| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAVEN BENEFITS3 | 1000 PEACHTREE INDUSTRIAL BLVD SUWANEE, GA 30024 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA INC | $59K | — | $59K | 4.29% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SMITH LANIER & COMPANY | 200 BROOKSTONE CTR PKWY COLUMBUS, GA 31904 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA INC | $15K | — | $15K | 1.05% |
| HAVEN BENEFITS3 | 1000 PEACHTREE INDUSTRIAL BLVD SUWANEE, GA 30024 | GREATER GEORGIA LIFE INSURANCE COMPANY | $10K | — | $10K | 6.60% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: J SMITH LANIER & COMPANY | 200 BROOKSTONE CTR PKWY STE 118 COLUMBUS, GA 31904 | GREATER GEORGIA LIFE INSURANCE COMPANY | $1K | — | $1K | 0.68% |
| TERRIE N ALLISON3 | 1071 STANSEL RD CLEVELAND, GA 30528 | AFLAC | $515 | — | $515 | 2.86% |
| KIMBERLY ANN GARRISON | 3620 WHITING RD GAINESVILLE, GA 30504 | AFLAC | $220 | — | $220 | 1.22% |
| JOHN B ALLEN III3 | 140 AZURE BAY COURT CHAPIN, SC 29036 | AFLAC | $176 | — | $176 | 0.98% |
| SHARON D ROBERTS3 | PO BOX 1129 YOUNG HARRIS, GA 30582 | AFLAC | $158 | — | $158 | 0.88% |
| SHARON L HALL | PO BOX 1857 DAWSONVILLE, GA 30534 | AFLAC | $158 | — | $158 | 0.88% |
| CHRISTOPHER G RICHARDSON | 1011 NORFOLK GREEN CR CHATTANOOGA, TN 37421 | AFLAC | $140 | — | $140 | 0.78% |
| GLORIA E CAMP | 958 MCEVER RD STE B8 GAINESVILLE, GA 30504 | AFLAC | $94 | — | $94 | 0.52% |
| MRS JACKSON BOYUM | 2040 SKYLAR LEIGH DR BUFORD, GA 30518 | AFLAC | $65 | — | $65 | 0.36% |
| THOMAS ROBERT GIDDENS | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $55 | — | $55 | 0.31% |
| THERESA J BOGGUS | 2622 STELLA BURNS DR TUCKER, GA 30084 | AFLAC | $48 | — | $48 | 0.27% |
| ADRIANA PARRISH RIVERA | 1093 MAGNOLIA WAY LAWRENCEVILLE, GA 30046 | AFLAC | $42 | — | $42 | 0.23% |
| BRENDA J MCGINNIS3 | 5003 PATRIOT PARK CIR SE OWENS CROSS ROADS, AL 35763 | AFLAC | $42 | — | $42 | 0.23% |
| RONALD E KIRKLAND3 | 4 SOTHEBY PL SE GURLEY, AL 35749 | AFLAC | $37 | — | $37 | 0.21% |
| SHERRY H FRANKLIN | PO BOX 617 CORNELIA, GA 30531 | AFLAC | $35 | — | $35 | 0.19% |
| LARRY W FLOWERS | 2318 PROVINCIAL POINT DR GAINESVILLE, GA 30501 | AFLAC | $29 | — | $29 | 0.16% |
| CANDICE BRUNO | 23 BAILEY ROAD CANDLER, NC 28715 | AFLAC | $27 | — | $27 | 0.15% |
| ELIZABETH E REEVES | 6148 LEE HWY STE 106B CHATTANOOGA, TN 37421 | AFLAC | $27 | — | $27 | 0.15% |
| CHARLES F GREER | 2888 ALOMA LAKE RUN OVIEDO, FL 32765 | AFLAC | $26 | — | $26 | 0.14% |
| WILLIAM S ESTROFF | PO BOX 297 AUGUSTA, GA 30903 | AFLAC | $22 | — | $22 | 0.12% |
| DEREK B DAVIS | 1039 44TH AVE N STE 101 MYRTLE BEACH, SC 29577 | AFLAC | $20 | — | $20 | 0.11% |
| DAVID C BERRY3 | 2545 HEATHWAY DR FLORENCE, SC 29501 | AFLAC | $17 | — | $17 | 0.09% |
| ABBIE W COFFMAN | 31 HAWTHORN CIR CROSSVILLE, TN 38555 | AFLAC | $14 | — | $14 | 0.08% |
| JOHN D TYLER3 | 130 DUCK HAWK WAY MARIETTA, SC 29661 | AFLAC | $13 | — | $13 | 0.07% |
| GARY A KILBY | 201 ROAD RUNNER CT LADSON, SC 29456 | AFLAC | $12 | — | $12 | 0.07% |
| TERRANCE M LUCZAJ3 | 1201 MAIN ST STE 2300 COLUMBIA, SC 29201 | AFLAC | $9 | — | $9 | 0.05% |
| CAROL A MURRAY | 129 MCKELVEY PLACE GOOSE CREEK, SC 29445 | AFLAC | $8 | — | $8 | 0.04% |
| SCOTT A SMITH3 | 5300 OAKBROOK PKWY BLDG 300 STE 350 NORCROSS, GA 30093 | AFLAC | $7 | — | $7 | 0.04% |
| DEBRA A ROSENBERGER | 1307 BLUE RIDGE AVE BELTON, SC 29627 | AFLAC | $7 | — | $7 | 0.04% |
| TRAVERS W PAINE IV | PO BOX 14963 AUGUSTA, GA 30919 | AFLAC | $7 | — | $7 | 0.04% |
| DANIEL FITZGERALD INC | 3672 BAY PT AUGUSTA, GA 30907 | AFLAC | $5 | — | $5 | 0.03% |
| KERRY C EZZELL | PO BOX 15074 AUGUSTA, GA 30919 | AFLAC | $5 | — | $5 | 0.03% |
| JOHN M WASHO | 106 CEDAR BLUFF CT ALEDO, TX 76008 | AFLAC | $5 | — | $5 | 0.03% |
| STEPHEN BEAMAN | 1401 KIMBERLY RD NEW BERN, NC 28562 | AFLAC | $5 | — | $5 | 0.03% |
| DEBRA A ROSENBERGER | 713 COLLEGE AVE ANDERSON, SC 29621 | AFLAC | $5 | — | $5 | 0.03% |
| SHANNON L TROWBRIDGE | 126 CYPRESS VIEW RD GOOSE CREEK, SC 29445 | AFLAC | $4 | — | $4 | 0.02% |
| PAUL SHELBY AMOS II | 1932 WYNNTON RD 14TH FLOOR COLUMBUS, GA 31999 | AFLAC | $3 | — | $3 | 0.02% |
| WILLIAM M WARDLAW JR | 5300 OAKBROOK PKWY BLDG 300 STE 350 NORCROSS, GA 30093 | AFLAC | $3 | — | $3 | 0.02% |
| C HARVEY KING | PO BOX 45 WEST JEFFERSON, NC 28694 | AFLAC | $2 | — | $2 | 0.01% |
| ANA MARIE GARCIA SMITH | 110 BANDERVIEW ROAD SEYMOUR, TN 37153 | AFLAC | $1 | — | $1 | 0.01% |
| DAYTON LLC | 324 OLD WOOD DR COLUMBIA, SC 29212 | AFLAC | $1 | — | $1 | 0.01% |
| KANDI H HECKLER | 5453 HASELL DR ROCKVALE, TN 37153 | AFLAC | $1 | — | $1 | 0.01% |
| LEE RYAN MCGRAW | 1170 MANN RD DOUGLASVILLE, GA 30134 | AFLAC | $1 | — | $1 | 0.01% |
| MELYNDA RAY-MCCUTCHEON | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $1 | — | $1 | 0.01% |
| KATHERINE LATIMER | 90 CECILY CT FORTSON, GA 31808 | AFLAC | $1 | — | $1 | 0.01% |
| JAMES D DUDLEY | 1355 LYNNFIELD RD STE 259 MEMPHIS, TN 38119 | AFLAC | $1 | — | $1 | 0.01% |
| EXSEPTIONAL SERVICES INC | 158 PRINTERS LN NEW LONDON, NC 28127 | AFLAC | $1 | — | $1 | 0.01% |
| STEVEN VORDERLANDWEHR | 1242 HADAWAY TRL LAWRENCEVILLE, GA 30043 | AFLAC | $1 | — | $1 | 0.01% |
| SUSAN REDDOCH BUFFINGTON | 400 TAX RD SHILOH, GA 31826 | AFLAC | $1 | — | $1 | 0.01% |
| MARSH & MCLENNAN AGENCY LLC Filed as: J. SMITH LANIER & COMPANY | PO BOX 70 WEST POINT, GA 31833 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 13.53% |
| HAVEN BENEFITS | 1000 PEACHTREE INDUSTRIAL BLVD SUITE 6347 SUWANEE, GA 30024 | CONTINENTAL AMERICAN INSURANCE COMPANY | $241 | — | $241 | 1.48% |
| GLORIA E CAMP | 235 CAMP DR RD TOCCOA, GA 30577 | CONTINENTAL AMERICAN INSURANCE COMPANY | $184 | — | $184 | 1.13% |
| SHARON D ROBERTS | PO BOX 1129 YOUNG HARRIS, GA 30582 | CONTINENTAL AMERICAN INSURANCE COMPANY | $179 | — | $179 | 1.10% |
| TERRIE N ALLISON | 1071 STANSEL RD CLEVELAND, GA 30528 | CONTINENTAL AMERICAN INSURANCE COMPANY | $125 | — | $125 | 0.77% |
| JOHN B ALLEN III | 140 AZURE BAY COURT CHAPIN, SC 29036 | CONTINENTAL AMERICAN INSURANCE COMPANY | $118 | — | $118 | 0.73% |
| DEREK B DAVIS | 2649 OCEAN HWY N SHALLOTTE, NC 28470 | CONTINENTAL AMERICAN INSURANCE COMPANY | $97 | — | $97 | 0.60% |
| RONALD E KIRKLAND | 4 SOTHEBY PL SE GURLEY, AL 35748 | CONTINENTAL AMERICAN INSURANCE COMPANY | $79 | — | $79 | 0.49% |
| DAVID H JEFFORDS | PO BOX 14132 FLORENCE, SC 29504 | CONTINENTAL AMERICAN INSURANCE COMPANY | $68 | — | $68 | 0.42% |
| WILLIS TOWERS WATSON US LLC Filed as: WILLIS L BROWN II | 3040 HWY 76 E SUITE C MULLINS, SC 29574 | CONTINENTAL AMERICAN INSURANCE COMPANY | $61 | — | $61 | 0.38% |
| SCOTT A SMITH | 5300 OAKBROOK PARKWAY NORCROSS, GA 30093 | CONTINENTAL AMERICAN INSURANCE COMPANY | $48 | — | $48 | 0.30% |
| CHARLES F GREER | 2888 ALOMA LAKE RUN OVIEDO, FL 32765 | CONTINENTAL AMERICAN INSURANCE COMPANY | $44 | — | $44 | 0.27% |
| WILLIAM WARDLAW JR | 368 WEST PIKE ST STE 207 LAWRENCEVILLE, GA 30046 | CONTINENTAL AMERICAN INSURANCE COMPANY | $44 | — | $44 | 0.27% |
| JOHN D TYLER | 130 DUCK HAWK WAY MARIETTA, SC 29661 | CONTINENTAL AMERICAN INSURANCE COMPANY | $39 | — | $39 | 0.24% |
| HELEN DIANE BORDER | PO BOX 711 WATKINSVILLE, GA 30677 | CONTINENTAL AMERICAN INSURANCE COMPANY | $31 | — | $31 | 0.19% |
| JUSTIN M GUIDI | 555 N PLEASANT BURG DR SUITE 200 GREENVILLE, SC 29607 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | — | $27 | 0.17% |
| JAMES D DUDLEY | 3061 EDGEWOOD CT COLUMBUS, GA 31907 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | — | $14 | 0.09% |
| MARIA RADCLIFFE Filed as: MARIA K RADCLIFFE | 1105 BRIDLE PATH DR LAWRENCEVILLE, GA 30045 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | — | $13 | 0.08% |
| DAYTON LLC | 221 SERENITY DR PICKENS, SC 29671 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.07% |
| GARY W JOHNSON | 201 W MCBEE AVE STE 301 GREENVILLE, SC 29601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.07% |
| STEVEN VORDERLANDWEHR | 2219 MCCAHILL CT BUFORD, GA 30519 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.06% |
| LEE R MCGRAW | 9722 FALLVIEW CT VILLA RICA, GA 30180 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.04% |
| DUSTIN ROBERT JOHNSON Filed as: DUSTIN R JOHNSON | 5300 OAKBROOK PARKWAY SUITE 350 NORCROSS, GA 30093 | CONTINENTAL AMERICAN INSURANCE COMPANY | $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 | 391 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 8 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 399 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA INC | 194 | $1.4M |
| Dental | BLUE CROSS BLUE SHIELD OF GEORGIA, INC | 196 | $96K |
| Vision | BLUE CROSS BLUE SHIELD OF GEORGIA, INC | 196 | $96K |
| Life insurance | GREATER GEORGIA LIFE INSURANCE COMPANY | 391 | $154K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 38 | $34K |
| Long-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 391 | $154K |
| Other(2 contracts, 2 carriers) | AFLAC | 38 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 391 | — |
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.