| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHN ALLISON4 | 5710 W GATE CITY BLVD STE K GREENSBORO, NC 27407 | AFLAC | $8K | $39 | $8K | 8.37% |
| JOHN ARIANSEN4 | P. O. BOX 18214 GREENSBORO, NC 27419 | AFLAC | $2K | $8 | $2K | 1.91% |
| DAVID M. BLAIR4 | 1589 SKEET CLUB RD.,STE 102 BOX 339 HIGH POINT, NC 27265 | AFLAC | $1K | $0 | $1K | 1.05% |
| THOMAS E HATCHER JR4 | 1588 BAYTREE DR HARRELLS, NC 28444 | AFLAC | $466 | $0 | $466 | 0.47% |
| CHUCK MARTIN & ASSOC INC4 Filed as: CHUCK MARTIN & ASSOC, INC. | 5009 HIGHPOINT RD STE 201 GREENSBORO, NC 27407 | AFLAC | $461 | $0 | $461 | 0.47% |
| CHUCK MARTIN & ASSOC INC4 Filed as: CHUCK MARTIN & ASSOC, INC. | 2008 SMOKERIDGE LN GREENSBORO, NC 27407 | AFLAC | $388 | $0 | $388 | 0.39% |
| C HARVEY KING4 | 931-B SOUTH MAIN STREET #206 KERNERSVILLE, NC 27284 | AFLAC | $276 | — | $276 | 0.28% |
| CHARLES MARTIN4 Filed as: CHARLES M MARTIN | 5009 HIGHPOINT RD STE 201 GREENSBORO, NC 27407 | AFLAC | $247 | $0 | $247 | 0.25% |
| CHARLES MARTIN4 | 2008 SMOKERIDGE LN GREENSBORO, NC 27407 | AFLAC | $198 | $0 | $198 | 0.20% |
| J MICHAEL BUTLER4 | 1440 OLD LENOIR RD STE A HICKORY, NC 28601 | AFLAC | $133 | $0 | $133 | 0.13% |
| JAMES S BELL4 | 4526 ALAMANCE CHURCH RD LIBERTY, NC 27298 | AFLAC | $129 | $0 | $129 | 0.13% |
| JAMES R HILL JR4 Filed as: JAMES R HILL, JR | P.O. BOX 13272 GREENSBORO, NC 27415 | AFLAC | $118 | — | $118 | 0.12% |
| KELLY LEBSACK4 | 826 NORTH ELM ST GREENSBORO, NC 27401 | AFLAC | $64 | $0 | $64 | 0.06% |
| WENDY BLAIR4 | 1589 SKEET CLUB RD.,STE 102 BOX 339 HIGH POINT, NC 27265 | AFLAC | $46 | — | $46 | 0.05% |
| RUSSELL TINNEY4 | 11520 NUCKOLS RD STE 103 GLEN ALLEN, VA 23059 | AFLAC | $46 | — | $46 | 0.05% |
| DEBORAH A WITHEY4 | 2149 6TH ST NW HICKORY, NC 28601 | AFLAC | $24 | $0 | $24 | 0.02% |
| KATRINA D AIKEN4 | 2511 JUDITH ST LYNCHBURG, VA 24501 | AFLAC | $24 | $0 | $24 | 0.02% |
| JASON BURCHAM4 | 6 EASTCOTE PT GREENSBORO, NC 27410 | AFLAC | $21 | $0 | $21 | 0.02% |
| MRS JACKSON BOYUM4 Filed as: MRS JACKSON C BOYUM | 2040 SKYLAR LEIGH DR BUFORD, GA 30518 | AFLAC | $19 | $0 | $19 | 0.02% |
| JAN E MATLOCK4 | 4159 LAKE AVE WILMINGTON, NC 28403 | AFLAC | $17 | $0 | $17 | 0.02% |
| ALFRED E DEVINE4 | 324 DEVINE WAY SILVER CITY, NC 27344 | AFLAC | $9 | $0 | $9 | 0.01% |
| LUCY DIANE BAKER4 | 1455 N MELROSE DR, APT 109 VISTA, CA 92083 | AFLAC | $8 | — | $8 | 0.01% |
| J MICHAEL BUTLER4 | 1440 OLD LENOIR RD STE A HICKORY, NC 28601 | AFLAC | $7 | $0 | $7 | 0.01% |
| RACHEL E HUSE4 | 3919 WATFORD WAY FAYETTEVILLE, NC 28306 | AFLAC | $7 | — | $7 | 0.01% |
| ELIZABETH C MATLOCK4 | PO BOX 3654 WILMINGTON, NC 28406 | AFLAC | $6 | $0 | $6 | 0.01% |
| ERIC BROGAN4 Filed as: ERIC E MILLER | 6631 FOX RIDGE CIRCLE DAVIDSON, NC 28036 | AFLAC | $6 | $0 | $6 | 0.01% |
| ELIZABETH CUSHING4 | 7910 MORRELL LN DURHAM, NC 27713 | AFLAC | $5 | — | $5 | 0.01% |
| MEGHAN MOFFATT LUCAS4 Filed as: MEGHAN M. MILLER | 6631 FOX RIDGE CIRCLE DAVIDSON, NC 28036 | AFLAC | $5 | $0 | $5 | 0.01% |
| FRANKLIN TRAVIS BLACK4 | 5981 WOODFIELD DR KERNERSVILLE, NC 27284 | AFLAC | $5 | $0 | $5 | 0.01% |
| ALVIN J LILLEY4 Filed as: ALVIN J. LILLEY | 8066 OLD REIDSVILLE RD BROWNS SUMMIT, NC 27214 | AFLAC | $5 | $0 | $5 | 0.01% |
| BRANDON C ADAMS4 | 74 CROWN COLONY RD SAINT AUGUSTINE, FL 32092 | AFLAC | $3 | $0 | $3 | 0.00% |
| LUCY DIANE BAKER4 | 10402 QUIET BAY CT CHARLOTTE, NC 28278 | AFLAC | $2 | $0 | $2 | 0.00% |
| LARRY A WESTON JR4 | 321 WINDSOR RD GREENVILLE, NC 27858 | AFLAC | $2 | $0 | $2 | 0.00% |
| GREGORY D HILL4 Filed as: GREGORY D. HILL | 16142 SWALLOWTAIL PL MIDLOTHIAN, VA 23113 | AFLAC | $2 | $0 | $2 | 0.00% |
| LINDA B CAMPBELL4 Filed as: LINDA B. CAMPBELL | 174 PALMETTO GREEN DR LONGS, SC 29568 | AFLAC | $1 | $0 | $1 | 0.00% |
| K EARLE ABERNETHY4 Filed as: K. EARLE ABERNETHY | 2902 SHERYL DRIVE KINSTON, NC 28504 | AFLAC | $1 | $0 | $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 | 103 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AFLAC | 0 | $99K |
| Short-term disability | AFLAC | 0 | $99K |
| Other | AFLAC | 0 | $99K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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.