| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 999 3RD AVENUE, SUITE 4100 SEATTLE, WA 98104 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $27 | $1K | 0.65% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 1018 WEST 9TH AVENUE KING OF PRUSSIA, PA 19406 | METROPOLITAN LIFE INSURANCE COMPANY | — | $101 | $101 | 0.06% |
| KIMBERLY D FARMER3 Filed as: KIMBERLY B. FARMER | 4931 RIVERSIDE DRIVE MACON, GA 31210 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5K | — | $5K | 13.84% |
| PATRICIA R ARWOOD3 Filed as: PATRICIA R. ARWOOD | 851 CHRISTIAN ROAD JULIETTE, GA 31046 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $65 | — | $65 | 0.17% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 600 HIGHWAY 169 SOUTH, SUITE 1200 SAINT LOUIS, MN 55426 | EYEMED VISION CARE | $2K | — | $2K | 6.64% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 201503 DALLAS, TX 75320 | EYEMED VISION CARE | $797 | — | $797 | 2.49% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 201629 DALLAS, TX 75320 | AETNA LIFE INSURANCE COMPANY | $874 | — | $874 | 9.03% |
| WILLIAM FARMER3 Filed as: WILLIAM G. FARMER | 4931 RIVERSIDE DRIVE, SUITE 100C MACON, GA 31210 | AFLAC | $197 | — | $197 | 4.60% |
| JAMES M PITZ3 Filed as: JAMES M.PITZ | 84 MINK DRIVE CATAULA, GA 31804 | AFLAC | $92 | — | $92 | 2.15% |
| PATRICIA R ARWOOD3 Filed as: PATRICIA R. ARWOOD | 851 CHRISTIAN ROAD JULIETTE, GA 31046 | AFLAC | $61 | — | $61 | 1.42% |
| JASON B WEST3 Filed as: JASON B. WEST | 6501 PEAKE ROAD, SUITE 950 MACON, GA 31210 | AFLAC | $50 | — | $50 | 1.17% |
| WILLIAM L AMOS & CO INC3 Filed as: WILLIAM L. AMOS & COMPANY INC. | 6801 RIVER ROAD, SUITE 205 COLUMBUS, GA 31904 | AFLAC | $27 | — | $27 | 0.63% |
| KIMBERLY D FARMER3 Filed as: KIMBERLY D. FARMER | 4931 RIVERSIDE DRIVE, SUITE 100C MACON, GA 31210 | AFLAC | $26 | — | $26 | 0.61% |
| BRADLEY BOLICK3 Filed as: BRADLEY S. BOLICK AND VARIOUS AGENT | 6433 FALLS BRANCH DRIVE COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 0.02% |
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 | 368 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 375 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 49 | $48K |
| Dental | AETNA LIFE INSURANCE COMPANY | 23 | $10K |
| Vision | EYEMED VISION CARE | 542 | $32K |
| Life insurance(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 368 | $213K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 368 | $175K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 368 | $165K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 23 | $10K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 368 | $170K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 542 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.