| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $32K | $764 | $33K | 4.68% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | GREATER GEORGIA LIFE INSURANCE COMPANY | $6K | $1K | $7K | 12.34% |
| CHRISTINE P. MCMAHON3 | 2923 MAYFAIR ROAD AUGUSTA, GA 30909 | AFLAC | $1K | $0 | $1K | 5.47% |
| MJ INSURANCE3 Filed as: DANNY TRAN AND VARIOUS AGENTS | 3633 WHEELER ROAD, SUITE 240 AUGUSTA, GA 30909 | AFLAC | $357 | $0 | $357 | 1.34% |
| DANNY TRAN3 | 3150 PERIMETER PARKWAY, SUITE 115 AUGUSTA, GA 30909 | AFLAC | $289 | $0 | $289 | 1.09% |
| DANIEL FITZGERALD INC3 Filed as: DANIEL FITZGERALD INC. | 3672 BAY POINT AUGUSTA, GA 30907 | AFLAC | $190 | $0 | $190 | 0.72% |
| CHARLES E. BROWDER3 | 2003 BONNIE BROOK DRIVE NORTH AUGUSTA, GA 29860 | AFLAC | $104 | $0 | $104 | 0.39% |
| ROBERT D. COMMONS3 | 3050 SERENADE COURT ALPHARETTA, GA 30004 | AFLAC | $91 | $0 | $91 | 0.34% |
| ALAN C SMITH3 Filed as: ALAN C. SMITH | 401 AVRETT WAY EVANS, GA 30809 | AFLAC | $90 | $0 | $90 | 0.34% |
| CHRISTINE P. MCMAHON3 | 2923 MAYFAIR ROAD AUGUSTA, GA 30909 | CONTINENTAL AMERICAN INSURANCE COMPANY | $56 | $0 | $56 | 3.55% |
| ROBERT D. COMMONS3 | 3050 SERENADE COURT ALPHARETTA, GA 30004 | CONTINENTAL AMERICAN INSURANCE COMPANY | $50 | $0 | $50 | 3.17% |
| RICHARD SMITHSON3 | 2000 BROOKE FOREST COURT ALPHARETTA, GA 30022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | $0 | $23 | 1.46% |
| TARRAH SMITHSON3 | 2000 BROOKE FOREST COURT ALPHARETTA, GA 30022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | $0 | $12 | 0.76% |
| SCOTT A SMITH3 Filed as: SCOTT A. SMITH | 5300 OAKBROOK PARKWAY, SUITE 350 NORCROSS, GA 30093 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | $0 | $12 | 0.76% |
| JAMES D DUDLEY3 Filed as: JAMES D. DUDLEY | 3061 EDGEWOOD COURT COLUMBUS, GA 31907 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | $0 | $3 | 0.19% |
| MJ INSURANCE3 Filed as: LEE R. MCGRAW AND VARIOUS AGENTS | 9722 FALLVIEW COURT VILLA RICA, GA 30180 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | $0 | $3 | 0.19% |
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 | 124 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 127 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 162 | $698K |
| Dental | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 162 | $698K |
| Vision | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 162 | $698K |
| Life insurance(2 contracts, 2 carriers) | GREATER GEORGIA LIFE INSURANCE COMPANY | 126 | $86K |
| Short-term disability(2 contracts, 2 carriers) | GREATER GEORGIA LIFE INSURANCE COMPANY | 126 | $86K |
| Long-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 126 | $59K |
| Prescription drug | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 162 | $698K |
| Other(3 contracts, 3 carriers) | GREATER GEORGIA LIFE INSURANCE COMPANY | 126 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 162 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.