| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEVEN ASHBY | P.O. BOX 813305 SMYRNA, GA 30081 | AFLAC | $4K | $78 | $4K | 8.40% |
| WILLIE BURKS | 1170 PEACHTREE ST NE STE 1200 ATLANTA, GA 30309 | AFLAC | $858 | $0 | $858 | 2.00% |
| MARY B MCKINNEY Filed as: MARY B. MCKINNEY | 1401 PEACHTREE ST NE STE 500 ATLANTA, GA 30309 | AFLAC | $782 | $56 | $838 | 1.96% |
| SHIRLEY M LLOYD Filed as: SHIRLEY M. LLOYD | 275 MERRITT DRIVE LAWRENCEVILLE, GA 30044 | AFLAC | $658 | $27 | $685 | 1.60% |
| ELENI A NIKOLAS Filed as: ELENI A KRAUSE | 50 HURT PLZ SE STE 995 THE HURT BUILDING ATLANTA, GA 30303 | AFLAC | $331 | $27 | $358 | 0.84% |
| DORIS L BRACKETT Filed as: DORIS L. BRACKETT | 3233 HIGHGATE CHASE CT BERKELEY LAKE, GA 30092 | AFLAC | $223 | $0 | $223 | 0.52% |
| DIANE B SMITH Filed as: DIANE B. SMITH | 101 LEAF LAKE BLVD APT 915 BIRMINGHAM, AL 35211 | AFLAC | $158 | $0 | $158 | 0.37% |
| DONAD LISBY | 580 CLIFTON ST SE ATLANTA, GA 30316 | AFLAC | $147 | $0 | $147 | 0.34% |
| ELENI A NIKOLAS Filed as: ELENI A. NIKOLAS | 50 HURT PLZ SE STE 1630 THE HURT BUILDING ATLANTA, GA 30303 | AFLAC | $68 | $0 | $68 | 0.16% |
| THOMAS ROBERT GIDDENS | P.O. BOX 2517 KENNESAW, GA 30156 | AFLAC | $66 | $0 | $66 | 0.15% |
| ROBERT L GOBLE Filed as: ROBERT L. GOBLE | 1410 4TH STREET DR NW UNIT 208 HICKORY, NC 28801 | AFLAC | $52 | $0 | $52 | 0.12% |
| BERNICE B FRANKLIN Filed as: BERNICE B. FRANKLIN | 3040 HIGHLANDS PKWY STE A SMYRNA, GA 30082 | AFLAC | $51 | $0 | $51 | 0.12% |
| RAYMOND L MELVIN Filed as: RAYMOND L. MELVIN | 1553 NAVIGATOR CIRCLE DACULA, GA 30019 | AFLAC | $46 | $0 | $46 | 0.11% |
| CHRISTOPHER LYMAN | 1145 SPARKLING CRYSTAL AVENUE HENDERSON, NV 89015 | AFLAC | $19 | $0 | $19 | 0.04% |
| DAVID C CLOUD JR Filed as: DAVID C. CLOUD JR. | 1301 SHILOH ROAD NW STE 1020 KENNESAW, GA 30144 | AFLAC | $18 | $0 | $18 | 0.04% |
| ROBERT M LYMAN Filed as: ROBERT M. LYMAN | 1145 SPARKLING CRYSTAL AVENUE HENDERSON, NV 89015 | AFLAC | $16 | $0 | $16 | 0.04% |
| KATHERINE LATIMER | 90 CECILY CT FORTSON, GA 31808 | AFLAC | $12 | $0 | $12 | 0.03% |
| REGINALD B RUSHIN Filed as: REGINALD B. RUSHIN | P.O. BOX 311441 ATLANTA, GA 31131 | AFLAC | $9 | $0 | $9 | 0.02% |
| DEBORAH B SMITH Filed as: DEBORAH B. SMITH | 4720 TWIN OAKS DRIVE NW KENNESAW, GA 30152 | AFLAC | $8 | $0 | $8 | 0.02% |
| RONALD S SANDERS Filed as: RONALD S. SANDERS | 1194 E LAKEWVIEW DRIVE SAN TAN VALLEY, AZ 85143 | AFLAC | $6 | $0 | $6 | 0.01% |
| PAUL SHELBY AMOS II | 1932 WYNNTON ROAD 14TH FLOOR COLUMBUS, GA 31999 | AFLAC | $5 | $0 | $5 | 0.01% |
| AMY A O SHIELDS Filed as: AMY A. O. SHIELDS | 5159 CALGARY DRIVE DOUGLASVILLE, GA 30135 | AFLAC | $4 | $0 | $4 | 0.01% |
| ALEXANDER B WARD Filed as: ALEXANDER B. WARD | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | AFLAC | $4 | $0 | $4 | 0.01% |
| JONATHAN W MCCUTCHEON | 1150 MALLARD LAKE DRIVE BOGART, GA 30622 | AFLAC | $3 | $0 | $3 | 0.01% |
| LANCE OSBORNE | 21822 SEACREST LN HUNTINGTON BEACH, CA 92646 | AFLAC | $3 | $0 | $3 | 0.01% |
| ALLISON FARRIS WENDELBERGER | 1839 YGNACIO VALLEY ROAD SUITE 393 WALNUT CREEK, CA 94598 | AFLAC | $3 | $0 | $3 | 0.01% |
| TARRAH SMITHSON Filed as: TARRAH L. SMITHSON | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $2 | $0 | $2 | 0.00% |
| SCOTTI MADISON | 3330 COBB PARKWAY SUITE 324-3 ACWORTH, GA 30101 | AFLAC | $2 | $0 | $2 | 0.00% |
| DUSTIN ROBERT JOHNSON | 50 HURT PLZ SE STE 995 THE HURT BUILDING ATLANTA, GA 30303 | AFLAC | $2 | $0 | $2 | 0.00% |
| RICHARD MICHAEL TIDWELL | 5511 KINGSLEY MANOR CUMMING, GA 30041 | AFLAC | $2 | $0 | $2 | 0.00% |
| STEVEN VORDERLANDWEHR | 1599 AMHEARST MILL DR LAWRENCEVILLE, GA 30043 | AFLAC | $1 | $0 | $1 | 0.00% |
| STEVEN VORDERLANDWEHR | 1242 HADAWAY TRL LAWRENCEVILLE, GA 30043 | AFLAC | $1 | $0 | $1 | 0.00% |
| RYAN E MCPHAIL Filed as: RYAN E. MCPHAIL | 206 ARBOR CT CANTON, GA 30114 | AFLAC | $1 | $0 | $1 | 0.00% |
| MICHAEL LEROY COY | 3571 FAR WEST BLVD #42 AUSTIN, TX 78731 | AFLAC | $0 | $0 | $0 | 0.00% |
| MELYNDA RAY-MCCUTCHEON | 1150 MALLARD LAKE DRIVE BOGART, GA 30622 | AFLAC | $0 | $0 | $0 | 0.00% |
| STEVEN ASHBY | P.O. BOX 813305 SMYRNA, GA 30081 | AFLAC | $994 | $18 | $1K | 9.76% |
| MARY B MCKINNEY Filed as: MARY B. MCKINNEY | 1401 PEACHTREE ST NE STE 500 ATLANTA, GA 30309 | AFLAC | $449 | $18 | $467 | 4.50% |
| SHIRLEY M LLOYD Filed as: SHIRLEY M. LLOYD | 275 MERRITT DRIVE LAWRENCEVILLE, GA 30044 | AFLAC | $205 | $7 | $212 | 2.04% |
| WILLIE BURKS | 1170 PEACHTREE ST NE STE 1200 ATLANTA, GA 30309 | AFLAC | $155 | $0 | $155 | 1.49% |
| DORIS L BRACKETT Filed as: DORIS L. BRACKETT | 3233 HIGHGATE CHASECT BERKELEY LAKE, GA 30092 | AFLAC | $92 | $0 | $92 | 0.89% |
| ELENI A NIKOLAS Filed as: ELENI A. NIKOLAS | 50 HURT PLZ SE STE 1630 THE HURT BUILDING ATLANTA, GA 30303 | AFLAC | $87 | $0 | $87 | 0.84% |
| ELENI A NIKOLAS Filed as: ELENI A. KRAUSE | 50 HURT PLZ SE STE 995 THE HURT BUILDING ATLANTA, GA 30303 | AFLAC | $78 | $7 | $85 | 0.82% |
| CHRISTOPHER LYMAN | 1145 SPARKLING CRYSTAL AVENUE HENDERSON, NV 89015 | AFLAC | $50 | $0 | $50 | 0.48% |
| ROBERT L GOBLE Filed as: ROBERT L. GOBLE | 1410 4TH STREET DR NW UNIT 208 HICKORY, NC 28801 | AFLAC | $36 | $0 | $36 | 0.35% |
| DIANE B SMITH Filed as: DIANE B. SMITH | 101 LEAF LAKE BLVD APT 915 BIRMINGHAM, AL 35211 | AFLAC | $35 | $0 | $35 | 0.34% |
| RAYMOND L MELVIN Filed as: RAYMOND L. MELVIN | 1553 NAVIGATOR CIR DACULA, GA 30019 | AFLAC | $19 | $0 | $19 | 0.18% |
| DONALD LISBY | 580 CLIFTON ST SE ATLANTA, GA 30316 | AFLAC | $14 | $0 | $14 | 0.13% |
| THOMAS ROBERT GIDDENS | P.O. BOX 2517 KENNESAW, GA 30156 | AFLAC | $8 | $0 | $8 | 0.08% |
| DAVID C CLOUD JR Filed as: DAVID C. CLOUD JR. | 1301 SHILOH RD NW STE 1020 KENNESAW, GA 30144 | AFLAC | $6 | $0 | $6 | 0.06% |
| RONALD S SANDERS Filed as: RONALD S. SANDERS | 1194 E. LAKEVIEW DR SAN TAN VALLEY, AZ 85143 | AFLAC | $5 | $0 | $5 | 0.05% |
| REGINALD B RUSHIN Filed as: REGINALD B. RUSHIN | P.O. BOX 311441 ALANTA, GA 31131 | AFLAC | $4 | $0 | $4 | 0.04% |
| BERNICE B FRANKLIN Filed as: BERNICE B. FRANKLIN | 3040 HIGHLANDS PKWY STE A SMYRNA, GA 30062 | AFLAC | $2 | $0 | $2 | 0.02% |
| DEBORAH B SMITH Filed as: DEBORAH B. SMITH | 4720 TWIN OAKS DRIVE NW KENNESAW, GA 30152 | AFLAC | $2 | $0 | $2 | 0.02% |
| MICHAEL LEROY COY | 3571 FAR WEST BLVD #42 AUSTIN, TX 78731 | AFLAC | $1 | $0 | $1 | 0.01% |
| KATHERINE LATIMER | 90 CECILY CT FORTSON, GA 31808 | AFLAC | $1 | $0 | $1 | 0.01% |
| RYAN E MCPHAIL Filed as: RYAN E. MCPHAIL | 206 ARBOR CT CANTON, GA 30114 | AFLAC | $1 | $0 | $1 | 0.01% |
| RICHARD MICHAEL TIDWELL | 5511 KINGSLEY MANOR CUMMING, GA 30041 | AFLAC | $1 | $0 | $1 | 0.01% |
| STEVEN VORDERLANDWEHR | 1242 HADAWAY TRL LAWRENCEVILLE, GA 30043 | AFLAC | $0 | $0 | $0 | 0.00% |
| STEVEN VORDERLANDWEHR | 1599 AMHEARST MILL DR LAWRENCEVILLE, GA 30043 | AFLAC | $0 | $0 | $0 | 0.00% |
| ALLISON FARRIS WENDELBERGER | 1839 YGNACIO VALLEY RD SUITE 393 WALNUT CREEK, GA 94598 | AFLAC | $0 | $0 | $0 | 0.00% |
| MELYNDA RAY-MCCUTCHEON | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $0 | $0 | $0 | 0.00% |
| ROBERT M LYMAN Filed as: ROBERT M. LYMAN | 1145 SPARKLING CRYSTAL AVENUE HENDERSON, NV 89015 | AFLAC | $0 | $0 | $0 | 0.00% |
| TARRAH SMITHSON Filed as: TARRAH L. SMITHSON | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $0 | $0 | $0 | 0.00% |
| DUSTIN ROBERT JOHNSON | 50 HURT PLZ SE STE 995 ATLANTA, GA 30303 | AFLAC | $0 | $0 | $0 | 0.00% |
| LANCE OSBORNE | 21822 SEACREST LN HUNTINGTON BEACH, CA 92646 | AFLAC | $0 | $0 | $0 | 0.00% |
| PAUL SHELBY AMOS II | 1932 WYNNTON ROAD 14TH FLOOR COLUMBUS, GA 31999 | AFLAC | $0 | $0 | $0 | 0.00% |
| JONATHAN W MCCUTCHEON Filed as: JONATHAN W. MCCUTCHEON | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $0 | $0 | $0 | 0.00% |
| AMY A O SHIELDS Filed as: AMY A. O. SHIELDS | 5159 CALGARY DRIVE DOUGLASVILLE, GA 30135 | AFLAC | $0 | $0 | $0 | 0.00% |
| ALEXANDER B WARD Filed as: ALEXANDER B. WARD | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | AFLAC | $0 | $0 | $0 | 0.00% |
| SCOTTI MADISON | 3330 COBB PARKWAY SUITE 324-3 ACWORTH, GA 30101 | AFLAC | $0 | $0 | $0 | 0.00% |
| STEVEN ASHBY | P.O. BOX 813305 SMYRNA, GA 30081 | AFLAC | $8K | $78 | $9K | 82.88% |
| MARY B MCKINNEY Filed as: MARY B. MCKINNEY | 1401 PEACHTREE ST NE STE 500 ATLANTA, GA 30309 | AFLAC | $2K | $45 | $2K | 23.56% |
| WILLIE BURKS | 1170 PEACHTREE ST NE STE 1200 ATLANTA, GA 30309 | AFLAC | $2K | $0 | $2K | 19.39% |
| SHIRLEY M LLOYD Filed as: SHIRLEY M. LLOYD | 275 MERRITT DRIVE LAWRENCVILLE, GA 30044 | AFLAC | $2K | $24 | $2K | 14.98% |
| ELENI A NIKOLAS Filed as: ELENI A. KRAUSE | 50 HURT PLZ SE STE 995 THE HURT BUILDING ATLANTA, GA 30303 | AFLAC | $687 | $24 | $711 | 6.91% |
| DORIS L BRACKETT Filed as: DORIS L. BRACKETT | 3233 HIGHGATE CHASE CT BERKELEY LAKE, GA 30092 | AFLAC | $632 | $0 | $632 | 6.14% |
| DIANE B SMITH Filed as: DIANE B. SMITH | 101 LEAF LAKE BLVD APT 915 BIRMINGHAM, AL 35211 | AFLAC | $407 | $0 | $407 | 3.95% |
| ELENI A NIKOLAS Filed as: ELENI A. NIKOLAS | 50 HURT PLZ SE STE 1630 THE HURT BUILDING ATLANTA, GA 30303 | AFLAC | $352 | $0 | $352 | 3.42% |
| ROBERT L GOBLE Filed as: ROBERT L. GOBLE | 1410 4TH STREET DR NW UNIT 208 HICKORY, NC 28601 | AFLAC | $342 | $0 | $342 | 3.32% |
| RAYMOND L MELVIN Filed as: RAYMOND L. MELVIN | 1553 NAVIGATOR CIR DACULA, GA 30019 | AFLAC | $334 | $0 | $334 | 3.24% |
| DONALD LISBY | 580 CLIFTON ST SE ATLANTA, GA 30316 | AFLAC | $163 | $0 | $163 | 1.58% |
| THOMAS ROBERT GIDDENS | P.O. BOX 2517 KENNESAW, GA 30156 | AFLAC | $99 | $0 | $99 | 0.96% |
| CHRISTOPHER LYMAN | 1145 SPARKLING CRYTAL AVENUE HENDERSON, NV 89015 | AFLAC | $97 | $0 | $97 | 0.94% |
| DAVID C CLOUD JR Filed as: DAVID C. CLOUD JR. | 1301 SHILOH RD NW STE 1020 KENNESAW, GA 30144 | AFLAC | $91 | $0 | $91 | 0.88% |
| ROBERT M LYMAN Filed as: ROBERT M. LYMAN | 1145 SPARKLING CRYSTAL AVENUE HENDERSON, NV 89015 | AFLAC | $74 | $0 | $74 | 0.72% |
| BERNICE B FRANKLIN Filed as: BERNICE B. FRANKLIN | 3040 HIGHLANDS PKWY STE A SMYRNA, GA 30082 | AFLAC | $56 | $0 | $56 | 0.54% |
| RONALD S SANDERS Filed as: RONALD SANDERS | 1194 E. LAKEVIEW DR SAN TAN VALLEY, AZ 85143 | AFLAC | $42 | $0 | $42 | 0.41% |
| DEBORAH B SMITH Filed as: DEBORAH B. SMITH | 4720 TWIN OAKS DR NW KENNESAW, GA 30152 | AFLAC | $28 | $0 | $28 | 0.27% |
| REGINALD B RUSHIN Filed as: REGINALD B. RUSHIN | P.O. BOX 311441 ATLANTA, GA 31131 | AFLAC | $24 | $0 | $24 | 0.23% |
| ELIZABETH KATHLEEN SIKES | 352 HAWTHORNE RIDGE CIR DALLAS, GA 30132 | AFLAC | $22 | $0 | $22 | 0.21% |
| PHILLIP B. KITTELL | 658 PORTABELLO LANE MARIETTA, GA 30086 | AFLAC | $18 | $0 | $18 | 0.17% |
| AMY A O SHIELDS Filed as: AMY A. O. SHIELDS | 5159 CALGARY DRIVE DOUGLASVILLE, GA 30135 | AFLAC | $17 | $0 | $17 | 0.17% |
| PAUL A LEE Filed as: PAUL A. LEE | P.O. BOX 248 KENNESAW, GA 30156 | AFLAC | $15 | $0 | $15 | 0.15% |
| ALEXANDER B WARD Filed as: ALEXANDER B. WARD | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | AFLAC | $15 | $0 | $15 | 0.15% |
| KATHERINE LATIMER | 90 CECILY CT FORTSON, GA 31808 | AFLAC | $13 | $0 | $13 | 0.13% |
| RYAN E MCPHAIL Filed as: RYAN E. MCPHAIL | 206 ARBOR CT CANTON, GA 30114 | AFLAC | $11 | $0 | $11 | 0.11% |
| RICHARD MICHAEL TIDWELL | 5511 KINSGLEY MANOR CUMMING, GA 30041 | AFLAC | $11 | $0 | $11 | 0.11% |
| TODD CLARK LEE | 1443 LADY SLIPPER CT NW KENNESAW, GA 30152 | AFLAC | $9 | $0 | $9 | 0.09% |
| PAUL SHELBY AMOS II | 1932 WYNNTON ROAD 14TH FLOOR COLUMBUS, GA 31999 | AFLAC | $9 | $0 | $9 | 0.09% |
| ROBERT L. CAHN | 3731 N. COUNTRY CLUB DRIVE APT 2225 AVENTURA, FL 33180 | AFLAC | $7 | $0 | $7 | 0.07% |
| SCOTTI MADISON | 3330 COBB PARKWAY SUITE 324-3 ACWORTH, GA 30101 | AFLAC | $7 | $0 | $7 | 0.07% |
| JONATHAN W MCCUTCHEON Filed as: JONATHAN W. MCCUTCHEON | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $6 | $0 | $6 | 0.06% |
| TARRAH SMITHSON Filed as: TARRAH L. SMITHSON | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $6 | $0 | $6 | 0.06% |
| DUSTIN ROBERT JOHNSON | 50 HURT PLZ SE STE 995 ATLANTA, GA 30303 | AFLAC | $6 | $0 | $6 | 0.06% |
| LEE P COHEN Filed as: LEE P. COHEN | P.O. BOX 49347 SARASOTA, FL 34230 | AFLAC | $6 | $0 | $6 | 0.06% |
| LANCE OSBORNE | 21822 SEACREST LN HUNTINGTON BEACH, CA 92646 | AFLAC | $5 | $0 | $5 | 0.05% |
| STEVEN KAISER | 4120 OLD BARK WAY CUMMING, GA 30041 | AFLAC | $5 | $0 | $5 | 0.05% |
| KCI FINANCIAL SERV. INC Filed as: KCI FINANCIAL SERV. INC. | P.O. BOX 49347 SARASOTA, FL 34230 | AFLAC | $5 | $0 | $5 | 0.05% |
| STEVEN VORDERLANDWEHR | 1599 AMHEARST MILL DR LAWRENCEVILLE, GA 30043 | AFLAC | $3 | $0 | $3 | 0.03% |
| DONNA CHIN LOY | 2370 49TH WAY N WEST PALM BEACH, FL 33417 | AFLAC | $3 | $0 | $3 | 0.03% |
| STEVEN VORDERLANDWEHR | 1242 HADAWAY TRL LAWRENCEVILLE, GA 30043 | AFLAC | $3 | $0 | $3 | 0.03% |
| LEE P COHEN Filed as: LEE P. COHEN | P.O. BOX 49347 SARASOTA, FL 34230 | AFLAC | $3 | $0 | $3 | 0.03% |
| MELYNDA RAY-MCCUTCHEON | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $3 | $0 | $3 | 0.03% |
| ALLISON FARRIS WENDELBERGER | 1839 YGNACIO VALLEY ROAD SUITE 393 WALNUT CREEK, CA 94598 | AFLAC | $3 | $0 | $3 | 0.03% |
| MICHAEL LEROY COY | 3571 FAR WEST BLVD #42 AUSTIN, TX 78731 | AFLAC | $2 | — | $2 | 0.02% |
| CHRISTIE MARZARI Filed as: CHRISTIE M. MARZARI | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $1 | $0 | $1 | 0.01% |
| MARTA M SASTRE Filed as: MARTA M. SASTRE | P.O. BOX 140127 CORAL CABLES, FL 33114 | AFLAC | $1 | $0 | $1 | 0.01% |
| THOMAS R BAILEY Filed as: THOMAS R. BAILEY | 142 MAPLE COURT NW CHARLESTON, TN 37310 | AFLAC | $0 | $0 | $0 | 0.00% |
| C HUDSON AND ASSOCIATES | 2843 TWIN PINE RD THOMSON, GA 30824 | 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 | 230 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 230 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.