| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DOUGLAS J SUCHECKI3 Filed as: DOUGLAS SUCHECKI AND OTHER AGENTS | 21 HEARTWOOD DRIVE CATAULA, GA 31804 | AFLAC | $240K | $23K | $263K | 2.80% |
| JOHN E CARTER III3 Filed as: JOHN CARTER III | 1050 MOUNTAIN VIEW WAY PINE MOUNTAIN, GA 31822 | AFLAC | $73K | $2K | $75K | 0.79% |
| RICHARD CARTER SR3 | 1224 PEACOCK AVENUE, SUITE 205 COLUMBUS, GA 31906 | AFLAC | $63K | $2K | $65K | 0.69% |
| KIMBERLY CONYERS3 Filed as: KIMBERLY CONYERS AND OTHER AGENTS | 427 CROWN DRIVE, UNIT 406 FORT MILL, SC 29708 | AFLAC | $60K | $3K | $62K | 0.67% |
| MATHIS BENEFIT SERVICES LLC3 Filed as: MATHIS BENEFITS SERVICES, LLC | 7310 NORTH LAKE DRIVE, SUITE B COLUMBUS, GA 31909 | AFLAC | $49K | $1K | $51K | 0.54% |
| PREMIER BENEFIT ADVISORS INC3 Filed as: PREMIER BENEFIT SERVICES, LLC | 6298 GA HIGHWAY 36 WEST WOODLAND, GA 31836 | AFLAC | $35K | $1K | $36K | 0.39% |
| MARIALENA SELVAGGIO3 | 1685 SW 4TH AVENUE BOCA RATON, FL 33432 | AFLAC | $24K | $3K | $28K | 0.30% |
| KIMBERLY M FUTCH3 Filed as: KIMBERLY FUTCH | 1224 PEACOCK AVENUE, SUITE 205 COLUMBUS, GA 31906 | AFLAC | $24K | $1K | $26K | 0.27% |
| JMA CONSULTING INC.3 Filed as: JMA CONSULTING SERVICES CORP. | 2 ADRIAN AVENUE, APARTMENT 24C BRONX, NY 10463 | AFLAC | $16K | $2K | $18K | 0.19% |
| DOMINICK R SIRACUSA3 Filed as: DOMINICK SIRACUSA | 225 DOLSON AVENUE, SUITE 304 MIDDLETOWN, NY 10940 | AFLAC | $16K | $334 | $16K | 0.18% |
| VINCENT KRILL3 | 225 DOLSON AVENUE, SUITE 304 MIDDLETOWN, NY 10940 | AFLAC | $16K | $356 | $16K | 0.17% |
| RANDI R. BOEHM3 Filed as: RANDI BOEHM | 506 SLICES WAY CHAPIN, SC 29036 | AFLAC | $14K | $225 | $14K | 0.15% |
| KAITLYNN DOUNGCHUMCHUEN & AGENTS3 | 8421 10TH ARMORED LOOP FORT BENNING, GA 31905 | AFLAC | $11K | $2K | $13K | 0.14% |
| DAYTON LLC3 Filed as: DAYTON, LLC | 5445 DTC PARKWAY, SUITE 1036 GREENWOOD VILLAGE, CO 80111 | AFLAC | $9K | $0 | $9K | 0.10% |
| ALLISON PRICE3 | 213 GLENEAGLE CIRCLE IRMO, SC 29063 | AFLAC | $6K | $266 | $6K | 0.07% |
| JONATHAN P DUNN3 Filed as: JONATHAN P. DUNN | 3337 TWIN RIDGE DRIVE CHARLOTTE, NC 28210 | AFLAC | $4K | $159 | $4K | 0.04% |
| DOUGLAS J SUCHECKI3 Filed as: DOUGLAS SUCHECKI | 21 HEARTWOOD DRIVE CATAULA, GA 31804 | AFLAC | $3K | $515 | $4K | 0.04% |
| MATTHEW G BURNSIDE3 Filed as: MATTHEW G. BURNSIDE | 8510 MCALPINE PARK DRIVE SUITE 208 CHARLOTTE, NC 28211 | AFLAC | $1K | $14 | $1K | 0.02% |
| JENNIE WALKER STILLS3 | 501 CLEAR WOOD COURT WAXHAW, NC 28173 | AFLAC | $652 | $126 | $778 | 0.01% |
| JOSEPH E PHILLIPS3 Filed as: JOSEPH E. PHILLIPS | 2118 AMBOY COURT CHARLOTTE, NC 28205 | AFLAC | $706 | $0 | $706 | 0.01% |
| CHRISTINA CANTWELL3 | 3337 TWIN RIDGE DRIVE CHARLOTTE, NC 28210 | AFLAC | $664 | $0 | $664 | 0.01% |
| ANA DAIGLE BURNSIDE3 | 13309 CANTERBURY CASTLE DRIVE CHARLOTTE, NC 28273 | AFLAC | $350 | $0 | $350 | 0.00% |
| NICHOLAS STILLS3 Filed as: NICHOLAS B. STILLS | 501 CLEAR WOOD COURT WAXHAW, NC 28173 | AFLAC | $325 | $0 | $325 | 0.00% |
| J STAN ALLEN INC3 Filed as: J. STAN ALLEN, INC. | 1800 BUENA VISTA ROAD COLUMBUS, GA 31906 | AFLAC | $226 | $0 | $226 | 0.00% |
| PODNAS INC / BECK & ASSOC3 Filed as: PODNAS, INC./BECK & ASSOC. | 3411 CONFETTI BLUSH DRIVE COLUMBUS, GA 31909 | AFLAC | $108 | $0 | $108 | 0.00% |
| SUE TUCKER3 | 9856 US HIGHWAY 29 NORTH CUSSETA, AL 36852 | AFLAC | $94 | $0 | $94 | 0.00% |
| DEREK R MANN3 Filed as: DEREK MANN | 155 LEE ROAD 2213 SALEM, AL 36874 | AFLAC | $57 | $0 | $57 | 0.00% |
| BRYCE ALLEN DIAL3 Filed as: BRYCE DIAL AND OTHER AGENTS | 8091 TURTLE CREEK DRIVE COLUMBUS, GA 31909 | AFLAC | $40 | $0 | $40 | 0.00% |
| LAWRENCE AGLIALORO3 | 2964 NANCY STREET COLUMBUS, GA 31906 | AFLAC | $26 | $0 | $26 | 0.00% |
| DEBRA L. HOWARD3 Filed as: DEBRA HOWARD | 3828 SALEM ROAD COVINGTON, GA 30016 | AFLAC | $26 | $0 | $26 | 0.00% |
| SAIC INC3 Filed as: SAIC, INC. | 1639 BRADLEY PARK DRIVE SUITE 500, BOX 358 COLUMBUS, GA 31904 | AFLAC | $15 | $0 | $15 | 0.00% |
| CHARLES RICHARD WRIGHT3 Filed as: CHARLES WRIGHT AND OTHER AGENTS | 87 GINN LAKE ROAD ELLERSLIE, GA 31807 | AFLAC | $9 | $0 | $9 | 0.00% |
| RICHARD G MCGOWAN3 Filed as: RICHARD CARTER SR AND OTHER AGENTS | 1224 PEACOCK AVENUE, SUITE 205 COLUMBUS, GA 31906 | AFLAC | $8 | $0 | $8 | 0.00% |
| FRANK GRIFFIN JR3 | 8601 GARRETT ROAD PO BOX 233 MIDLAND, GA 31820 | AFLAC | $3 | $0 | $3 | 0.00% |
| WILLIAM L AMOS & CO INC3 Filed as: WILLIAM DAHLIN | 5454 ROARING BRANCH ROAD COLUMBUS, GA 31904 | AFLAC | $3 | $0 | $3 | 0.00% |
| LOCKTON COMPANIES, LLC3 | 3280 PEACHTREE ROAD NW, SUITE 800 ATLANTA, GA 30305 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $330K | $10K | $340K | 7.09% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST, INC | 93033 NETWORK PLACE CHICAGO, IL 60673 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $143 | $0 | $143 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INSURANCE SVCS | 500 NORTH AKARD STREET SUITE 4300 DALLAS, TX 75201 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $55 | $55 | 0.00% |
| LOCKTON COMPANIES, LLC3 | 3800 COLONNADE PARKWAY, SUITE 150 BIRMINGHAM, AL 35243 | AMERITAS LIFE INSURANCE CORPORATION | $31K | $0 | $31K | 4.98% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | AMERITAS LIFE INSURANCE CORPORATION | $0 | $24K | $24K | 3.79% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST, INC | 2101 6TH AVENUE NORTH SUITE 725 BIRMINGHAM, AL 35203 | AMERITAS LIFE INSURANCE CORPORATION | $100 | $0 | $100 | 0.02% |
| JACQUELINE CASTRO3 | 577 MARITIME WAY SUPPLY, NC 28462 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $2K | $0 | $2K | 0.98% |
| SHARON J KELLNER-CHILLE AND AGENTS3 | 2 HORIZON DRIVE SARATOGA SPRINGS, NY 12866 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $2K | $83 | $2K | 0.85% |
| CIRO ABRIL3 | 18 BRACKEN COURT HOWELL, NJ 07731 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $1K | $27 | $1K | 0.66% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: KEVIN GALLAGHER | 2640 LAKE SHORE DRIVE, UNIT 411 RIVIERA BEACH, FL 33404 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $1K | $145 | $1K | 0.62% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY R. ORGERA, INC. | 35 PINELAWN ROAD, SUITE 190 MELVILLE, NY 11747 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $1K | $57 | $1K | 0.54% |
| JASON SALLEMI3 | 302 MONROE STREET, APARTMENT 4B HOBOKEN, NJ 07030 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $1K | $100 | $1K | 0.52% |
| DANIELLE M BRANCATO HOUSE3 Filed as: DANIELLE BRANCATO HOUSE | 21 THOROUGHBRED DRIVE SARATOGA SPRINGS, NY 12866 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $1K | $146 | $1K | 0.51% |
| KRISTA ANNE ROTONDI3 Filed as: KRISTA ROTONDI | 5 HEMPHILL PLACE, SUITE 220 BALLSTON SPA, NY 12020 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $481 | $40 | $521 | 0.23% |
| SPHEREC GROUP LLC3 Filed as: SPHEREC GROUP, LLC AND OTHER AGENTS | 388 BRIDGE STREET, APARTMENT 34G BROOKLYN, NY 11201 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $363 | $7 | $370 | 0.16% |
| BETH SERFILIPPI3 Filed as: BETH SERFILPPI | 8 HILLSTONE COURT BALLSTON LAKE, NY 12019 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $326 | $0 | $326 | 0.14% |
| SHAUN T KONIOR3 Filed as: SHAUN KONIOR | 31 STRATFORD GREEN FARMINGDALE, NY 11735 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $311 | $0 | $311 | 0.14% |
| BENITO A ROTONDI II INC3 Filed as: BENITO A. ROTONDI II, INC. | 23 PINE RIDGE ROAD SARASOTA SPRINGS, NY 12866 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $239 | $0 | $239 | 0.11% |
| JMA CONSULTING INC.3 Filed as: JMA CONSULTING SERVICES CORP. | 2 ADRIAN AVENUE, APARTMENT 24C BRONX, NY 10463 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $161 | $32 | $193 | 0.09% |
| DOMINICK R SIRACUSA3 Filed as: DOMINICK SIRACUSA | 225 DOLSON AVENUE, SUITE 304 MIDDLETOWN, NY 10940 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $167 | $8 | $175 | 0.08% |
| RACHAEL GUINAN MCMAHON3 Filed as: RACHAEL MCMAHON | 611B GLEN STREET GLENS FALLS, NY 12801 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $61 | $0 | $61 | 0.03% |
| JACQUELYN WILLIAMS3 | 684 TAYLOR HILL ROAD GRANVILLE, NY 12832 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $41 | $0 | $41 | 0.02% |
| MELISSA STEWART3 | 36 WINCOMA LANE QUEENSBURY, NY 12804 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK | $21 | $0 | $21 | 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 | 5,705 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 141 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 138 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,984 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | AMERITAS LIFE INSURANCE CORPORATION | 8,760 | $628K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 5,592 | $4.8M |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 5,592 | $4.8M |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 5,592 | $4.8M |
| Other(4 contracts, 4 carriers) | AFLAC | 8,509 | $14.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,760 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.