| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JRP AGENCY LLC3 Filed as: JRP AGENCY, LLC | 4712 RADAR SITE RD VALDOSTA, GA 31605 | AFLAC | $7K | $205 | $7K | 7.14% |
| KAREN D PARKER3 | 2863 WILLOW WOOD CIR VALDOSTA, GA 31602 | AFLAC | $5K | $10 | $5K | 5.14% |
| TIMOTHY R GOLDEN3 | 110 BEACON HILL VALDOSTA, GA 31602 | AFLAC | $3K | $102 | $3K | 3.05% |
| PARKERZ INSURANCE LLC3 Filed as: PARKERZ INSURANCE, LLC | 4676 SAN SABA DR HAHIRA, GA 31632 | AFLAC | $2K | — | $2K | 2.21% |
| KAREN P BENNETT3 | 2863 WILLOW WOOD CIR VALDOSTA, GA 31602 | AFLAC | $1K | $195 | $1K | 1.41% |
| LARA CARLSON3 Filed as: LARA K CARLSON | 106 LAUREL VIEW DR ST SIMONS ISLAND, GA 31522 | AFLAC | $1K | $102 | $1K | 1.36% |
| CARSON LEE CHERRY3 | 1425 PIEDMONT DR E STE 101B TALLAHASSEE, FL 32308 | AFLAC | $1K | — | $1K | 1.32% |
| KIM J WILLIAMS3 | 2685 WILLIAMS RD LEWISVILLE, NC 27023 | AFLAC | $872 | $102 | $974 | 0.95% |
| WILLIAM L AMOS & CO INC3 | 6801 RIVER RD STE 205 COLUMBUS, GA 31904 | AFLAC | $237 | — | $237 | 0.23% |
| BRYAN SHOVER3 Filed as: BRYAN D SHOVER | 309 KNOB HILL RD VALDOSTA, GA 31602 | AFLAC | $112 | — | $112 | 0.11% |
| BRADLEY BOLICK3 Filed as: BRADLEY S BOLICK | 6433 FALL BRANCH DR COLUMBUS, GA 31904 | AFLAC | $57 | — | $57 | 0.06% |
| RPM LTD3 | PO BOX 484 BLOOMINGDALE, GA 31302 | AFLAC | $36 | — | $36 | 0.03% |
| SUE C TUCKER3 | 9856 US HIGHWAY 29 N CUSSETA, AL 36852 | AFLAC | $21 | — | $21 | 0.02% |
| WILLIAM L AMOS & CO INC3 | 6801 RIVER RD STE 205 COLUMBUS, GA 31904 | AFLAC | $10 | — | $10 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD 5TH FLOOR ROLLING MEADOWS, IL 60008 | GUARDIAN | $7K | — | $7K | 10.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 | INSURANCE PT. GALLAGHER SUBSIDIARY PO BOX 3009 ARLINGTON HEIGHTS, IL 600063009 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | ARTHUR J. GALLAGHER AND CO. 400 MIDLAND DRIVE STE 300 MT LAUREL, NJ 08054 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 1.63% |
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 | 151 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 151 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 246 | $1.5M |
| Dental | GUARDIAN | 129 | $72K |
| Vision | GUARDIAN | 129 | $72K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 180 | $68K |
| Short-term disability | AFLAC | 136 | $103K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 246 | $1.5M |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 180 | $68K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 246 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.