| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 | 3605 GLENWOOD AVENUE STE 201 RALEIGH, NC 27612 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $18K | $10K | $28K | 12.83% |
| MELANIE BARRETT KING3 | 1321 GLEN CEDARS DR MABLETON, GA 30126 | AFLAC | $4K | $72 | $4K | 6.30% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 14630 FAYETTEVILLE, GA 30214 | AFLAC | $1K | — | $1K | 2.11% |
| REGINALD B RUSHIN3 | PO BOX 310232 ATLANTA, GA 31131 | AFLAC | $435 | — | $435 | 0.66% |
| LYNN L NORMAN3 | 1095 HONEY CREEK RD SE CONYERS, GA 30013 | AFLAC | $388 | — | $388 | 0.59% |
| DORIS L BRACKETT3 | 3233 HIGHGATE CHASE CT BERKELEY LAKE, GA 30092 | AFLAC | $380 | — | $380 | 0.57% |
| JUANDA L MAGWOOD WARE3 | 333 MCCOOK CIR NW KENNESAW, GA 30144 | AFLAC | $319 | $14 | $333 | 0.50% |
| JENNIFER BARBOSA CLEGG3 | 2935 ROSEBUD RD UNIT 906 LOGANVILLE, GA 30052 | AFLAC | $302 | — | $302 | 0.46% |
| SHIRLEY M LLOYD3 | 275 MERRITT DR LAWRENCEVILLE, GA 30044 | AFLAC | $212 | — | $212 | 0.32% |
| ELENI A NIKOLAS3 | 50 HURT PLZ SE STE 1630 THE HURT BUILDING ATLANTA, GA 30303 | AFLAC | $187 | — | $187 | 0.28% |
| ROBERT L GOBLE3 | 250 34TH AVE NE HICKORY, NC 28601 | AFLAC | $144 | — | $144 | 0.22% |
| ELIZABETH KATHLEEN BLAIR3 | 10109 WOODHILL CT VILLA RICA, GA 30180 | AFLAC | $131 | — | $131 | 0.20% |
| THOMAS ROBERT GIDDENS3 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $110 | — | $110 | 0.17% |
| DAVID C CLOUD JR3 Filed as: DAVID C CLOUD DR | 12 TRENT DR SE ROME, GA 30161 | AFLAC | $90 | — | $90 | 0.14% |
| BLAIR C SMITH3 | 701 BELGRACE LN TUCKER, GA 30084 | AFLAC | $83 | — | $83 | 0.13% |
| ROBERT M LYMAN3 | 1145 SPARKLING CRYSTAL AVE HENDERSON, NV 89015 | AFLAC | $69 | — | $69 | 0.10% |
| TSG INC3 | PO BOX 3138 DULUTH, MN 55803 | AFLAC | $49 | — | $49 | 0.07% |
| MARY B MCKINNEY3 | 3915 CASCADE RD SW STE T-93 ATLANTA, GA 30331 | AFLAC | $42 | — | $42 | 0.06% |
| CHRISTOPHER LYMAN3 | 1145 SPARKLING CRYSTAL AVE HENDERSON, NV 89015 | AFLAC | $30 | — | $30 | 0.05% |
| DEBORAH B SMITH3 | 5703 BRYNWOOD CIR NW ACWORTH, GA 30101 | AFLAC | $27 | — | $27 | 0.04% |
| MARY B MCKINNEY3 | 3915 CASCADE RD SW STE T93 ATLANTA, GA 30331 | AFLAC | $21 | — | $21 | 0.03% |
| PODNAS INC / BECK & ASSOC3 | 3411 CONFETTI BLUSH DR COLUMBUS, GA 31909 | AFLAC | $14 | — | $14 | 0.02% |
| KATHERINE LATIMER3 | 5093 BOONE LINKS LN COLUMBUS, GA 31909 | AFLAC | $14 | — | $14 | 0.02% |
| LISA ADKINS-MANDELDOVE3 | 1216 TRED AVON WAY SE LILBURN, GA 30047 | AFLAC | $14 | — | $14 | 0.02% |
| RONALD S SANDERS3 | 744 E DENIM TRL SAN TAN VALLEY, AZ 85143 | AFLAC | $13 | — | $13 | 0.02% |
| AMY A O SHIELDS3 | 5159 CALGARY DR DOUGLASVILLE, GA 30135 | AFLAC | $8 | — | $8 | 0.01% |
| ALEXANDER B WARD3 | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | AFLAC | $7 | — | $7 | 0.01% |
| RICHARD MICHAEL TIDWELL3 | 5511 KINGSLEY MNR CUMMING, GA 30041 | AFLAC | $4 | — | $4 | 0.01% |
| RYAN E MCPHAIL3 | 206 ARBOR CT CANTON, GA 30114 | AFLAC | $4 | — | $4 | 0.01% |
| LANCE OSBORNE3 | 21822 SEACREST LN HUNTINGTON BEACH, CA 92646 | AFLAC | $4 | — | $4 | 0.01% |
| PAUL SHELBY AMOS II3 | 1932 WYNNTON RD 14TH FL COLUMBUS, GA 31999 | AFLAC | $3 | — | $3 | 0.00% |
| JONATHAN W MCCUTCHEON3 | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $2 | — | $2 | 0.00% |
| YVETTE TURNER3 Filed as: YVETTE N TURNER | 200 SALT AIR DR UNIT 158 SAN SIMONS ISLAND, GA 31522 | AFLAC | $2 | — | $2 | 0.00% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DR WALNUT CREEK, CA 94598 | AFLAC | $2 | — | $2 | 0.00% |
| DUSTIN ROBERT JOHNSON3 | 745 W BROMPTON AVE APT 1 CHICAGO, IL 60657 | AFLAC | $1 | — | $1 | 0.00% |
| SCOTTI MADISON3 | 3330 COBB PKWY NW STE 324-3 ACWORTH, GA 30101 | AFLAC | $1 | — | $1 | 0.00% |
| STEVEN VORDERLANDWEHR3 | 2100 BULLOCK BLUFF DR LOGANVILLE, GA 30052 | AFLAC | $1 | — | $1 | 0.00% |
| CHRISTIE MARZARI3 Filed as: CHRISTIE M MARZARI | 1932 WYNNTON RD COLUMBUS, GA 31999 | AFLAC | $1 | — | $1 | 0.00% |
| MELYNDA RAY-MCCUTCHEON3 | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $1 | — | $1 | 0.00% |
| MELANIE BARRETT KING3 | 1321 GLEN CEDARS DR MABLETON, GA 30126 | AFLAC | $1K | $79 | $1K | 10.89% |
| JUANDA L MAGWOOD WARE3 | 333 MCCOOK CIR NW KENNESAW, GA 30144 | AFLAC | $110 | $16 | $126 | 1.13% |
| REGINALD B RUSHIN3 | PO BOX 310232 ATLANTA, GA 31131 | AFLAC | $111 | — | $111 | 1.00% |
| JENNIFER BARBOSA CLEGG3 | 2935 ROSEBUD RD UNIT 906 LOGANVILLE, GA 30052 | AFLAC | $93 | — | $93 | 0.84% |
| DORIS L BRACKETT3 | 3233 HIGHGATE CHASE CT BERKELEY LAKE, GA 30092 | AFLAC | $69 | — | $69 | 0.62% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 143630 FAYETTEVILLE, GA 30214 | AFLAC | $57 | — | $57 | 0.51% |
| DAVID C CLOUD JR3 | 12 TRENT DR SE ROME, GA 30161 | AFLAC | $25 | — | $25 | 0.22% |
| ROBERT L GOBLE3 | 250 34TH AVE NE HICKORY, NC 28601 | AFLAC | $22 | — | $22 | 0.20% |
| ROBERT M LYMAN3 | 1145 SPARKLING CRYSTAL AVE HENDERSON, NC 89015 | AFLAC | $22 | — | $22 | 0.20% |
| TSG INC3 | PO BOX 3138 DULUTH, MN 55803 | AFLAC | $16 | — | $16 | 0.14% |
| MARY B MCKINNEY3 | 3915 CASCADE RD SW STE T-93 ATLANTA, GA 30331 | AFLAC | $15 | — | $15 | 0.13% |
| ELENI A NIKOLAS3 | 50 HURT PLZ SE STE 1630 THE HURT BUILDING ATLANTA, GA 30303 | AFLAC | $15 | — | $15 | 0.13% |
| LYNN L NORMAN3 | 1095 HONEY CREEK RD SE CONYERS, GA 30013 | AFLAC | $11 | — | $11 | 0.10% |
| THOMAS ROBERT GIDDENS3 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $9 | — | $9 | 0.08% |
| MARY B MCKINNEY3 Filed as: MARY MCKINNEY | 3915 CASCADE RD SW STE T93 ATLANTA, GA 30331 | AFLAC | $8 | — | $8 | 0.07% |
| DEBORAH B SMITH3 | 5703 BRYNWOOD CIR NW ACWORTH, GA 30101 | AFLAC | $6 | — | $6 | 0.05% |
| ALEXANDER B WARD3 | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | AFLAC | $2 | — | $2 | 0.02% |
| AMY A O SHIELDS3 | 5159 CALGARY DR DOUGLASVILLE, GA 30135 | AFLAC | $2 | — | $2 | 0.02% |
| PAUL SHELBY AMOS II3 | 1932 WYNNTON RD 14TH FL COLUMBUS, GA 31999 | AFLAC | $2 | — | $2 | 0.02% |
| LANCE OSBORNE3 | 21822 SEACREST LN HUNTINGTON BEACH, CA 92646 | AFLAC | $1 | — | $1 | 0.01% |
| JONATHAN W MCCUTCHEON3 | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $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 | 113 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 224 | $1.2M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 213 | $218K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 213 | $218K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 213 | $218K |
| Other(3 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 213 | $295K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 224 | — |
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."
No prospect flags tripped on this filing.