| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHN ALLISON4 | 5710 W GATE CITY BLVD STE K GREENSBORO, NC 27407 | AFLAC | $5K | $148 | $5K | 7.85% |
| JOHN ARIANSEN4 | 3602 TURNBERRY LN GREENSBORO, NC 27410 | AFLAC | $1K | $35 | $1K | 2.30% |
| DAVID M. BLAIR4 | 1589 SKEET CLUB RD.,STE 102 BOX 339 HIGH POINT, NC 27265 | AFLAC | $649 | $0 | $649 | 1.06% |
| CHUCK MARTIN & ASSOC INC4 Filed as: CHUCK MARTIN & ASSOC, INC. | 2008 SMOKERIDGE LN GREENSBORO, NC 27407 | AFLAC | $496 | $0 | $496 | 0.81% |
| JEREMY M HASKELL4 Filed as: JEREMY M. HASKELL | 109 DEMOTTE AVE PORT ORANGE, FL 32127 | AFLAC | $193 | $35 | $228 | 0.37% |
| C HARVEY KING4 | 1024 BENNINGTON DR CHARLESTON, SC 29492 | AFLAC | $172 | $0 | $172 | 0.28% |
| GREGORY E MEYER4 | 5005 BODIE LN GREENSBORO, NC 27455 | AFLAC | $127 | $0 | $127 | 0.21% |
| CHARLES MARTIN4 | 2008 SMOKERIDGE LN GREENSBORO, NC 27407 | AFLAC | $99 | $0 | $99 | 0.16% |
| J MICHAEL BUTLER4 | 1090 13TH AVE NW HICKORY, NC 28601 | AFLAC | $87 | $0 | $87 | 0.14% |
| JAMES S BELL4 | 4526 ALAMANCE CHURCH RD LIBERTY, NC 27298 | AFLAC | $29 | $0 | $29 | 0.05% |
| THOMAS E HATCHER JR4 | 1588 BAYTREE DR HARRELLS, NC 28444 | AFLAC | $28 | $0 | $28 | 0.05% |
| WENDY BLAIR4 | 1589 SKEET CLUB RD.,STE 102 BOX 339 HIGH POINT, NC 27265 | AFLAC | $27 | $0 | $27 | 0.04% |
| 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% |
| TRACI R BATTEN4 | 375 HARBOUR COVE DR APT 323 SPARKS, NV 89434 | AFLAC | $19 | $0 | $19 | 0.03% |
| RUSSELL TINNEY4 | 3440 TORRINGTON WAY, APT 7, STE 101 FAYETTEVILLE, VA 28314 | AFLAC | $16 | $0 | $16 | 0.03% |
| DEBORAH A WITHEY4 | 2149 6TH ST NW HICKORY, NC 28601 | AFLAC | $16 | $0 | $16 | 0.03% |
| KATRINA D AIKEN4 | 2511 JUDITH ST LYNCHBURG, VA 24501 | AFLAC | $16 | $0 | $16 | 0.03% |
| 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 | $2 | $0 | $2 | 0.00% |
| FRANKLIN TRAVIS BLACK4 | 5981 WOODFIELD DR KERNERSVILLE, NC 27284 | AFLAC | $2 | $0 | $2 | 0.00% |
| ELIZABETH CUSHING4 | 74 TRESTLE LEAF PITTSBORO, NC 27312 | AFLAC | $2 | $0 | $2 | 0.00% |
| DAVID M. BLAIR4 Filed as: DAVID S. LACKEY | 6310 LONG LEAF CT, APT 2B HIGH POINT, NC 27265 | 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 | 64 SHELBY DR CRAWFORDVILLE, FL 32327 | AFLAC | $1 | $0 | $1 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.4 Filed as: ROBERT A. BROWN | 304 SHADOW VALLEY RD HIGH POINT, NC 27262 | 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 | 92 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 92 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AFLAC | 92 | $61K |
| Short-term disability | AFLAC | 92 | $61K |
| Other | AFLAC | 92 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 92 | — |
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.