| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES, INC | POST OFFICE BOX 27149 CHARLOTTE, NC 28226 | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | $667 | — | $667 | 0.02% |
| MCGRIFF INSURANCE SERVICES INC3 | 3605 GLENWOOD AVE #201 RALEIGH, NC 27612 | DELTA DENTAL OF MISSOURI | $8K | — | $8K | 4.60% |
| MCGRIFF INSURANCE SERVICES INC3 | 414 GALLIMORE DAIRY RD GREENSBORO, NC 27409 | SUN LIFE ASSURANCE COMPANY OF CANADA | $22K | — | $22K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 8628 COLUMBIA, SC 29202 | UNION SECURITY INSURANCE COMPANY | $2K | — | $2K | 5.79% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 168 WINSTON-SALEM, NC 27102 | UNION SECURITY INSURANCE COMPANY | — | $1K | $1K | 3.29% |
| MUNCIE ALAN RUSSELL3 Filed as: MUNCIE RUSSELL | 1829 SENATE ST APT 8D COLUMBIA, SC 29201 | AFLAC | $575 | — | $575 | 3.93% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JON WILLIS JR | 2528 FERNLEAF CT NW ATLANTA, GA 30318 | AFLAC | $157 | — | $157 | 1.07% |
| PAULA J FAMBROUGH3 Filed as: PAULA FAMBROUGH | 140 WILDEWOOD PARK DR STE 104 COLUMBIA, SC 29223 | AFLAC | $138 | — | $138 | 0.94% |
| TERRANCE M LUCZAJ3 Filed as: TERRANCE LUCZAJ | 435 HARRODS LN CHARLESTON, SC 29412 | AFLAC | $85 | — | $85 | 0.58% |
| WILLIS TOWERS WATSON US LLC3 Filed as: ASHLEY WILLIS | 213 W PINE GROVE AVE NORTH AUGUSTA, SC 29841 | AFLAC | $82 | — | $82 | 0.56% |
| DAVID ROTH3 | 800 ROCKMEAD DR STE 208 KINGWOOD, TX 77339 | AFLAC | $64 | — | $64 | 0.44% |
| JOHN B COLLINS3 Filed as: JOHN COLLINS | 159 PA JOHNS RD NE MILLEDGEVILLE, GA 31061 | AFLAC | $51 | — | $51 | 0.35% |
| INSURANCE MARKETPLACE LLC3 | 4401 FAIR LAKES CT STE 304 FAIRFAX, VA 22033 | AFLAC | $41 | — | $41 | 0.28% |
| RYAN HINES3 | 4114 21ST RD N ARLINGTON, VA 22207 | AFLAC | $33 | — | $33 | 0.23% |
| THOMAS GIDDENS3 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $31 | — | $31 | 0.21% |
| CHARLES E MCDANIEL II3 Filed as: CHARLES MCDANIEL | 1224 PEACOCK AVE, SUITE 205A COLUMBUS, GA 31906 | AFLAC | $29 | — | $29 | 0.20% |
| KERRY C EZZELL3 Filed as: KERRY EZZELL | PO BOX 15074 AUGUSTA, GA 30919 | AFLAC | $25 | — | $25 | 0.17% |
| CHARLES F GREER3 Filed as: CHARLES GREER | 9537 PECKY CYPRESS WAY ORLANDO, FL 32809 | AFLAC | $23 | — | $23 | 0.16% |
| DANNY TRAN3 | 3150 PERIMETER PKWY, STE 115 AUGUSTA, GA 30909 | AFLAC | $20 | — | $20 | 0.14% |
| JOHN TYLER3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $17 | — | $17 | 0.12% |
| HEYWARD RICHARDSON JR3 | 140 WILDEWOOD PARK DR STE 108 COLUMBIA, SC 29223 | AFLAC | $17 | — | $17 | 0.12% |
| RICHARD CARTER SR3 | 1224 PEACOCK AVE, SUITE 205 COLUMBUS, GA 31906 | AFLAC | $14 | — | $14 | 0.10% |
| RICHARD SMITHSON3 | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $13 | — | $13 | 0.09% |
| LYNETTE KAY DUTTON3 Filed as: LYNETTE DUTTON | 131 COUNTRYSIDE DRIVE FOREST CITY, NC 28043 | AFLAC | $10 | — | $10 | 0.07% |
| JOHN A DONALDSON3 Filed as: JOHN DONALDSON | 25211 GROGANS MILL RD STE 305 THE WOODLANDS, TX 77380 | AFLAC | $10 | — | $10 | 0.07% |
| KIMMON R GUSEMAN3 Filed as: KIMMON GUSEMAN | 48 NICKMAN PLZ LEMONT FURNANCE, PA 15456 | AFLAC | $9 | — | $9 | 0.06% |
| DANIEL FITZGERALD INC3 | 3672 BAY PT AUGUSTA, GA 30907 | AFLAC | $9 | — | $9 | 0.06% |
| TARRAH SMITHSON3 | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $7 | — | $7 | 0.05% |
| PETE E KHALAF3 Filed as: PETE KHALAF | 13005 CARNEY ST SILVER SPRING, MD 20906 | AFLAC | $7 | — | $7 | 0.05% |
| JOHN C KAUTTER3 Filed as: JOHN KAUTTER | 4401 FAIR LAKES CT STE 304 FAIRFAX, VA 22033 | AFLAC | $7 | — | $7 | 0.05% |
| DAYTON LLC3 | 324 OLD WOOD DR COLUMBIA, SC 29212 | AFLAC | $7 | — | $7 | 0.05% |
| MICHAEL C WALKER3 Filed as: MICHAEL WALKER | 203 MARKET ST STE 201 HAVRE DE GRACE, MD 21078 | AFLAC | $5 | — | $5 | 0.03% |
| GARY W JOHNSON3 Filed as: GARY JOHNSON | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $4 | — | $4 | 0.03% |
| KEVIN R MCFADDEN3 Filed as: KEVIN MCFADDEN | 1820 W CANNING DR MT PLEASANT, SC 29466 | AFLAC | $4 | — | $4 | 0.03% |
| SCOTT A SMITH3 Filed as: SCOTT SMITH | 5300 OAKBROOK PKWY STE 300 STE 350 NORCROSS, GA 30093 | AFLAC | $3 | — | $3 | 0.02% |
| DEBORAH B SMITH3 Filed as: DEBORAH SMITH | 2703 BRYNWOOD CIR NW ACWORTH, GA 30101 | AFLAC | $3 | — | $3 | 0.02% |
| JASON D ELLIS3 Filed as: JASON ELLIS | 203 MARKET ST STE 210 HAVRE DE GRACE, MD 21078 | AFLAC | $3 | — | $3 | 0.02% |
| MICHAEL C WALKER3 Filed as: MICHAEL RISKA | 203 MARKET ST STE 201 HAVRE DE GRACE, MD 21078 | AFLAC | $3 | — | $3 | 0.02% |
| PAUL SHELBY AMOS II3 Filed as: PAUL AMOS II | 1932 WYNNTON RD, 14TH FLOOR COLUMBUS, GA 31999 | AFLAC | $2 | — | $2 | 0.01% |
| MELYNDA RAY-MCCUTCHEON3 | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $2 | — | $2 | 0.01% |
| LESTER D PARK3 Filed as: LESTER PARK | 203 CLEARMEADOW DR COLUMBIA, SC 29229 | AFLAC | $1 | — | $1 | 0.01% |
| STEVEN VORDERLANDWEHR3 Filed as: STEVEN VONDERLANDWEHR | 1599 AMHEARST MILL DR LAWRENCEVILLE, GA 30043 | AFLAC | $1 | — | $1 | 0.01% |
| THOMAS DAYTON3 | 324 OLD WOOD DR COLUMBIA, SC 20212 | AFLAC | $1 | — | $1 | 0.01% |
| BRADLEY BOLICK3 | 6433 FALL BRANCH DR COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 0.01% |
| C R RAMSEY POTTS3 | PO BOX 484 BLOOMINGDALE, GA 31302 | AFLAC | $1 | — | $1 | 0.01% |
| SUSAN REDDOCH BUFFINGTON3 Filed as: SUSAN BUFFINGTON | 400 TAX RD SHILOH, GA 31826 | AFLAC | $1 | — | $1 | 0.01% |
| THE BENEFIT COMPANY INC3 Filed as: BENEFIT COMPANY INC | PO BOX 211486 COLUMBIA, SC 29221 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $25 | — | $25 | 1.18% |
| TIMOTHY M COLTON3 | 2849 FOREST WOOD DR MARIETTA, GA 30066 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $23 | — | $23 | 1.08% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62689 VIRGINIA BEACH, VA 23466 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $14 | — | $14 | 0.66% |
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 | 235 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 244 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | 210 | $2.8M |
| Dental | DELTA DENTAL OF MISSOURI | 409 | $172K |
| Vision | UNION SECURITY INSURANCE COMPANY | 214 | $39K |
| Life insurance(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 238 | $161K |
| Short-term disability | AFLAC | 22 | $15K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 238 | $144K |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 238 | $198K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 409 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.