| 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 | $18K | — | $18K | 10.00% |
| JO ANN KIRKLAND3 | PO BOX 9981 DOTHAN, AL 36304 | AFLAC | $4K | $87 | $4K | 7.47% |
| AUDREY TOOLEY3 Filed as: AUDREY A TOOLEY | 601 NORTH 5TH STREET OZARK, AR 72949 | AFLAC | $1K | — | $1K | 2.61% |
| JOHN DORAN SHEPPARD3 | 545 W MAIN ST STE 100 DOTHAN, AL 36301 | AFLAC | $986 | $17 | $1K | 1.82% |
| SAIC INC3 | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $512 | — | $512 | 0.93% |
| MICHAEL FOWLER3 | 2204 EXECUTIVE PARK DR OPELIKA, AL 36801 | AFLAC | $493 | $17 | $510 | 0.93% |
| SAIC INC3 | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $422 | — | $422 | 0.77% |
| DANIEL S ADAMS3 | 3857 SCOTT CHURCH RD MARIANNA, FL 32448 | AFLAC | $378 | — | $378 | 0.69% |
| CARYLLE L QUINN3 | 2547 HIDDEN ESTATES CIR NAVARRE, FL 32566 | AFLAC | $370 | — | $370 | 0.67% |
| PR INSURANCE LLC3 | PO BOX 8516 DOTHAN, AL 36304 | AFLAC | $351 | — | $351 | 0.64% |
| BRIAN ANDREWS3 | 5728 TAMARACK DR PACE, FL 32571 | AFLAC | $295 | — | $295 | 0.54% |
| DAVID E CIAMPOLI3 | 109 N PLAZA CT VAN BUREN, AR 72956 | AFLAC | $157 | — | $157 | 0.28% |
| WALTER KOGUT3 Filed as: WALTER KUGOT | 2631 COLUMBIA ST HOUSTON, TX 77008 | AFLAC | $119 | — | $119 | 0.22% |
| MICHAEL FOWLER3 | 1550 OPELIKA RD STE 35 AUBURN, AL 36830 | AFLAC | $96 | — | $96 | 0.17% |
| CHARLES HARTHUN3 Filed as: CHARLES B HARTHUN | 1577 LAWSON RD CROSSVILLE, TN 38571 | AFLAC | $93 | — | $93 | 0.17% |
| JULIANA SHORES3 Filed as: JULIANA E SHORES | 159 CALHOUN AVE DESTIN, FL 32541 | AFLAC | $91 | — | $91 | 0.17% |
| LEO P TISA3 | PO BOX 898 NICEVILLE, FL 32588 | AFLAC | $75 | — | $75 | 0.14% |
| DAVID SPRINGER3 Filed as: DAVID B SPRINGER | 2986 SAINT STEVENS DR TALLAHASSEE, FL 32312 | AFLAC | $70 | — | $70 | 0.13% |
| JOHN W AMOS3 | 10051 VETERANS PKWY 2B MIDLAND, GA 31820 | AFLAC | $68 | — | $68 | 0.12% |
| BARBARA R KOGUT3 | 2631 COLUMBIA ST HOUSTON, TX 77008 | AFLAC | $57 | — | $57 | 0.10% |
| BRIAN J MESEROLL3 | 2772 TETON TRAIL TALLAHASSEE, FL 32303 | AFLAC | $46 | — | $46 | 0.08% |
| RONALD D HOWARD3 | 312 JAMES ST TALLASSEE, AL 36078 | AFLAC | $38 | — | $38 | 0.07% |
| JOHN C POLLOCK3 | 600 UNIVERSITY OFFICE BLVD STE 12 PENSACOLA, FL 32504 | AFLAC | $28 | — | $28 | 0.05% |
| PAUL S WATKINS3 | PO BOX 269 TROY, AL 36081 | AFLAC | $26 | — | $26 | 0.05% |
| CAROLYN R TAYLOR3 | PO BOX 241146 MONTGOMERY, AL 36124 | AFLAC | $22 | — | $22 | 0.04% |
| RICKEY L BOOTHE3 | PO BOX 584 OPP, AL 36467 | AFLAC | $21 | — | $21 | 0.04% |
| MARY K HARPER-SEYMOUR3 | 5247 MARE CREEK DR CRESTVIEW, FL 32539 | AFLAC | $21 | — | $21 | 0.04% |
| DAVID E CIAMPOLI3 | 349 ANTIETAM DR BOSSIER CITY, LA 71112 | AFLAC | $21 | — | $21 | 0.04% |
| RHONDA M WHIDDON3 | 120 TELFORD PL DOTHAN, AL 36305 | AFLAC | $20 | — | $20 | 0.04% |
| BUCK MAYO JR3 | 209 DAPHNE DR ENTERPRISE, AL 36330 | AFLAC | $20 | — | $20 | 0.04% |
| GSL MARKETING INC3 | 14260 W NEWBERRY RD 336 NEWBERRY, FL 32669 | AFLAC | $18 | — | $18 | 0.03% |
| GSL MARKETING INC3 | 14260 W NEWBERRY RD 336 NEWBERRY, FL 32669 | AFLAC | $18 | — | $18 | 0.03% |
| CAROL S JOSSERAND3 | 104 SANDTRAP RD 101 MIRAMAR BEACH, FL 32550 | AFLAC | $18 | — | $18 | 0.03% |
| JOHN MCDONNELL3 Filed as: JOHN R WILLIAMS | 205 FOXRUN TRAIL DOTHAN, AL 36303 | AFLAC | $18 | — | $18 | 0.03% |
| JEFFREY L COLLINS3 | 359 APPLEFORD RD HELENA, AL 35080 | AFLAC | $17 | — | $17 | 0.03% |
| MARGARET E MAYO3 | 209 DAPHNE DR ENTERPRISE, AL 36330 | AFLAC | $11 | — | $11 | 0.02% |
| REBECCA BANDY3 Filed as: REBECCA I BANDY | 513 FALLING WATER CIR BOSSIER CITY, LA 71112 | AFLAC | $10 | — | $10 | 0.02% |
| JOHN TODD LEE3 | 322 FARMHOUSE RD ELLERSLIE, GA 31807 | AFLAC | $9 | — | $9 | 0.02% |
| KELVIN MICHAEL RICE3 | 102 CRICHTON CT DOTHAN, AL 36305 | AFLAC | $7 | — | $7 | 0.01% |
| J C ADAMS INC3 Filed as: JC ADAMS INC | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $7 | — | $7 | 0.01% |
| STAN A SHERLIN3 | 773 TOWNE LAKE DR MONTGOMERY, AL 36117 | AFLAC | $7 | — | $7 | 0.01% |
| BETH ANNE DARNELL3 Filed as: BETH ANN DARNELL | 457 HOOK RD ALEXANDER CITY, AL 35010 | AFLAC | $7 | — | $7 | 0.01% |
| BENEFIT SOURCE INC3 Filed as: THE BENEFIT SOURCE INC | PO BOX 241146 MONTGOMERY, AL 36124 | AFLAC | $7 | — | $7 | 0.01% |
| EUGENE L PORTER III3 | PO BOX 241146 MONTGOMERY, AL 36124 | AFLAC | $6 | — | $6 | 0.01% |
| RJSW & ASSOCIATES INC3 | 1344 VICKERS RD TALLAHASSEE, FL 32303 | AFLAC | $6 | — | $6 | 0.01% |
| ROBERT L TRAPNELL JR3 | 19 N INDIAN RIVER DR APT 701 COCOA, FL 32922 | AFLAC | $5 | — | $5 | 0.01% |
| KEITH BELICH3 | 2740 CENTRAL PKWY MONTGOMERY, AL 36106 | AFLAC | $5 | — | $5 | 0.01% |
| GEORGE G DICKEY3 | 8 ROSS DR VILONIA, AR 72173 | AFLAC | $4 | — | $4 | 0.01% |
| BRIAN E HICKS3 | 188 FRONT STREET STE 116 39 FRANKLIN, TN 37064 | AFLAC | $2 | — | $2 | 0.00% |
| LYNNE HUDGINS MOORE3 | 8650 MINNIE BROWN RD STE 150 MONTGOMERY, AL 36117 | AFLAC | $1 | — | $1 | 0.00% |
| KELVIN MICHAEL RICE3 | 688 EARLINE RD DOTHAN, AL 36305 | AFLAC | $1 | — | $1 | 0.00% |
| PR INSURANCE LLC3 Filed as: PR INSURANCE | 113 ADRIS PLACE DOTHAN, AL 36303 | NATIONAL GUARDIAN LIFE | $3K | — | $3K | 8.99% |
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 | 554 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 554 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 551 | $3.3M |
| Dental | SOUTHLAND NATIONAL INSURANCE CORPORATION | 342 | $179K |
| Vision | NATIONAL GUARDIAN LIFE | 269 | $39K |
| Life insurance | AFLAC | 88 | $55K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 551 | $3.3M |
| Other | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 551 | $3.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 551 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
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.