| 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 | $4K | $163 | $4K | 5.03% |
| KAREN D PARKER3 | 4754 CAT CREEK RD VALDOSTA, GA 31605 | AFLAC | $3K | $163 | $3K | 3.73% |
| TIMOTHY R GOLDEN3 | 110 BEACON HILL VALDOSTA, GA 31602 | AFLAC | $1K | $81 | $1K | 1.85% |
| PARKERZ INSURANCE LLC3 Filed as: PARKERZ INSURANCE, LLC | 4676 SAN SABA DR HAHIRA, GA 31632 | AFLAC | $780 | $81 | $861 | 1.15% |
| LARA CARLSON3 Filed as: LARA K CARLSON | 106 LAUREL VIEW DR ST SIMONS ISLAND, GA 31522 | AFLAC | $722 | — | $722 | 0.97% |
| BRYAN SHOVER3 Filed as: BRYAN D SHOVER | 309 KNOB HILL RD VALDOSTA, GA 31602 | AFLAC | $532 | $81 | $613 | 0.82% |
| ZACHARY PARKER3 | 4676 SAN SABA DR HAHIRA, GA 31632 | AFLAC | $412 | — | $412 | 0.55% |
| KIM J WILLIAMS3 | 2685 WILLIAMS RD LEWISVILLE, NC 27023 | AFLAC | $338 | — | $338 | 0.45% |
| WILLIAM L AMOS & CO INC3 | 7100 STILLWATER DR COLUMBUS, GA 31904 | AFLAC | $164 | — | $164 | 0.22% |
| CARSON LEE CHERRY3 | 1425 PIEDMONT DR E STE 101B TALLAHASSEE, FL 32308 | AFLAC | $142 | — | $142 | 0.19% |
| BRADLEY BOLICK3 Filed as: BRADLEY S BOLICK | 6433 FALL BRANCH DR COLUMBUS, GA 31904 | AFLAC | $39 | — | $39 | 0.05% |
| RPM LTD3 | PO BOX 484 BLOOMINGDALE, GA 31302 | AFLAC | $24 | — | $24 | 0.03% |
| SUE C TUCKER3 | 9856 US HIGHWAY 29 N CUSSETA, AL 36852 | AFLAC | $15 | — | $15 | 0.02% |
| BENEFIT ADVISORS OF GEORGIA INC3 Filed as: BENEFIT ADVISORS OF GEORGIA, INC | PO BOX 465778 LAWRENCEVILLE, GA 30042 | PRINCIPAL LIFE INSURANCE COMPANY | $7K | — | $7K | 10.26% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE & FINANCIAL | 12404 PARK CENTRAL DR STE 400S DALLAS, TX 752511800 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $2K | $4K | 5.70% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: BLUE CROSS & BLUE SHIELD OF ALABAMA | 450 RIVERCHASE PKWY E HOOVER, AL 352442858 | VISION SERVICE PLAN | $1K | — | $1K | 10.02% |
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 | 188 | 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) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 205 | $1.5M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 205 | $1.6M |
| Vision | VISION SERVICE PLAN | 92 | $13K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 380 | $53K |
| Short-term disability | AFLAC | 89 | $75K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 205 | $1.5M |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 380 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 380 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.