| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP | 104 E 10TH ST TIFTON, GA 31793 | AETNA LIFE INSURANCE CO. | — | $3K | $3K | 0.23% |
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP | 1476 CARPENTER RD TIFTON, GA 31793 | PRINCIPAL LIFE INSURANCE COMPANY | $7K | $1K | $8K | 10.78% |
| JONI ANN JUMP3 | 336 PEACHTREE CIRCLE DOUGLAS, GA 31533 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $1K | $8K | 11.51% |
| RUSSELL L WARYE3 Filed as: RUSSELL GEORGE JUMP | 336 PEACHTREE CIRCLE DOUGLAS, GA 31533 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $811 | $6K | 8.20% |
| THE GRAHAM COMPANY3 Filed as: GRAHAM TYRE | PO BOX 369 NICHOLLS, GA 31554 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $813 | $499 | $1K | 1.90% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $527 | $507 | $1K | 1.50% |
| KASON R JUMP3 | 336 PEACHTREE CIRCLE DOUGLAS, GA 31533 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $652 | $96 | $748 | 1.09% |
| GEORGE JOEL WILLIAMS III3 | 902 TANNER AVENUE NICHOLLS, GA 31554 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $32 | — | $32 | 0.05% |
| BENTECH INC3 | 109 HUNTER LANE SAVANNAH, GA 31405 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | — | $19 | 0.03% |
| 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 | 0.01% |
| CARIE CHANEY HUNSINGER3 | 37 W FAIRMONT AVE SAVANNAH, GA 31406 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 0.01% |
| 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 | $1 | — | $1 | 0.00% |
| ROY CHILDRESS3 | 104 CLAY RIDGE RD COLUMBIA, SC 29223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JORDAN L BACON3 | 420 CONNELL RD, APT 7C VALDOSTA, GA 31602 | AFLAC | $8K | — | $8K | 15.87% |
| BRIAN HANCE HERRIN3 | 111 TIMBERLANE DR HOMERVILLE, GA 31634 | AFLAC | $2K | — | $2K | 3.24% |
| BRYAN SHOVER3 Filed as: BRYAN D SHOVER | 309 KNOB HILL RD VALDOSTA, GA 31602 | AFLAC | $1K | — | $1K | 2.37% |
| MICAH L MESSER3 | 790 HERRELL RD VILLA RICA, GA 31605 | AFLAC | $530 | — | $530 | 1.08% |
| PARKERZ INSURANCE LLC3 | 4676 SAN SABA DR HAHIRA, GA 31632 | AFLAC | $520 | — | $520 | 1.06% |
| LARA CARLSON3 Filed as: LARA K CARLSON | 106 LAUREL VIEW DR ST SIMONS ISLAND, GA 31522 | AFLAC | $227 | — | $227 | 0.46% |
| JRP AGENCY LLC3 | 4712 RADAR SITE RD VALDOSTA, GA 31605 | AFLAC | $220 | — | $220 | 0.45% |
| JAMES R PARKER3 | 4712 RADAR SITE RD VALDOSTA, GA 31605 | AFLAC | $209 | — | $209 | 0.43% |
| ETHRIDGE BENEFITS INC3 | 126 HEATHER LN LEESBURG, GA 31763 | AFLAC | $160 | — | $160 | 0.33% |
| CARSON LEE CHERRY3 | 1425 PIEDMONT DR E, STE 101B TALLAHASSEE, FL 32308 | AFLAC | $122 | — | $122 | 0.25% |
| MELISSA K ETHERIDGE3 Filed as: MELISSA K ETHRIDGE | 126 HEATHER LN LEESBURG, GA 31763 | AFLAC | $119 | — | $119 | 0.24% |
| WILLIAM L AMOS & CO INC3 Filed as: WILLIAM L AMOS AND CO INC | 6801 RIVER RD, STE 205 COLUMBUS, GA 31904 | AFLAC | $106 | — | $106 | 0.22% |
| BRAD W FLEMING3 | 4248 SHELBY LN VALDOSTA, GA 31605 | AFLAC | $89 | — | $89 | 0.18% |
| ELIZABETH F BELOTE3 | PO BOX 26341 MACON, GA 31221 | AFLAC | $40 | — | $40 | 0.08% |
| RICHARD CARTER SR3 Filed as: RICHARD K CARTER SR | 1224 PEACOCK AVE STE 205 COLUMBUS, GA 31906 | AFLAC | $39 | — | $39 | 0.08% |
| BILL DURHAM INSURANCE AND INVESTMEN3 | PO BOX 415 MOULTRIE, GA 31776 | AFLAC | $38 | — | $38 | 0.08% |
| MIMS BENEFIT GROUP3 | 118 NORTHAMPTON RD LESSBURG, GA 31763 | AFLAC | $32 | — | $32 | 0.07% |
| JON M LOUDEN3 | 22739 E PRENTICE PL AURORA, CO 80015 | AFLAC | $27 | — | $27 | 0.05% |
| SUE C TUCKER3 | 9856 US HIGHWAY 29 N CUSSETA, AL 36852 | AFLAC | $23 | — | $23 | 0.05% |
| BRADLEY BOLICK3 Filed as: BRADLEY S BOLICK | 6433 FALL BRANCH DR COLUMBUS, GA 31904 | AFLAC | $22 | — | $22 | 0.04% |
| RPM LTD3 | PO BOX 1016 YULEE, FL 32041 | AFLAC | $18 | — | $18 | 0.04% |
| TAMARA DIANNE NEWSOME3 | 238 VISTA CIR MACON, GA 31204 | AFLAC | $17 | — | $17 | 0.03% |
| SHEILA M MIMS3 | 8115 WINDFALL WAY COLORADO SPRINGS, CO 80908 | AFLAC | $16 | — | $16 | 0.03% |
| KIM J WILLIAMS3 | 2685 WILLIAMS RD LEWISVILLE, NC 27023 | AFLAC | $10 | — | $10 | 0.02% |
| HUSTON WILLOUGHBY JR3 | 1504 GA HIGHWAY 49 S AMERICUS, GA 31719 | AFLAC | $8 | — | $8 | 0.02% |
| FRANCES SANDRA BOND3 | 480 HOLLY SPRINGS CHURCH RD INMAN, SC 29349 | AFLAC | $2 | — | $2 | 0.00% |
| J BECK INC3 | PO BOX 5386 COLUMBUS, GA 31906 | AFLAC | $2 | — | $2 | 0.00% |
| NICOLE R HUFFMAN3 | 641 SUFFOLK RD JOHNSON CITY, TN 37615 | 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 ROAD TIFTON, GA 31793 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $7K | — | $7K | 16.86% |
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 | 147 | 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) | 147 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 161 | $1.1M |
| Dental | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 161 | $44K |
| Life insurance(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 161 | $162K |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 53 | $118K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 147 | $76K |
| Other | AFLAC | 53 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 161 | — |
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.