| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEVEN ASHBY | PO BOX 813305 SMYRNA, GA 30081 | AFLAC | $7K | $105 | $7K | 7.82% |
| MARY B MCKINNEY | 1401 PEACHTREE ST NE ATLANTA, GA 30309 | AFLAC | $2K | $0 | $2K | 1.91% |
| WILLIE BURKS | 1170 PEACHTREE ST NE ATLANTA, GA 30309 | AFLAC | $2K | $0 | $2K | 1.63% |
| SHIRLEY M LLOYD Filed as: SHIRLEY M. LLOYD | 275 MERRITT DR LAWRENCEVILLE, GA 30044 | AFLAC | $1K | $21 | $1K | 1.53% |
| ELENI A NIKOLAS | 50 HURT PLZ SE ATLANTA, GA 30303 | AFLAC | $1K | $31 | $1K | 1.14% |
| MARY B MCKINNEY Filed as: MARY B. MCKINNEY | 1100 PEACHTREE ST NE ATLANTA, GA 30309 | AFLAC | $792 | $51 | $843 | 0.90% |
| DORIS L BRACKETT | 3233 HIGHGATE CHASE CT BERKELEY LAKE, GA 30092 | AFLAC | $682 | $10 | $692 | 0.74% |
| DIANE B SMITH | 101 LEAF LAKE BLVD BIRMINGHAM, AL 35211 | AFLAC | $288 | $0 | $288 | 0.31% |
| RAYMOND L MELVIN | 1553 NAVIGATOR CIR DACULA, GA 30019 | AFLAC | $247 | $0 | $247 | 0.26% |
| ROBERT L GOBLE | 1410 4TH STREET DR NW HICKORY, NC 28601 | AFLAC | $230 | $0 | $230 | 0.25% |
| DONALD LISBY | 580 CLIFTON ST SE ATLANTA, GA 30316 | AFLAC | $159 | $0 | $159 | 0.17% |
| THOMAS ROBERT GIDDENS | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $96 | $0 | $96 | 0.10% |
| ROBERT M LYMAN | 1145 SPARKLING CRYSTAL AVE HENDERSON, NV 89015 | AFLAC | $61 | $0 | $61 | 0.06% |
| DAVID C CLOUD JR | 12 TRENT DR SE ROME, GA 30161 | AFLAC | $60 | $0 | $60 | 0.06% |
| PEARLEAN WASHINGTON | 2518 DULUTH HIGHWAY 120 DULUTH, GA 30097 | AFLAC | $55 | $0 | $55 | 0.06% |
| BERNICE B FRANKLIN Filed as: BERNICE B. FRANKLIN | 3040 HIGHLANDS PKWY SMYRNA, GA 30082 | AFLAC | $49 | $0 | $49 | 0.05% |
| CHRISTOPHER LYMAN | 1145 SPARKLING CRYSTAL AVE HENDERSON, NV 89015 | AFLAC | $42 | $0 | $42 | 0.04% |
| GEORGE LEE WASHINGTON | 2518 DULUTH HIGHWAY 120 DULUTH, GA 30097 | AFLAC | $39 | $0 | $39 | 0.04% |
| RONALD S SANDERS | 1194 E LAKEVIEW DR SAN TAN VALLEY, AZ 85143 | AFLAC | $29 | $0 | $29 | 0.03% |
| DEBORAH B SMITH | 5703 BRYNWOOD CIR NW ACWORTH, GA 30101 | AFLAC | $27 | $0 | $27 | 0.03% |
| REGINALD B RUSHIN | PO BOX 311441 ATLANTA, GA 31131 | AFLAC | $22 | $0 | $22 | 0.02% |
| KATHERINE LATIMER | 90 CECILY CT FORTSON, GA 31808 | AFLAC | $20 | $0 | $20 | 0.02% |
| AMY A O SHIELDS | 5159 CALGARY DR DOUGLASVILLE, GA 30135 | AFLAC | $20 | $0 | $20 | 0.02% |
| LARRY W FLOWERS | 2318 PROVINCIAL POINT DR GAINESVILLE, GA 30501 | AFLAC | $18 | $0 | $18 | 0.02% |
| ALEXANDER B WARD | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | AFLAC | $18 | $0 | $18 | 0.02% |
| PAUL A LEE | PO BOX 248 KENNESAW, GA 30156 | AFLAC | $17 | $0 | $17 | 0.02% |
| ELIZABETH KATHLEEN SIKES | 352 HAWTHORNE RIDGE CIR DALLAS, GA 30132 | AFLAC | $16 | $0 | $16 | 0.02% |
| PAUL SHELBY AMOS II | 1932 WYNNTON RD COLUMBUS, GA 31999 | AFLAC | $12 | $0 | $12 | 0.01% |
| RYAN E MCPHAIL | 206 ARBOR CT CANTON, GA 30114 | AFLAC | $11 | $0 | $11 | 0.01% |
| RICHARD MICHAEL TIDWELL | 5511 KINGSLEY MNR CUMMING, GA 30041 | AFLAC | $11 | $0 | $11 | 0.01% |
| TODD CLARK LEE | 1443 LADY SLIPPER CT NW KENNESAW, GA 30152 | AFLAC | $10 | $0 | $10 | 0.01% |
| LANCE OSBORNE | 21822 SEACREST LN HUNTINGTON BEACH, CA 92646 | AFLAC | $8 | $0 | $8 | 0.01% |
| TARRAH SMITHSON Filed as: TARRAH L SMITHSON | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $7 | $0 | $7 | 0.01% |
| STEVEN VORDERLANDWEHR | 1599 AMHEARST MILL DR LAWRENCEVILLE, GA 30043 | AFLAC | $7 | $0 | $7 | 0.01% |
| ROBERT L. CAHN Filed as: ROBERT L CAHN | 3731 N COUNTRY CLUB DR APT 2225 AVENTURA, FL 33180 | AFLAC | $7 | $0 | $7 | 0.01% |
| SCOTTI MADISON | 3330 COBB PARKWAY NW ACWORTH, GA 30101 | AFLAC | $6 | $0 | $6 | 0.01% |
| MARIAN HORNE | PO BOX 1607 SNELLVILLE, GA 30078 | AFLAC | $6 | $0 | $6 | 0.01% |
| JONATHAN W MCCUTCHEON | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $6 | $0 | $6 | 0.01% |
| DUSTIN ROBERT JOHNSON Filed as: DUSTIN R JOHNSON | 50 HURT PLAZA SE ATLANTA, GA 30303 | AFLAC | $4 | — | $4 | 0.00% |
| DUSTIN ROBERT JOHNSON Filed as: DUSTIN R JOHNSON | 50 HURT PLAZA SE ATLANTA, GA 30303 | AFLAC | $4 | $0 | $4 | 0.00% |
| MELYNDA RAY-MCCUTCHEON Filed as: MELYNDA MCCUTCHEON | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $4 | $0 | $4 | 0.00% |
| ALLISON FARRIS WENDELBERGER | 207 SANTA FE DR WALNUT CREEK, CA 94598 | AFLAC | $4 | $0 | $4 | 0.00% |
| SCOTTI MADISON | 3330 COBB PARKWAY ACWORTH, GA 30101 | AFLAC | $3 | $0 | $3 | 0.00% |
| CHRISTIE MARZARI Filed as: CHRISTIE M MARZARI | 1932 WYNNTON RD COLUMBUS, GA 31999 | AFLAC | $2 | $0 | $2 | 0.00% |
| MICHAEL LEROY COY | 3571 FAR WEST BLVD AUSTIN, TX 78731 | AFLAC | $2 | $0 | $2 | 0.00% |
| MARTA M SASTRE | PO BOX 140127 CORAL GABLES, FL 33114 | AFLAC | $2 | $0 | $2 | 0.00% |
| STEVEN ASHBY | PO BOX 813305 SMYRNA, GA 30081 | AFLAC | $2K | $34 | $2K | 7.17% |
| WILLIE BURKS | 1170 PEACHTREE ST NE ATLANTA, GA 30309 | AFLAC | $603 | $0 | $603 | 1.80% |
| SHIRLEY M LLOYD | 275 MERRITT DR LAWRENCEVILLE, GA 30044 | AFLAC | $413 | $7 | $420 | 1.25% |
| MARY B MCKINNEY | 1401 PEACHTREE ST NE ATLANTA, GA 30309 | AFLAC | $239 | $0 | $239 | 0.71% |
| ELENI A NIKOLAS | 50 HURT PLZ SE ATLANTA, GA 30303 | AFLAC | $229 | $7 | $236 | 0.70% |
| DORIS L BRACKETT | 3233 HIGHGATE CHASE CT BERKELEY LAKE, GA 30092 | AFLAC | $176 | $0 | $176 | 0.52% |
| MARY B MCKINNEY | 1100 PEACHTREE ST NE ATLANTA, GA 30309 | AFLAC | $151 | $0 | $151 | 0.45% |
| DONALD LISBY | 580 CLIFTON ST SE ATLANTA, GA 30316 | AFLAC | $109 | $0 | $109 | 0.33% |
| DIANE B SMITH | 101 LEAF LAKE BLVD BIRMINGHAM, AL 35211 | AFLAC | $97 | $0 | $97 | 0.29% |
| THOMAS ROBERT GIDDENS Filed as: THOMAS R. GIDDENS | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $50 | $0 | $50 | 0.15% |
| ROBERT L GOBLE | 1410 4TH ST DR NW HICKORY, NC 28601 | AFLAC | $46 | $0 | $46 | 0.14% |
| RAYMOND L MELVIN | 1553 NAVIGATOR CIR DACULA, GA 30019 | AFLAC | $43 | $0 | $43 | 0.13% |
| BERNICE B FRANKLIN | 3040 HIGHLANDS PKWY SMYRNA, GA 30082 | AFLAC | $34 | $0 | $34 | 0.10% |
| CHRISTOPHER LYMAN | 1145 SPARKLING CRYSTAL AVE HENDERSON, NV 89015 | AFLAC | $19 | $0 | $19 | 0.06% |
| ROBERT M LYMAN | 1145 SPARKLING CRYSTAL AVE HENDERSON, NV 89015 | AFLAC | $15 | $0 | $15 | 0.04% |
| KATHERINE LATIMER | 90 CECILY CT FORTSON, GA 31808 | AFLAC | $13 | $0 | $13 | 0.04% |
| DAVID C CLOUD JR | 12 TRENT DR SE ROME, GA 30161 | AFLAC | $10 | $0 | $10 | 0.03% |
| REGINALD B RUSHIN | PO BOX 311441 ATLANTA, GA 31131 | AFLAC | $9 | $0 | $9 | 0.03% |
| DEBORAH B SMITH | 5703 BRYNWOOD CIR NW ACWORTH, GA 30101 | AFLAC | $7 | $0 | $7 | 0.02% |
| RONALD S SANDERS | 1194 E LAKEVIEW DR SAN TAN VALLEY, AZ 85143 | AFLAC | $6 | $0 | $6 | 0.02% |
| AMY A O SHIELDS | 5159 CALGARY DR DOUGLASVILLE, GA 30135 | AFLAC | $5 | $0 | $5 | 0.01% |
| ALEXANDER B WARD | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | AFLAC | $5 | $0 | $5 | 0.01% |
| PAUL SHELBY AMOS II | 1932 WYNNTON RD COLUMBUS, GA 31999 | AFLAC | $5 | $0 | $5 | 0.01% |
| JONATHAN W MCCUTCHEON | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $4 | $0 | $4 | 0.01% |
| TARRAH SMITHSON Filed as: TARRAH L SMITHSON | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $3 | $0 | $3 | 0.01% |
| STEVEN VORDERLANDWEHR | 1599 AMHEARST MILL DR LAWRENCEVILLE, GA 30043 | AFLAC | $3 | $0 | $3 | 0.01% |
| RICHARD MICHAEL TIDWELL | 5511 KINGSLEY MNR CUMMING, GA 30041 | AFLAC | $3 | $0 | $3 | 0.01% |
| LANCE OSBORNE | 21822 SEACREST LN HUNTINGTN BCH, CA 92646 | AFLAC | $3 | $0 | $3 | 0.01% |
| ALLISON FARRIS WENDELBERGER | 207 SANTA FE DR WALNUT CREEK, CA 94598 | AFLAC | $3 | $0 | $3 | 0.01% |
| SCOTTI MADISON | 3330 COBB PARKWAY NW ACWORTH, GA 30101 | AFLAC | $2 | $0 | $2 | 0.01% |
| RYAN E MCPHAIL | 206 ARBOR CT CANTON, GA 30114 | AFLAC | $2 | $0 | $2 | 0.01% |
| DUSTIN ROBERT JOHNSON | 50 HURT PLZ SE ATLANTA, GA 30303 | AFLAC | $1 | $0 | $1 | 0.00% |
| DUSTIN ROBERT JOHNSON | 50 HURT PLZ SE STE 995 ATLANTA, GA 30303 | AFLAC | $1 | $0 | $1 | 0.00% |
| STEVEN ASHBY | PO BOX 813305 SMYRA, GA 30081 | AFLAC | $1K | $34 | $1K | 10.22% |
| MARY B MCKINNEY Filed as: MARY B. MCKINNEY | 1401 PEACHTREE ST NE ATLANTA, GA 30309 | AFLAC | $429 | $8 | $437 | 3.77% |
| SHIRLEY M LLOYD Filed as: SHIRLEY M. LLOYD | 275 MERRITT DR LAWRENCEVILLE, GA 30044 | AFLAC | $285 | $8 | $293 | 2.52% |
| ELENI A NIKOLAS | 50 HURT PLAZA ATLANTA, GA 30303 | AFLAC | $222 | $8 | $230 | 1.98% |
| WILLIE BURKS | 1170 PEACHTREE ST NE ATLANTA, GA 30309 | AFLAC | $131 | — | $131 | 1.13% |
| MARY B MCKINNEY Filed as: MARY B. MCKINNEY | 1100 PEACHTREE ST NE ATLANTA, GA 30309 | AFLAC | $123 | — | $123 | 1.06% |
| DORIS L BRACKETT | 3233 HIGHGATE CHASE CT BERKELEY LAKE, GA 30092 | AFLAC | $116 | — | $116 | 1.00% |
| CHRISTOPHER LYMAN | 1145 SPARKLING CRYSTAL AVE HENDERSON, NV 89015 | AFLAC | $39 | — | $39 | 0.34% |
| ROBERT L GOBLE | 1410 4TH STREET DR NW HICKORY, NC 28601 | AFLAC | $30 | — | $30 | 0.26% |
| DIANE B SMITH Filed as: DIANE B. SMITH | 101 LEAF LAKE BLVD BIRMINGHAM, AL 35211 | AFLAC | $27 | — | $27 | 0.23% |
| RAYMOND L MELVIN Filed as: RAYMOND L. MELVIN | 1553 NAVIGATOR CIR DACULA, GA 30019 | AFLAC | $18 | — | $18 | 0.16% |
| DONALD LISBY | 580 CLIFTON ST SE ATLANTA, GA 30316 | AFLAC | $13 | — | $13 | 0.11% |
| THOMAS ROBERT GIDDENS | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $7 | — | $7 | 0.06% |
| DAVID C CLOUD JR Filed as: DAVID C. CLOUD JR | 12 TRENT DR SE ROME, GA 30161 | AFLAC | $5 | — | $5 | 0.04% |
| RONALD S SANDERS Filed as: RONALD S. SANDERS | 1194 E. LAKEVIEW DR SAN TAN VALLEY, AZ 85143 | AFLAC | $5 | — | $5 | 0.04% |
| DEBORAH B SMITH | 5703 BRYNWOOD CIR NW ACWORTH, GA 30101 | AFLAC | $3 | — | $3 | 0.03% |
| REGINALD B RUSHIN | PO BOX 311441 ATLANTA, GA 31131 | AFLAC | $3 | — | $3 | 0.03% |
| KATHERINE LATIMER | 90 CECILY CT FORTSON, GA 31808 | AFLAC | $2 | — | $2 | 0.02% |
| RYAN E MCPHAIL Filed as: RYAN E. MCPHAIL | 206 ARBOR COURT CANTON, GA 30114 | AFLAC | $2 | — | $2 | 0.02% |
| RICHARD MICHAEL TIDWELL | 5511 KINGSLEY MNR CUMMING, GA 30041 | AFLAC | $2 | — | $2 | 0.02% |
| AMY A O SHIELDS Filed as: AMY SHIELDS | 5159 CALGARY DR DOUGLASVILLE, GA 30135 | AFLAC | $1 | — | $1 | 0.01% |
| ALEXANDER B WARD | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | AFLAC | $1 | — | $1 | 0.01% |
| MICHAEL LEROY COY | 3571 FAR WEST BLVD AUSTIN, TX 78731 | AFLAC | $1 | — | $1 | 0.01% |
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 | 246 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 246 | 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.