LONGSTREET XING NORTH AUGUSTA, SC 29860 | AFLAC | $6 | — | $6 | 0.00% |
| FRANCES SHAFFER3 | 14025 TOWER ROAD SMITHBURG, MD 21783 | AFLAC | $6 | — | $6 | 0.00% |
| ANN FINLAY3 | 3335 SAVANNAHS TRAIL MERRITT ISLAND, FL 32953 | AFLAC | $6 | — | $6 | 0.00% |
| BARRY CAMPBELL3 | 2798 COUNTY ROAD 80 ALGER, OH 45812 | AFLAC | $6 | — | $6 | 0.00% |
| JOSHUA BUZZARD3 | 7458 TRESCOTT DRIVE LAKE WORTH, FL 33467 | AFLAC | $6 | — | $6 | 0.00% |
| DAVID MORNINGSTAR3 | 11285 DOVEDALE COURT 2ND FLOOR MARRIOTTSVILLE, MD 21104 | AFLAC | $6 | — | $6 | 0.00% |
| JEFFREY GURLEY3 | PO BOX 1434 GOLDSBORO, NC 27533 | AFLAC | $6 | — | $6 | 0.00% |
| JEREMY A FELDMAN3 Filed as: JEREMY FELDMAN | 15324 SWEETBAY STREET WOODBINE, MD 21797 | AFLAC | $6 | — | $6 | 0.00% |
| JANE W BARNHILL3 Filed as: JANE BARNHILL | 6636 NC HIGHWAY 43 S GREENVILLE, NC 27858 | AFLAC | $6 | — | $6 | 0.00% |
| CYNTHIA DROPESKI3 | 690 W EAU GALLIE BLVD. MELBOURNE, FL 32935 | AFLAC | $4 | — | $4 | 0.00% |
| DONALD B ORRELL3 Filed as: DONALD ORRELL | 1581 CHERRY GROVE ROAD N SUFFOLK, VA 23432 | AFLAC | $4 | — | $4 | 0.00% |
| KENNETH FRANK JR3 Filed as: KENNETH FRANK JR. | 8091 SIERRA OAKS BLVD. JACKSONVILLE, FL 32219 | AFLAC | $4 | — | $4 | 0.00% |
| THOMAS ROBERT GIDDENS3 Filed as: THOMAS GIDDENS | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $4 | — | $4 | 0.00% |
| JACKSON D RHODES3 Filed as: JACKSON RHODES | 2332 VOLUNTEER PARKWAY BRISTOL, TN 37620 | AFLAC | $3 | — | $3 | 0.00% |
| JOHN ALEXANDER3 | 1527 S ATLANTIC AVENUE, APT 401 COCOA, FL 32931 | AFLAC | $3 | — | $3 | 0.00% |
| STEPHEN SMITH3 | 10374 ALEXANDER MARTIN AVENUE CHARLOETTE, NC 28277 | AFLAC | $3 | — | $3 | 0.00% |
| DAVID WAGENHEIM3 | 582 WOODBINE AVENUE TOWSON, MD 21204 | AFLAC | $3 | — | $3 | 0.00% |
| ERNEST YOUNGBLOOD3 | 718 MONTMORENCI ROAD AIKEN, SC 29801 | AFLAC | $3 | — | $3 | 0.00% |
| KELLY LYNN FELDMAN3 Filed as: KELLY FELDMAN | 15324 SWEETBAY STREET WOODBINE, MD 21797 | AFLAC | $3 | — | $3 | 0.00% |
| DAVID K MOBLEY3 Filed as: DAVID MOBLEY | 3812 VALVERDE CIRCLE JACKSONVILLE, FL 32224 | AFLAC | $2 | — | $2 | 0.00% |
| ROBERT L TRAPNELL JR3 Filed as: ROBERT TRAPNELL JR | 19 N INDIAN RIVER DRIVE APT 701 COCOA, FL 32922 | AFLAC | $2 | — | $2 | 0.00% |
| CHRISTOPHER EDDY3 | 1028 LAKE WAY DRIVE NICEVILLE, FL 32578 | AFLAC | $2 | — | $2 | 0.00% |
| RONALD E KIRKLAND3 Filed as: RONALD KIRKLAND | 1044 HARBOR RIDGE ROAD GUNTERSVILLE, AL 35976 | AFLAC | $2 | — | $2 | 0.00% |
| ALFRED RIETKERK3 | 3120 NE 47TH STREET FORT LAUDERDALE, FL 33308 | AFLAC | $2 | — | $2 | 0.00% |
| JACQUELINE VIZCAINO-SUDDRETH3 | 72 DRISKELL AVENUE SW MABLETON, GA 30126 | AFLAC | $2 | — | $2 | 0.00% |
| DORIS L BRACKETT3 Filed as: DORIS BRACKETT | 3233 HIGHGATE CHASE COURT BERKELEY LAKE, GA 30092 | AFLAC | $2 | — | $2 | 0.00% |
| DENNIS C LINDEY3 Filed as: DENNIS LINDEY | PO BOX 1082 GOODLETTSVILLE, TN 37070 | AFLAC | $2 | — | $2 | 0.00% |
| KANDI H HECKLER3 Filed as: KANDI HECKLER | 5453 HASELL DRIVE ROCKVALE, TN 37153 | AFLAC | $2 | — | $2 | 0.00% |
| THOMAS R BAILEY3 Filed as: THOMAS BAILEY | 142 MAPLE COURT NW CHARLESTON, TN 37310 | AFLAC | $1 | — | $1 | 0.00% |
| RONALD TRULUCK3 | 1934 PANTHEON DRIVE WINTER GARDEN, FL 34787 | AFLAC | $1 | — | $1 | 0.00% |
| BENJAMIN O THOMPSON SR3 Filed as: BENJAMIN THOMPSON SR. | 2012 GAMELAW COURT MIDLOTHIAN, VA 23113 | AFLAC | $1 | — | $1 | 0.00% |
| WILLIAM WARDLAW JR3 Filed as: WILLIAM WARDLAW JR. | 5300 OAKBROOK PKWY, SUITE 300 NORCROSS, GA 30093 | AFLAC | $1 | — | $1 | 0.00% |
| NORWOOD RANDY JONES3 Filed as: NORWOOD JONES | PO BOX 802 PRINCETON, NC 27569 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES M PITZ3 Filed as: JAMES PITZ | 84 MINK DRIVE CATAULA, GA 31804 | AFLAC | $1 | — | $1 | 0.00% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAMPTON WOOD DRIVE BOCA RATON, FL 33433 | AFLAC | $1 | — | $1 | 0.00% |
| AMELIA MORGAN3 | 1904 ELLIS DRIVE MAIDENS, VA 23102 | AFLAC | $1 | — | $1 | 0.00% |
| RICHARD KRESINSKE3 | 4004 ATLANTIC AVENUE, APT 803 VIRGINIA BEACH, VA 23451 | AFLAC | $1 | — | $1 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 ADMINISTRATION | Claims processing Service code 12 | — | $527K |
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 | 721 | 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) | 721 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 379 | $452K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,384 | $686K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 721 | $656K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 721 | $656K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 721 | $656K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,384 | $686K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 721 | $656K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,384 | — |
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.