| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PR INSURANCE LLC3 | 113 ADRIS PLACE DOTHAN, AL 36303 | SOUTHLAND NATIONAL INSURANCE | $33K | — | $33K | 10.01% |
| PR INSURANCE LLC3 | 113 ADRIS PLACE DOTHAN, AL 36303 | NATIONAL GUARDIAN LIFE | $8K | — | $8K | 10.02% |
| JO ANN KIRKLAND3 | PO BOX 9981 DOTHAN, AL 36304 | AFLAC | $2K | $36 | $2K | 5.31% |
| JOHN DORAN SHEPPARD3 | 801 W MAIN ST DOTHAN, AL 36301 | AFLAC | $1K | $7 | $1K | 2.37% |
| SAIC INC3 | 1639 BRADLEY PARK DRIVE, ST 500 BOX 358 COLUMBUS, GA 31907 | AFLAC | $746 | — | $746 | 1.62% |
| DANIEL S ADAMS3 | 3857 SCOTT CHURCH RD MARIANNA, FL 32448 | AFLAC | $461 | — | $461 | 1.00% |
| MICHAEL FOWLER3 | 2204 EXECUTIVE PARK DR OPELIKA, AL 36801 | AFLAC | $357 | $7 | $364 | 0.79% |
| CARYLLE L QUINN3 | 6520 CALLE DE LAGO NAVARRE, FL 32566 | AFLAC | $185 | — | $185 | 0.40% |
| MICHELLE S OSTBLOOM3 | PO BOX 936 POOLER, GA 31322 | AFLAC | $184 | — | $184 | 0.40% |
| BRIAN ANDREWS3 | 5728 TAMARACK DR PACE, FL 32571 | AFLAC | $180 | — | $180 | 0.39% |
| ROBERT P FERRONE3 Filed as: ROBERT C MOBLEY | 7139 BROAD RIVER RD IRMO, SC 29063 | AFLAC | $98 | — | $98 | 0.21% |
| PAUL ANTHONY COMISAK II3 | 6300 E HIGHWAY 388 YOUNGSTOWN, FL 32466 | AFLAC | $82 | — | $82 | 0.18% |
| LEO P TISA3 | PO BOX 898 NICEVILLE, FL 32588 | AFLAC | $53 | — | $53 | 0.11% |
| THOMAS E NORMAN3 | 917 ELDORADO DR DOTHAN, AL 36303 | AFLAC | $48 | — | $48 | 0.10% |
| JOHN TODD LEE3 | 322 FARMHOUSE RD ELLERSLIE, GA 31807 | AFLAC | $47 | — | $47 | 0.10% |
| WALTER KOGUT3 | 2631 COLUMBIA ST HOUSTON, TX 77008 | AFLAC | $45 | — | $45 | 0.10% |
| JOHN W AMOS3 | 10051 VETERANS PKWY STE B-2 MIDLAND, GA 31820 | AFLAC | $43 | — | $43 | 0.09% |
| JOCELYN W RICHBURG3 | 102 KIMBERLY ST HEADLAND, AL 36345 | AFLAC | $41 | — | $41 | 0.09% |
| STAN A SHERLIN3 | 773 TOWNE LAKE DR MONTGOMERY, AL 36117 | AFLAC | $37 | — | $37 | 0.08% |
| LEWIS K GATHRIGHT JR3 | PO BOX 165 GOOCHLAND, VA 23063 | AFLAC | $34 | — | $34 | 0.07% |
| JOHN MCDONNELL3 Filed as: JOHN R WILLIAMS | 205 FOXRUN TRAIL DOTHAN, AL 36303 | AFLAC | $33 | — | $33 | 0.07% |
| JAMES M PITZ3 Filed as: JAMES K HALL | 71 FOX GLOVE CT CATAULA, GA 31804 | AFLAC | $32 | — | $32 | 0.07% |
| CHARLES HARTHUN3 Filed as: CHARLES B HARTHUN | 10396 SW 65TH TER OCALA, FL 34476 | AFLAC | $32 | — | $32 | 0.07% |
| BARBARA R KOGUT3 | 2631 COLUMBIA ST HOUSTON, TX 77008 | AFLAC | $31 | — | $31 | 0.07% |
| FLOWERS INSURANCE AGENCY LLC3 | 2501 W MAIN ST STE 500 DOTHAN, AL 36301 | AFLAC | $30 | — | $30 | 0.06% |
| PAUL S WATKINS3 | PO BOX 269 TROY, AL 36081 | AFLAC | $28 | — | $28 | 0.06% |
| BRENDA WALTON HALL3 | 71 FOX GLOVE CT CATAULA, GA 31804 | AFLAC | $26 | — | $26 | 0.06% |
| RICKEY L BOOTHE3 | PO BOX 584 OPP, AL 36467 | AFLAC | $25 | — | $25 | 0.05% |
| CAROLYN R TAYLOR3 | PO BOX 241146 MONTGOMERY, AL 36124 | AFLAC | $22 | — | $22 | 0.05% |
| RHONDA M WHIDDON3 | 120 TELFORD PL DOTHAN, AL 36305 | AFLAC | $22 | — | $22 | 0.05% |
| BUCK MAYO JR3 | 209 DAPHNE DR ENTERPRISE, AL 36330 | AFLAC | $22 | — | $22 | 0.05% |
| STEVEN BREWER3 Filed as: STEVEN W BREWER | 1007 CHARIOT DR SODDY DAISY, TN 37379 | AFLAC | $18 | — | $18 | 0.04% |
| CHAD LEONARD JOHNSON3 | 16 BAGBY POINT RD, APT B JACKSON, TN 38305 | AFLAC | $16 | — | $16 | 0.03% |
| HAZEL G JOHNSON3 | 67 ROCKWOOD DR JACKSON, TN 38305 | AFLAC | $16 | — | $16 | 0.03% |
| BRIAN K CHAMBERS3 | 8 NIGHTWIND CT COLUMBUS, GA 31909 | AFLAC | $15 | — | $15 | 0.03% |
| MARGARET E MAYO3 | 209 DAPHNE DR ENTERPRISE, AL 36330 | AFLAC | $12 | — | $12 | 0.03% |
| LARRY L JENKINS3 | 285 N FOSTER ST, STE 313 DOTHAN, AL 36303 | AFLAC | $11 | — | $11 | 0.02% |
| KELVIN MICHAEL RICE3 | 529 EDINBURGH WAY DOTHAN, AL 36305 | AFLAC | $6 | — | $6 | 0.01% |
| SHEILA K GODWIN3 | 336 HARPER JOY RD DOTHAN, AL 36301 | AFLAC | $5 | — | $5 | 0.01% |
| BRIAN E HICKS3 | 1327 JEWELL AVE FRANKLIN, TN 37064 | AFLAC | $5 | — | $5 | 0.01% |
| LYNNE HUDGINS MOORE3 | 8650 MINNIE BROWN RD STE 150 MONTGOMERY, AL 36117 | AFLAC | $5 | — | $5 | 0.01% |
| BRAD S MORRIS3 | 203 LIVEOAK TRL DOTHAN, AL 36305 | AFLAC | $5 | — | $5 | 0.01% |
| JOEL SANDERS3 Filed as: JOEL A SANDERS | 2165 HALCYON BLVD MONTGOMERY, AL 36117 | AFLAC | $2 | — | $2 | 0.00% |
| HELEN M HOLLOWAY3 | 718 HONEYSUCKLE RD DOTHAN, AL 36305 | AFLAC | $2 | — | $2 | 0.00% |
| RICHARD C TERRELL3 | 5173 KENDAL CT COLUMBUS, GA 31907 | AFLAC | $1 | — | $1 | 0.00% |
| MELVIN D BAILEY3 | 3001 GLEN CHASE CT CLEMMONS, NC 27012 | AFLAC | $1 | — | $1 | 0.00% |
| JOEL SANDERS3 Filed as: JOEL A SANDERS | 2165 HALCYON BLVD MONTGOMERY, AL 36117 | AFLAC | $1 | — | $1 | 0.00% |
| TED E CLINE3 | 3209 SILVER LAKE DR PHENIX CITY, AL 36867 | AFLAC | $0 | — | $0 | 0.00% |
| PR INSURNACE LLC3 | 5855 W MAIN STREET DOTHAN, AL 36305 | AFLAC | $0 | — | $0 | 0.00% |
| PR INSURANCE LLC3 | 113 ADRIS PLACE DOTHAN, AL 36303 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 11.51% |
| PR INSURANCE LLC3 | 113 ADRIS PLACE DOTHAN, AL 36303 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF AL EIN 63-0103830 CLAIMS PROCESSOR | Claims processing; Contract Administrator Service code 12 | — | $597K |
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 | 900 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 18 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 918 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 122 | $743K |
| Dental | SOUTHLAND NATIONAL INSURANCE | 613 | $326K |
| Vision | NATIONAL GUARDIAN LIFE | 528 | $79K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 48 | $39K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 48 | $30K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 48 | $30K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 122 | $743K |
| Other(4 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 122 | $829K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 613 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.