| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOLMES SHAW INC3 Filed as: THE HOLMES/SHAW AGENCY | 2860 JOHNSON FERRY ROAD SUITE 200 MARIETTA, GA 30062 | AMERICAN UNITED LIFE INSURANCE COMPANY A ONEAMERICA COMPANY | $17K | $5K | $22K | 20.99% |
| HOLMES SHAW INC3 Filed as: THE HOLMES SHAW AGENCY | 2860 JOHNSON FERRY RD SUITE 200 MARIETTA, GA 30062 | ALLSTATE | $12K | $0 | $12K | 49.14% |
| THE CASON GROUP INC3 Filed as: THE CASON GROUP | P O BOX 11229 COLUMBIA, SC 29211 | ALLSTATE | $1K | $0 | $1K | 4.97% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | ALLSTATE | $149 | $0 | $149 | 0.62% |
| HOLMES SHAW INC3 Filed as: THE HOLMES/SHAW AGENCY | 2860 JOHNSON FERRY ROAD SUITE 200 MARIETTA, GA 30062 | BLUE CROSS AND BLUE SHIELD OF GEORGIA (G0385) | $5K | $0 | $5K | 21.50% |
| TODD BROOME3 | P O BOX 6812 AUGUSTA, GA 30916 | AFLAC | $169 | $0 | $169 | 1.39% |
| JAMES DAVIS3 | 1506 KLONDIKE RD SW STE 100 CONYERS, GA 30094 | AFLAC | $149 | $0 | $149 | 1.23% |
| FRANCINE A CHRISTIANSON3 Filed as: FRANCINE CHRISTIANSON | P O BOX 7251 MACON, GA 31209 | AFLAC | $91 | $0 | $91 | 0.75% |
| DIANE M MCCOLLUM3 Filed as: DIANE MCCOLLUM | 2402 WILLIAMS STREET AUGUSTA, GA 30904 | AFLAC | $86 | $0 | $86 | 0.71% |
| DANIEL FITZGERALD INC3 | 3672 BAY PT AUGUSTA, GA 30907 | AFLAC | $75 | $0 | $75 | 0.62% |
| JOHN W AMOS3 Filed as: JOHN AMOS | 10051 VETERANS PKWY # 2B MIDLAND, GA 31820 | AFLAC | $73 | $0 | $73 | 0.60% |
| LYNETTE KAY DUTTON3 Filed as: LYNETTE DUTTON | 131 COUNTRYSIDE DRIVE FOREST CITY, NC 28043 | AFLAC | $52 | $0 | $52 | 0.43% |
| LORRI STEMBRIDGE LLC3 | 5144 OAKTREE DR MACON, GA 31210 | AFLAC | $50 | $0 | $50 | 0.41% |
| WARREN STOVALL WALKER3 Filed as: WARREN WALKER | 3730 EXECUTIVE CENTER DR STE B AUGUSTA, GA 30907 | AFLAC | $44 | $0 | $44 | 0.36% |
| CINDY WILLIAMS3 | 1925 CATAMARAN DR NAVARRE, FL 32566 | AFLAC | $44 | $0 | $44 | 0.36% |
| ROBERT MOBLEY3 | 7139 BROAD RIVER RD IRMO, SC 29063 | AFLAC | $43 | $0 | $43 | 0.35% |
| THOMAS ROBERT GIDDENS3 Filed as: THOMAS GIDDENS | P O BOX 2517 KENNESAW, GA 30156 | AFLAC | $42 | $0 | $42 | 0.35% |
| MIKE INSURANCE INC3 | 1017 WHITESVILLE WALK DR COLUMBUS, GA 31904 | AFLAC | $34 | $0 | $34 | 0.28% |
| BRENDA WALTON HALL3 Filed as: BRENDA HALL | 71 FOX GLOVE CT CATAULA, GA 31804 | AFLAC | $34 | $0 | $34 | 0.28% |
| J BECK INC3 | P O BOX 5386 COLUMBUS, GA 31906 | AFLAC | $30 | $0 | $30 | 0.25% |
| TARRAH SMITHSON3 | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $29 | $0 | $29 | 0.24% |
| HENRY E CHAMBERS JR3 Filed as: HENRY CHAMBERS JR | 4625 STILETTO COURT MARTINEZ, GA 30907 | AFLAC | $25 | $0 | $25 | 0.21% |
| JASON WEST3 | 6502 PEAKE RD STE 950 MACON, GA 31210 | AFLAC | $25 | $0 | $25 | 0.21% |
| CONDOR F MCCOLLUM3 Filed as: CONDOR MCCOLLUM | 2402 WILLIAMS ST AUGUSTA, GA 30904 | AFLAC | $25 | $0 | $25 | 0.21% |
| KATHY B MOBLEY3 Filed as: KATHY MOBLEY | 173 WAVERLY CIRCLE WAVERLY HALL, GA 31831 | AFLAC | $25 | $0 | $25 | 0.21% |
| JOHN B COLLINS3 Filed as: JOHN COLLINS | 311 PEBBLE HOLLOW DR MILLEDGEVILLE, GA 31061 | AFLAC | $19 | $0 | $19 | 0.16% |
| GEORGE WILLIAMS3 Filed as: GEORGE WILLIAMS AND COMPANY | 208 GRAND PARK BLVD CHARLESTON, SC 29492 | AFLAC | $16 | $0 | $16 | 0.13% |
| PODNAS INC / BECK & ASSOC3 | 6900 HILLTOP COURT COLUMBUS, GA 31904 | AFLAC | $15 | $0 | $15 | 0.12% |
| HENRY T FOLSOM3 Filed as: HENRY FOLSOM | 345 W RUTHERFORD ST ATHENS, GA 30606 | AFLAC | $14 | $0 | $14 | 0.12% |
| SAIC INC3 | 4245 MILGEN RD COLUMBUS, GA 31907 | AFLAC | $12 | $0 | $12 | 0.10% |
| BRIAN K CHAMBERS3 Filed as: BRIAN CHAMBERS | 8 NIGHTWIND CT COLUMBUS, GA 31909 | AFLAC | $11 | $0 | $11 | 0.09% |
| KERRY C EZZELL3 Filed as: KERRY EZZELL | P O BOX 15074 AUGUSTA, GA 30919 | AFLAC | $11 | $0 | $11 | 0.09% |
| BETTY TAYLOR3 | 4575 BETHANY BOWERSVILLE RD CANON, GA 30520 | AFLAC | $9 | $0 | $9 | 0.07% |
| KEITH BELICH3 | 2740 CENTRAL PKWY MONTGOMERY, AL 36106 | AFLAC | $9 | $0 | $9 | 0.07% |
| GLORIA E CAMP3 Filed as: GLORIA CAMP | P O BOX 337 CLARKESVILLE, GA 30523 | AFLAC | $9 | $0 | $9 | 0.07% |
| ALICIA CLIFTON3 | 3915 HUNTING RIDGE DR SW LILBURN, GA 30047 | AFLAC | $7 | $0 | $7 | 0.06% |
| RICHARD SMITHSON3 | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $7 | $0 | $7 | 0.06% |
| J STAN ALLEN INC3 | 1800 BUENA VISTA RD COLUMBUS, GA 31906 | AFLAC | $7 | $0 | $7 | 0.06% |
| SYNOVUS SECURITIES INC3 Filed as: SYNOVUS SECURITIES | P O BOX 2628 COLUMBUS, GA 31902 | AFLAC | $6 | $0 | $6 | 0.05% |
| MAIN SOURCE AND ASSOCIATES LLC3 | 4422 OXBURGH PARK FLOWERY BRANCH, GA 30542 | AFLAC | $6 | $0 | $6 | 0.05% |
| PAUL SHELBY AMOS II3 Filed as: PAUL AMOS II | 1932 WYNNTON RD 14TH FLOOR COLUMBUS, GA 31999 | AFLAC | $5 | $0 | $5 | 0.04% |
| WILLIAM L AMOS & CO INC3 | 6801 RIVER RD STE 205 COLUMBUS, GA 31904 | AFLAC | $4 | $0 | $4 | 0.03% |
| MARIA RADCLIFFE3 | 3317 GREEN FARM TRL DACULA, GA 30019 | AFLAC | $3 | $0 | $3 | 0.02% |
| BONNIE ROWE3 | 1528 WILLOW BAY DR EVANS, GA 30809 | AFLAC | $3 | $0 | $3 | 0.02% |
| WILLIAM WARDLAW JR3 | 5300 OAKBROOK PKWY BLDG 300 STE 350 NORCROSS, GA 30093 | AFLAC | $3 | $0 | $3 | 0.02% |
| DONALD BECK JR3 | 6900 HILLTOP CT COLUMBUS, GA 31904 | AFLAC | $3 | $0 | $3 | 0.02% |
| SCOTT A SMITH3 Filed as: SCOTT SMITH | 5300 OAKBROOK PKWY BLDG 300 STE 350 NORCROSS, GA 30093 | AFLAC | $3 | $0 | $3 | 0.02% |
| LARRY W FLOWERS3 | 2318 PROVINCIAL POINT DR GAINESVILLE, GA 30501 | AFLAC | $3 | $0 | $3 | 0.02% |
| BRADLEY BOLICK3 | 6433 FALL BRANCH DR COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 0.01% |
| DEBORAH B SMITH3 Filed as: DEBORAH SMITH | 4720 TWIN OAKS DR NW KENNESAW, GA 30152 | AFLAC | $1 | $0 | $1 | 0.01% |
| LANCE OSBORNE3 | 21822 SEACREST LANE HUNTINGTON BCH, CA 92646 | AFLAC | $1 | $0 | $1 | 0.01% |
| KIMBERLY ANN GARRISON3 Filed as: KIMBERLY GARRISON | 3620 WHITING RD GAINESVILLE, GA 30504 | AFLAC | $1 | $0 | $1 | 0.01% |
| MEYLNDA RAY-MCCUTCHEON3 | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $0 | $0 | $0 | 0.00% |
| JOSHUA K HOPPE3 Filed as: JOSHUA HOPPE | 580 WHITE PLAINS RD STE 115 TARRYTOWN, NY 10591 | AFLAC | $0 | $0 | $0 | 0.00% |
| CHRISTIE MARZARI3 | 1932 WYNNTON RD COLUMBUS, GA 31999 | AFLAC | $0 | $0 | $0 | 0.00% |
| SUE TUCKER3 | 1224 PEACOCK AVE SUITE 205 COLUMBUS, GA 31906 | AFLAC | $0 | $0 | $0 | 0.00% |
| STEVEN VORDERLANDWEHR3 | 1242 HADAWAY TRL LAWRENCEVILLE, GA 30043 | AFLAC | $0 | $0 | $0 | 0.00% |
| RPM LTD3 | P O BOX 484 BLOOMINGDALE, GA 31302 | AFLAC | $0 | $0 | $0 | 0.00% |
| LEE RYAN MCGRAW3 Filed as: LEE MCGRAW | 1170 MANN RD DOUGLASVILLE, GA 30134 | AFLAC | $0 | $0 | $0 | 0.00% |
| ALLISON FARRIS WENDELBERGER3 | 1839 YGNACIO VALLEY RD SUITE 393 WALNUT CREEK, CA 94598 | AFLAC | $0 | $0 | $0 | 0.00% |
| KATHERINE LATIMER3 | 90 CECILY CT FORTSON, GA 31808 | AFLAC | $0 | $0 | $0 | 0.00% |
| JAMES D DUDLEY3 Filed as: JAMES DUDLEY | 1355 LYNNFIELD RD STE 259 MEMPHIS, TN 38119 | AFLAC | $0 | $0 | $0 | 0.00% |
| JENNIFER SMITH3 | 319 N MAIN AVE STE 130 SPRINGFIELD, MO 65806 | AFLAC | $0 | $0 | $0 | 0.00% |
| SUSAN P WATLEY3 Filed as: SUSAN WATLEY | 6366 INDEPENDENCE DR COLUMBUS, GA 31909 | AFLAC | $0 | $0 | $0 | 0.00% |
| TERESA LUMMUS3 | 145 OCONEE WOODS TRL SHARPSBURG, GA 30277 | AFLAC | $0 | $0 | $0 | 0.00% |
| ANA MARIE GARCIA SMITH3 Filed as: ANA MARIE SMITH | 110 BANDERVIEW ROAD SEYMOUR, TN 37865 | AFLAC | $0 | $0 | $0 | 0.00% |
| SUSAN REDDOCH BUFFINGTON3 Filed as: SUSAN BUFFINGTON | 400 TAX RD SHILOH, GA 31826 | AFLAC | $0 | $0 | $0 | 0.00% |
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 | 190 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 199 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ALLSTATE | 74 | $24K |
| Vision | BLUE CROSS AND BLUE SHIELD OF GEORGIA (G0385) | 142 | $23K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY A ONEAMERICA COMPANY | 190 | $105K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY A ONEAMERICA COMPANY | 190 | $105K |
| Other(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY A ONEAMERICA COMPANY | 190 | $117K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.