| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PR INSURANCE LLC3 Filed as: PR INSURANCE | 113 ADRIS PLACE DOTHAN, AL 36303 | SOUTHLAND NATIONAL INSURANCE CORPORATION | $10K | $0 | $10K | 10.00% |
| JO ANN KIRKLAND3 | PO BOX 9981 DOTHAN, AL 36304 | AFLAC | $2K | $174 | $2K | 3.78% |
| SAIC INC3 | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $710 | $13 | $723 | 1.25% |
| PR INSURANCE LLC3 | PO BOX 8516 DOTHAN, AL 36304 | AFLAC | $604 | $0 | $604 | 1.04% |
| CARYLLE L QUINN3 | 2547 HIDDEN ESTATES CIR NAVARRE, FL 32566 | AFLAC | $540 | $0 | $540 | 0.93% |
| JOHN DORAN SHEPPARD3 | 545 W MAIN ST STE 100 DOTHAN, AL 36301 | AFLAC | $502 | $30 | $532 | 0.92% |
| SAIC INC3 | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $490 | $35 | $525 | 0.91% |
| DANIEL S ADAMS3 | 3857 SCOTT CHURCH RD MARIANNA, FL 32448 | AFLAC | $514 | $6 | $520 | 0.90% |
| BRIAN ANDREWS3 | 5728 TAMARACK DR PACE, FL 32571 | AFLAC | $434 | $13 | $447 | 0.77% |
| MICHAEL FOWLER3 | 2204 EXECUTIVE PARK DR OPELIKA, AL 36801 | AFLAC | $267 | $30 | $297 | 0.51% |
| CHARLES HARTHUN3 Filed as: CHARLES B HARTHUN | 1577 LAWSON RD CROSSVILLE, TN 38571 | AFLAC | $183 | $0 | $183 | 0.32% |
| JULIANA SHORES3 Filed as: JULIANA E SHORES | 159 CALHOUN AVE DESTIN, FL 32541 | AFLAC | $133 | $36 | $169 | 0.29% |
| DAVID SPRINGER3 Filed as: DAVID B SPRINGER | 2986 SAINT STEVENS DR TALLAHASSEE, FL 32312 | AFLAC | $127 | $0 | $127 | 0.22% |
| WALTER KOGUT3 | 2631 COLUMBIA ST HOUSTON, TX 77008 | AFLAC | $121 | $0 | $121 | 0.21% |
| BRIAN J MESEROLL3 | 2772 TETON TRAIL TALLAHASSEE, FL 32303 | AFLAC | $107 | $0 | $107 | 0.18% |
| LEO P TISA3 | PO BOX 898 NICEVILLE, FL 32588 | AFLAC | $83 | $0 | $83 | 0.14% |
| JOHN W AMOS3 | 10051 VETERANS PKWY #2B MIDLAND, GA 31820 | AFLAC | $68 | $0 | $68 | 0.12% |
| GSL MARKETING INC3 | 14260 W NEWBERRY RD 336 NEWBERRY, FL 32669 | AFLAC | $66 | $0 | $66 | 0.11% |
| BARBARA R KOGUT3 | 2631 COLUMBIA ST HOUSTON, TX 77008 | AFLAC | $58 | $0 | $58 | 0.10% |
| MARY K HARPER-SEYMOUR3 | 5247 MARE CREEK DR CRESTVIEW, FL 32539 | AFLAC | $42 | $0 | $42 | 0.07% |
| CAROL S JOSSERAND3 | 104 SANDTRAP RD #101 MIRAMAR BEACH, FL 32550 | AFLAC | $34 | $0 | $34 | 0.06% |
| JOHN C POLLOCK3 | 600 UNIVERSITY OFFICE BLVD STE 12 PENSACOLA, FL 32504 | AFLAC | $33 | $0 | $33 | 0.06% |
| KELVIN MICHAEL RICE3 | 102 CRICHTON CT DOTHAN, AL 36305 | AFLAC | $27 | $0 | $27 | 0.05% |
| CAROLYN R TAYLOR3 | PO BOX 241146 MONTGOMERY, AL 36124 | AFLAC | $24 | $0 | $24 | 0.04% |
| J C ADAMS INC3 | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $16 | $0 | $16 | 0.03% |
| RONALD D HOWARD3 | 312 JAMES ST TALLASSEE, AL 36078 | AFLAC | $14 | $0 | $14 | 0.02% |
| PAUL S WATKINS3 | PO BOX 269 TROY, AL 36081 | AFLAC | $9 | $0 | $9 | 0.02% |
| BETH ANNE DARNELL3 | 457 HOOK RD ALEXANDER CITY, AL 35010 | AFLAC | $8 | $0 | $8 | 0.01% |
| BENEFIT SOURCE INC3 Filed as: THE BENEFIT SOURCE INC | PO BOX 241146 MONTGOMERY, AL 36124 | AFLAC | $8 | $0 | $8 | 0.01% |
| RICKEY L BOOTHE3 | PO BOX 584 OPP, AL 36467 | AFLAC | $8 | $0 | $8 | 0.01% |
| RJSW & ASSOCIATES INC3 | 1344 VICKERS RD TALLAHASSEE, FL 32303 | AFLAC | $7 | $0 | $7 | 0.01% |
| RHONDA M WHIDDON3 | 120 TELFORD PLACE DOTHAN, AL 36305 | AFLAC | $7 | $0 | $7 | 0.01% |
| BUCK MAYO JR3 | 209 DAPHNE DR ENTERPRISE, AL 36330 | AFLAC | $7 | $0 | $7 | 0.01% |
| EUGENE L PORTER III3 | PO BOX 241146 MONTGOMERY, AL 36124 | AFLAC | $7 | $0 | $7 | 0.01% |
| ROBERT L TRAPNELL JR3 | 19 N INDIAN RIVER DR APT 701 COCOA, FL 32922 | AFLAC | $6 | $0 | $6 | 0.01% |
| JOHN MCDONNELL3 Filed as: JOHN R WILLIAMS | 205 FOXRUN TRAIL DOTHAN, AL 36303 | AFLAC | $6 | $0 | $6 | 0.01% |
| JEFFREY L COLLINS3 | 359 APPLEFORD RD HELENA, AL 35080 | AFLAC | $6 | $0 | $6 | 0.01% |
| MARGARET E MAYO3 | 209 DAPHNE DR ENTERPRISE, AL 36330 | AFLAC | $4 | $0 | $4 | 0.01% |
| KEITH BELICH3 | 2740 CENTRAL PKWY MONTGOMERY, AL 36106 | AFLAC | $2 | $0 | $2 | 0.00% |
| GEORGE G DICKEY3 | 8 ROSS DR VILONIA, AR 72173 | AFLAC | $1 | $0 | $1 | 0.00% |
| PR INSURANCE LLC3 Filed as: PR INSURANCE | 113 ADRIS PLACE DOTHAN, AL 36303 | NATIONAL GUARDIAN LIFE | $2K | $0 | $2K | 9.69% |
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 | 350 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 350 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 323 | $1.5M |
| Dental | SOUTHLAND NATIONAL INSURANCE CORPORATION | 223 | $97K |
| Vision | NATIONAL GUARDIAN LIFE | 169 | $18K |
| Life insurance | AFLAC | 83 | $58K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 323 | $1.5M |
| Other | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 323 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 323 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.