| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SUSAN PICKARD3 | 185 O TARA WOODS DR NEWNAN, CA 30263 | AFLAC | $761 | — | $761 | 4.41% |
| CLAUDE FOSTER3 | PO BOX 2257 PEACHTREE CITY, GA 30269 | AFLAC | $682 | — | $682 | 3.95% |
| DONNA M JOHNSON3 Filed as: DONNA JOHNSON | PO BOX 69 FAYETTEVILLE, GA 30214 | AFLAC | $255 | — | $255 | 1.48% |
| THOMAS BAXTER3 | PO BOX 86 FAYETTEVILLE, GA 30214 | AFLAC | $227 | — | $227 | 1.31% |
| LAWSON BENEFITS GROUP LLC3 | PO BOX 86 FAYETTEVILLE, GA 30214 | AFLAC | $208 | — | $208 | 1.20% |
| MARQUITA FOSTER3 | PO BOX 2702 PEACHTREE CITY, GA 30259 | AFLAC | $133 | — | $133 | 0.77% |
| ANDY B GLENN II3 Filed as: ANDY GLENN II | 100 HARTSFIELD CENTER PKWY STE 600 ATLANTA, GA 30354 | AFLAC | $112 | — | $112 | 0.65% |
| DIANNE J RAY3 Filed as: DIANNE RAY | PO BOX 335 SUNNY SIDE, GA 30354 | AFLAC | $98 | — | $98 | 0.57% |
| BARRY T FISHER3 Filed as: BARRY FISHER | 4055 PIEDMONT LAKE RD PINE MOUNTAIN, CA 31522 | AFLAC | $71 | — | $71 | 0.41% |
| DAVID C CLOUD JR3 Filed as: DAVID CLOUD JR | 1301 SHILOH RD NW STE 1020 KENNESAW, GA 30144 | AFLAC | $43 | — | $43 | 0.25% |
| MILLAN TERREL3 | 500 LANIER AVE W STE 912A FAYETTEVILLE, GA 30214 | AFLAC | $35 | — | $35 | 0.20% |
| THOMAS ROBERT GIDDENS3 Filed as: THOMAS GIDDENS | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $29 | — | $29 | 0.17% |
| BRAD HULSEY3 | 946 BRAMBLE OAK CT POWDER SPRINGS, GA 30127 | AFLAC | $15 | — | $15 | 0.09% |
| CINDY WILLIAMS3 | 108 BEAR DR GULF BREEZE, FL 32561 | AFLAC | $10 | — | $10 | 0.06% |
| PODNAS INC / BECK & ASSOC3 Filed as: PODNAS INC BECK & ASSOC | 6900 HILLTOP CT COLUMBUS, GA 31904 | AFLAC | $9 | — | $9 | 0.05% |
| RONALD S SANDERS3 Filed as: RONALD SANDERS | 7402 KINGS RIVER CT HUMBLE, TX 77346 | AFLAC | $8 | — | $8 | 0.05% |
| DEBORAH DAVIS3 | PO BOX 346 ORCHARD HILL, GA 30266 | AFLAC | $7 | — | $7 | 0.04% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: KIMBERLY BROWN | 200 BONTURA DR SENOIA, GA 30276 | AFLAC | $6 | — | $6 | 0.03% |
| HOUZE & ASSOCIATES INC3 | PO BOX 3070 LAGRANGE, GA 30241 | AFLAC | $4 | — | $4 | 0.02% |
| PATRICIA DUTTON3 | 200 RUNNING BEAR TRAIL SAVANNAH, GA 30214 | AFLAC | $4 | — | $4 | 0.02% |
| DEREK R MANN3 Filed as: DEREK MANN | 361 LEE RD 339 SALEM, AL 36874 | AFLAC | $3 | — | $3 | 0.02% |
| WANDA SHAW3 | PO BOX 011 GRIFFIN, GA 30224 | AFLAC | $3 | — | $3 | 0.02% |
| LYNN SIMS3 | 35 SASSAFRAS TRL SAVANNAH, GA 31404 | AFLAC | $2 | — | $2 | 0.01% |
| DEBORA FERGUSON3 | PO BOX 190034 ATLANTA, GA 31119 | AFLAC | $2 | — | $2 | 0.01% |
| J BECK INC3 | PO BOX 5386 COLUMBUS, GA 31906 | AFLAC | $2 | — | $2 | 0.01% |
| EDDIE TERRELL3 | PO BOX 481 MANCHESTER, GA 31816 | AFLAC | $2 | — | $2 | 0.01% |
| DOUGLAS CRAWFORD JR3 | 5188 KENDAL CT COLUMBUS, GA 31007 | AFLAC | $2 | — | $2 | 0.01% |
| BEVERLY GARDNER | 618 SALEM RD LAGRANGE, GA 30241 | AFLAC | $2 | — | $2 | 0.01% |
| JASON WEST3 | 6501 PEAKE RD STE 950 MACON, GA 31210 | AFLAC | $1 | — | $1 | 0.01% |
| WILLIAM L AMOS & CO INC3 | 6001 RIVER RD STE 305 COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 0.01% |
| VANCE SMITH3 | 5300 OAKBROOK PKWY BDLG 300 STE 350 NORCROSS, GA 30093 | AFLAC | $1 | — | $1 | 0.01% |
| CHRISTY O. CHRISTIAN3 Filed as: CHRISTY CHRISTIAN | 6235 BUCKINGHAM CRICLE CUMMING, GA 30040 | AFLAC | $1 | — | $1 | 0.01% |
| PAUL SHELBY AMOS II3 Filed as: PAUL AMOS II | 1932 WYNNTON RD 14TH FLR COLUMBUS, GA 31999 | AFLAC | $1 | — | $1 | 0.01% |
| WILLIAM WARDLAW JR3 | 5300 OAKBROOK PKWY BDLG 300 STE 350 NORCROSS, GA 30093 | AFLAC | $1 | — | $1 | 0.01% |
| RICHARD CARTER SR3 | 1224 PEACCOCK AVE STE 205 COLUMBUS, GA 31900 | AFLAC | $1 | — | $1 | 0.01% |
| LORRI STEMBRIDGE LLC3 | 5144 OAKTREE DR MACON, GA 31210 | AFLAC | $1 | — | $1 | 0.01% |
| JAMES M PITZ3 Filed as: JAMES FITZ | 84 MINK DR CATAULA, GA 31804 | AFLAC | $1 | — | $1 | 0.01% |
| KIMBERLY FARMER3 | 4931 RIVERSIDE DR STE 100C MACON, GA 31210 | AFLAC | $1 | — | $1 | 0.01% |
| MARIANNE ETHRIDGE3 | 856 TURKEY TRAIL FORSTON, GA 31808 | AFLAC | $1 | — | $1 | 0.01% |
| WENDY LOTT3 | 6171 OLD WEST POINT RD LAGRANGE, GA 30240 | 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 | 1 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 1 | $17K |
| Dental | AFLAC | 1 | $17K |
| Other | AFLAC | 1 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.