| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP | PO BOX 925 NASHVILLE, GA 31636 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $33K | $1K | $34K | 3.34% |
| JORDAN L BACON3 | 420 CONNELL RD, APT 7C VALDOSTA, GA 31602 | AFLAC | $10K | $197 | $11K | 17.60% |
| PARKERZ INSURANCE LLC3 | 4676 SAN SABA DR HAHIRA, GA 31632 | AFLAC | $2K | $22 | $2K | 4.01% |
| CARSON LEE CHERRY3 | 1425 PIEDMONT DR E, STE 101B TALLAHASSEE, FL 32308 | AFLAC | $1K | $11 | $1K | 2.30% |
| MICAH L MESSER3 | 790 HERRELL RD VILLA RICA, GA 31605 | AFLAC | $661 | — | $661 | 1.10% |
| JRP AGENCY LLC3 | 4712 RADAR SITE RD VALDOSTA, GA 31605 | AFLAC | $622 | — | $622 | 1.03% |
| MELISSA K ETHERIDGE3 | 126 HEATHER LN LEESBURG, GA 31763 | AFLAC | $562 | — | $562 | 0.93% |
| LARA CARLSON3 Filed as: LARA K CARLSON | 106 LAUREL VIEW DR ST SIMONS ISLAND, GA 31522 | AFLAC | $416 | $36 | $452 | 0.75% |
| BRAD W FLEMING3 | 4248 SHELBY LN VALDOSTA, GA 31605 | AFLAC | $163 | — | $163 | 0.27% |
| WILLIAM L AMOS & CO INC3 Filed as: WILLIAM L AMOS AND CO INC | 6801 RIVER RD, STE 205 COLUMBUS, GA 31904 | AFLAC | $161 | — | $161 | 0.27% |
| KIM J WILLIAMS3 | 2685 WILLIAMS RD LEWISVILLE, NC 27023 | AFLAC | $111 | $18 | $129 | 0.21% |
| MIMS BENEFIT GROUP3 | 118 NORTHAMPTON RD LESSBURG, GA 31763 | AFLAC | $128 | — | $128 | 0.21% |
| BRYAN SHOVER3 Filed as: BRYAN D SHOVER | 309 KNOB HILL RD VALDOSTA, GA 31602 | AFLAC | $121 | $7 | $128 | 0.21% |
| KAREN HILTON KIMBRELL3 | PO BOX 714 SHELLMAN, GA 39886 | AFLAC | $83 | — | $83 | 0.14% |
| RICHARD CARTER SR3 Filed as: RICHARD K CARTER SR | 1224 PEACOCK AVE STE 205 COLUMBUS, GA 31906 | AFLAC | $70 | — | $70 | 0.12% |
| HUSTON WILLOUGHBY JR3 | 1504 GA HIGHWAY 49 S AMERICUS, GA 31719 | AFLAC | $53 | — | $53 | 0.09% |
| SUE C TUCKER3 | 9856 US HIGHWAY 29 N CUSSETA, AL 36852 | AFLAC | $46 | — | $46 | 0.08% |
| BRADLEY BOLICK3 Filed as: BRADLEY S BOLICK | 6433 FALL BRANCH DR COLUMBUS, GA 31904 | AFLAC | $37 | — | $37 | 0.06% |
| JON M LOUDEN3 | 22739 E PRENTICE PL AURORA, CO 80015 | AFLAC | $32 | — | $32 | 0.05% |
| RPM LTD3 | PO BOX 1016 YULEE, FL 32041 | AFLAC | $28 | — | $28 | 0.05% |
| FRANCES SANDRA BOND3 | 480 HOLLY SPRINGS CHURCH RD INMAN, SC 29349 | AFLAC | $21 | — | $21 | 0.03% |
| CAROL Y HETZLER3 | 38 E VIA PLAZA NUEVA SANTA FE, NM 87507 | AFLAC | $19 | — | $19 | 0.03% |
| KDL SALES GROUP INC3 | 208 STONEGATE DR ALBANY, GA 31721 | AFLAC | $14 | — | $14 | 0.02% |
| J BECK INC3 | PO BOX 5386 COLUMBUS, GA 31906 | AFLAC | $12 | — | $12 | 0.02% |
| WILLIA3 | 6801 RIVER RD, STE 205 COLUMBUS, GA 31904 | AFLAC | $8 | — | $8 | 0.01% |
| TERESA LUMMUS3 Filed as: TERESA A LUMMUS | 145 OCONEE WOODS TRL SHARPSBURG, GA 30277 | AFLAC | $2 | — | $2 | 0.00% |
| JENNIFER SMITH3 Filed as: JENNIFER L SMITH | 319 N MAIN AVE, STE 130 SPRINGFIELD, MO 35806 | AFLAC | $1 | — | $1 | 0.00% |
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP | 1476 CARPENTER RD TIFTON, GA 31793 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | $487 | $6K | 10.93% |
| JONI ANN JUMP3 | 336 PEACHTREE CIRCLE DOUGLAS, GA 31533 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14K | $3K | $16K | 31.96% |
| RUSSELL L WARYE3 Filed as: RUSSELL GEORGE JUMP | 336 PEACHTREE CIRCLE DOUGLAS, GA 31533 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $898 | $3K | 5.77% |
| THE GRAHAM COMPANY3 Filed as: GRAHAM TYRE | PO BOX 369 NICHOLLS, GA 31554 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $901 | $954 | $2K | 3.66% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $545 | $482 | $1K | 2.02% |
| GEORGE JOEL WILLIAMS III3 | 902 TANNER AVENUE NICHOLLS, GA 31554 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $222 | $3 | $225 | 0.44% |
| BRANDON GLENN MCMILLAN3 | 42 CLYDESDALE RD DOUGLAS, GA 31533 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $106 | — | $106 | 0.21% |
| BENTECH INC3 | 109 HUNTER LANE SAVANNAH, GA 31405 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | — | $19 | 0.04% |
| BOB HANNER AND ASSOC INC3 | 9610 PLAINS HWY PARROTT, GA 31777 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.02% |
| COLEMAN AND COMPANY BENEFITS INC3 | PO BOX 157 EASTMAN, GA 31023 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.02% |
| CARIE DEANNE CHANEY3 | 37 W FAIRMONT AVE SAVANNAH, GA 31406 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 0.02% |
| BENEFIT COMMUNICATION SPECIALISTS3 | 37 W FAIRMONT AVE SAVANNAH, GA 31406 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.01% |
| ROBERT E FENN3 | 179 LAKE LURE DR ALMA, GA 31510 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| ROY CHILDRESS3 | 104 CLAY RIDGE RD COLUMBIA, SC 29223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
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 | 134 | 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) | 134 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 138 | $1.0M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 138 | $1.1M |
| Life insurance(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 138 | $1.1M |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 55 | $111K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 134 | $53K |
| Other | AFLAC | 55 | $60K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 138 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.