| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHN ALLISON4 | 5710 W GATE CITY BLVD STE K GREENSBORO, NC 27407 | AFLAC | $6K | $0 | $6K | 8.66% |
| JOHN ARIANSEN4 | 3602 TURNBERRY LN GREENSBORO, NC 27410 | AFLAC | $2K | $0 | $2K | 2.48% |
| DAVID M. BLAIR4 | 1589 SKEET CLUB RD.,STE 102 BOX 339 HIGH POINT, NC 27265 | AFLAC | $665 | $0 | $665 | 1.03% |
| CHUCK MARTIN & ASSOC INC4 Filed as: CHUCK MARTIN & ASSOC, INC. | 2008 SMOKERIDGE LN GREENSBORO, NC 27407 | AFLAC | $500 | $0 | $500 | 0.77% |
| JEREMY M HASKELL4 Filed as: JEREMY M. HASKELL | 430 RYDER CUP LN CLEMMONS, NC 27012 | AFLAC | $454 | $0 | $454 | 0.70% |
| CHARLES MARTIN4 | 2008 SMOKERIDGE LN GREENSBORO, NC 27407 | AFLAC | $184 | $0 | $184 | 0.28% |
| C HARVEY KING4 | 931-B SOUTH MAIN STREET #206 KERNERSVILLE, NC 27284 | AFLAC | $178 | $0 | $178 | 0.28% |
| GREGORY E MEYER4 | 5005 BODIE LN GREENSBORO, NC 27455 | AFLAC | $153 | $0 | $153 | 0.24% |
| J MICHAEL BUTLER4 | 1090 13TH AVE NW HICKORY, NC 28601 | AFLAC | $90 | $0 | $90 | 0.14% |
| THOMAS E HATCHER JR4 | 1588 BAYTREE DR HARRELLS, NC 28444 | AFLAC | $35 | $0 | $35 | 0.05% |
| JAMES S BELL4 | 4526 ALAMANCE CHURCH RD LIBERTY, NC 27298 | AFLAC | $32 | $0 | $32 | 0.05% |
| WENDY BLAIR4 | 1589 SKEET CLUB RD.,STE 102 BOX 339 HIGH POINT, NC 27265 | AFLAC | $27 | $0 | $27 | 0.04% |
| TRACI R BATTEN4 | 375 HARBOUR COVE DR APT 323 SPARKS, NV 89434 | AFLAC | $20 | $0 | $20 | 0.03% |
| KELLY LEBSACK4 | 2084 COVERED BRIDGE PKWY WINDSOR, CO 80550 | AFLAC | $19 | $0 | $19 | 0.03% |
| JASON BURCHAM4 | 3215 REGENTS PARK LN UNIT A GREENSBORO, NC 27455 | AFLAC | $19 | $0 | $19 | 0.03% |
| DEBORAH A WITHEY4 | 2149 6TH ST NW HICKORY, NC 28601 | AFLAC | $18 | $0 | $18 | 0.03% |
| KATRINA D AIKEN4 | 2511 JUDITH ST LYNCHBURG, VA 24501 | AFLAC | $18 | $0 | $18 | 0.03% |
| RUSSELL TINNEY4 | 3440 TORRINGTON WAY, APT 7, STE 101 FAYETTEVILLE, VA 28314 | AFLAC | $15 | $0 | $15 | 0.02% |
| ALFRED E DEVINE4 | 324 DEVINE WAY SILVER CITY, NC 27344 | AFLAC | $5 | $0 | $5 | 0.01% |
| RACHEL E HUSE4 | 3919 WATFORD WAY FAYETTEVILLE, NC 28306 | AFLAC | $3 | $0 | $3 | 0.00% |
| ERIC BROGAN4 Filed as: ERIC E MILLER | 149 MALIBU RD MOORESVILLE, NC 28117 | AFLAC | $3 | $0 | $3 | 0.00% |
| MEGHAN MOFFATT LUCAS4 Filed as: MEGHAN M. MILLER | 149 MALIBU RD MOORESVILLE, NC 28117 | AFLAC | $3 | $0 | $3 | 0.00% |
| ELIZABETH CUSHING4 | 74 TRESTLE LEAF PITTSBORO, NC 27312 | AFLAC | $3 | $0 | $3 | 0.00% |
| FRANKLIN TRAVIS BLACK4 | 5981 WOODFIELD DR KERNERSVILLE, NC 27284 | AFLAC | $2 | $0 | $2 | 0.00% |
| ALVIN J LILLEY4 Filed as: ALVIN J. LILLEY | 1011A NYE DR ALEXANDRIA, LA 71303 | AFLAC | $1 | $0 | $1 | 0.00% |
| BRANDON C ADAMS4 | 64 SHELBY DR CRAWFORDVILLE, FL 32327 | AFLAC | $1 | $0 | $1 | 0.00% |
| GREGORY D HILL4 Filed as: GREGORY D. HILL | 16142 SWALLOWTAIL PL MIDLOTHIAN, VA 23113 | AFLAC | $1 | $0 | $1 | 0.00% |
| LINDA B CAMPBELL4 Filed as: LINDA B. CAMPBELL | 174 PALMETTO GREEN DR LONGS, SC 29568 | AFLAC | $1 | $0 | $1 | 0.00% |
| BRANDON C ADAMS4 | 268 SW SHOREWOOD DR DUNNELLON, FL 34431 | AFLAC | $0 | $0 | $0 | 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 | 73 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 73 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AFLAC | 73 | $65K |
| Short-term disability | AFLAC | 73 | $65K |
| Other | AFLAC | 73 | $65K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 73 | — |
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.