| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BOTTOM LINE BENEFITS, LLC3 | 6060 LAKE ACWORTH DRIVE NW STE R ACWORTH, GA 30101 | AETNA HEALTH INC | $53K | — | $53K | 5.68% |
| BOTTOM LINE BENEFITS, LLC3 | 6060 LAKE ACWORTH DRIVE NW STE R ACWORTH, GA 30101 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $27K | — | $27K | 11.75% |
| BOTTOM LINE BENEFITS, LLC3 | 6060 LAKE ACWORTH DRIVE NW STE R ACWORTH, GA 30101 | AETNA LIFE INSURANCE CO | $2K | — | $2K | 5.48% |
| BARDWELL BENEFITS LLC4 | 1445 AVERY RD CANTON, GA 30115 | AFLAC | $2K | — | $2K | — |
| BOTTOM LINE BENEFITS, LLC3 | 6060 LAKE ACWORTH DRIVE NW STE R ACWORTH, GA 30101 | AFLAC | $2K | — | $2K | — |
| JEFFREY WINNINGHAM4 Filed as: JEFFREY M WINNINGHAM | 3134 HUNT RD ACWORTH, GA 30102 | AFLAC | $330 | — | $330 | — |
| AUSTIN J RICE4 | 205 PERSIMMON TRL WOODSTOCK, GA 30188 | AFLAC | $317 | — | $317 | — |
| ARTHUR THOMAS4 Filed as: ARTHUR E THOMAS | 2255 LENOX RD NE APT D8 ATLANTA, GA 30324 | AFLAC | $75 | — | $75 | — |
| ANDY B GLENN II4 | 2999 DOUGLAS BLVD STE 180 ROSEVILLE, CA 95661 | AFLAC | $71 | — | $71 | — |
| JOSEPH T DANIELS4 | 6060 LAKE ACWORTH DR NW STE R ACWORTH, GA 30101 | AFLAC | $66 | — | $66 | — |
| JUANITA A MOLTIMORE4 | 437 AUTUMN DRIVE RIVERDALE, GA 30274 | AFLAC | $51 | — | $51 | — |
| THOMAS D BAXTER4 | PO BOX 603 SUNNY SIDE, CA 30284 | AFLAC | $37 | — | $37 | — |
| RICHARD SMITHSON4 Filed as: RICHARD A SMITHSON | 2145 SAULS PL ALPHARETTA, GA 30009 | AFLAC | $33 | — | $33 | — |
| CHRISTOPHER JAMES CORROW4 | 2796 ASHLEIGH LANE ALPHARETTA, GA 30004 | AFLAC | $29 | — | $29 | — |
| MICHAEL D AISSEN4 | 920 HOLCOMB BRIDGE RD STE 200 ROSWELL, GA 30076 | AFLAC | $19 | — | $19 | — |
| HAYES BOGEYFREE LLC4 | 2040 PARKS MILL DR GREENSBORO, GA 30642 | AFLAC | $18 | — | $18 | — |
| TRACY L REEVES4 | 16273 SW 6TH ST PENBROKE PINES, FL 33027 | AFLAC | $12 | — | $12 | — |
| LEE P COHEN4 | 16273 SW 9TH ST PEMBROKE PINES, FL 33027 | AFLAC | $12 | — | $12 | — |
| SAMANTHA LYNN WINNINGHAM4 | 3134 HUNT RD ACWORTH, GA 30102 | AFLAC | $12 | — | $12 | — |
| SCOTT A SMITH4 | 5300 OAKBROOK PKWY STE 300-350 NORCROSS, GA 30093 | AFLAC | $11 | — | $11 | — |
| JEFFREY S TAYLOR4 | 820 WHITE OAK DR NEWNAN, GA 30265 | AFLAC | $10 | — | $10 | — |
| SJR INSURANCE LLC4 | 3732 UPLAND DR MARIETTA, GA 30066 | AFLAC | $8 | — | $8 | — |
| MARCO A ERAZO4 | 4160 SW 152ND AVE MIRAMAR, FL 33027 | AFLAC | $6 | — | $6 | — |
| KCI FINANCIAL SERV. INC4 Filed as: KCI FINANCIAL SERV. INC. | 16273 SW 9TH ST PEMBROKE PINES, FL 33027 | AFLAC | $5 | — | $5 | — |
| STEVEN VORDERLANDWEHR4 | 1018 HIGHGROVE DR MONROE, GA 30655 | AFLAC | $3 | — | $3 | — |
| THOMAS ROBERT GIDDENS4 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $3 | — | $3 | — |
| JAMES D DUDLEY4 | 1355 LYNNFIELD ST STE 259 MEMPHIS, TN 38119 | AFLAC | $2 | — | $2 | — |
| DEBORAH B SMITH4 | 647 WOOD POINT WAY DALLAS, GA 30157 | AFLAC | $1 | — | $1 | — |
| ALLISON FARRIS WENDELBERGER4 | 207 SANTA FE DR WALNUT CREEK, CA 94598 | AFLAC | $1 | — | $1 | — |
| GREGORY DALE4 Filed as: GREGORY SCOTT DALE | 660 MCWHORTER RD STEPHENS, GA 30667 | AFLAC | $1 | — | $1 | — |
| LEE RYAN MCGRAW4 | 726 MEADOWBROOK RD CARROLLTON, GA 30117 | AFLAC | $1 | — | $1 | — |
| DAVID S MORRIS4 | 950 PENINSULA CORPORATE CIRCLE STE 1005 BOCA RATON, FL 33487 | AFLAC | $1 | — | $1 | — |
| BROWN AND BROWN OF FLORIDA, INC.4 Filed as: JAMES GRAYDON BROWN | 2522 OWENS LANDING TRL NW KENNESAW, GA 30152 | AFLAC | $1 | — | $1 | — |
| DUSTIN ROBERT JOHNSON4 | 745 W BROMPTON AVE APT 1 CHICAGO, IL 60657 | AFLAC | $1 | — | $1 | — |
| RAYMOND L MELVIN4 | 1553 NAVIGATOR CIR DACULA, GA 30019 | AFLAC | $0 | — | $0 | — |
| MARIA ORBE4 | 8362 PINES BLVD STE 250 PEMBROKE PINES, FL 33024 | AFLAC | $0 | — | $0 | — |
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 | 230 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 230 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO | 6 | $37K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 200 | $227K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 200 | $227K |
| Life insurance(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 200 | $227K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 200 | $227K |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 200 | $227K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 230 | — |
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.