| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CLJM LLC3 | 8235 FORSYTH BLVD STE 1200 CLAYTON, MO 63105 | UNITEDHEALTHCARE INSURANCE COMPANY | $26K | $0 | $26K | 3.27% |
| CLJM LLC DBA HUNTLEIGH MCGEHEE3 | 8235 FORSYTH BLVD STE 1200 ST LOUIS, MO 63105 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $6K | $2K | $8K | 12.25% |
| CHARLENE MONTGOMERY LLC3 | 214 EDGEWOOD DR NICHOLASVILLE, KY 40356 | AFLAC | $2K | $134 | $2K | 8.85% |
| LIB WILSON & ASSOCIATES, INC.3 | 214 EDGEWOOD DR NICHOLASVILLE, KY 40356 | AFLAC | $993 | $101 | $1K | 4.93% |
| MIRNA CERRADA3 | 3797 BELLEAU WOOD DR LEXINGTON, KY 40517 | AFLAC | $518 | $42 | $560 | 2.53% |
| POWELL ENTERPRISES LLC3 | 125 PLANTATION CENTRE DR S STE 900 MACON, GA 31210 | AFLAC | $339 | $47 | $386 | 1.74% |
| DALE I DAVIS3 | 333E SHORT ST STE 130 NUMBER 416 LEXINGTON, KY 40507 | AFLAC | $336 | $47 | $383 | 1.73% |
| HOPE DAMRON3 | 737 SPRUCEWOOD DR LEXINGTON, KY 40514 | AFLAC | $167 | — | $167 | 0.75% |
| LAURA BETH KELLER3 | 2220 EXECUTIVE DR STE 204 LEXINGTON, KY 40505 | AFLAC | $80 | $8 | $88 | 0.40% |
| TYLER DECKER3 | 4325 COBBLESTONE KNOLL DR LEXINGTON, KY 40515 | AFLAC | $87 | — | $87 | 0.39% |
| RUEANN M EMERSON3 | 11551 NUCKLOS DR STE 204 GLEN ALLEN, VA 23059 | AFLAC | $82 | — | $82 | 0.37% |
| HEATHER MAMMEN3 | 468 BOB O LINK DR LEXINGTON, KY 40503 | AFLAC | $34 | $8 | $42 | 0.19% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | PO BOX 910610 LEXINGTON, KY 40591 | AFLAC | $31 | — | $31 | 0.14% |
| R AARON WRIGHT3 | 9200 SHELBYVILLE RD STE 605 LOUISVILLE, KY 40222 | AFLAC | $28 | — | $28 | 0.13% |
| LAWRENCE TODD FUGATE3 | 2352 HARTLAND PARKSIDE DR LEXINGTON, KY 40515 | AFLAC | $21 | — | $21 | 0.09% |
| LESLIE K KIMBROUGH3 Filed as: LESLIE KIMBROUGH | PO BOX 273488 BOCA RATON, FL 33427 | AFLAC | $16 | — | $16 | 0.07% |
| MORGAN REED SALYER3 | PO BOX 23796 LEXINGTON, KY 40523 | AFLAC | $15 | — | $15 | 0.07% |
| CHUCK ANDREW WILSON3 | 6710 CROSSWAYS PL LOUISVILLE, KY 40241 | AFLAC | $14 | — | $14 | 0.06% |
| BROCK POWELL3 | 125 PLANTATION CENTRE DR S STE 900 MACON, GA 31210 | AFLAC | $14 | — | $14 | 0.06% |
| SALLY A MEAD3 | 1535 FIANNA PLACE TER FORT SMITH, AR 72908 | AFLAC | $13 | — | $13 | 0.06% |
| CHARLES HUGH MACKAY3 | 3203 ODYSSEY LAKE CIR S BRUNSWICK, GA 31525 | AFLAC | $11 | — | $11 | 0.05% |
| RPM LTD3 | PO BOX 484 BLOOMINGDALE, GA 31302 | AFLAC | $10 | — | $10 | 0.05% |
| SHANNON CARPENTER3 | 135 EDGEWOOD RD MIDDLESBORO, KY 40965 | AFLAC | $7 | — | $7 | 0.03% |
| BRADLEY L ELLIS3 | 7713 INDEPENDENCE PL CRESTWOOD, KY 40014 | AFLAC | $7 | — | $7 | 0.03% |
| CLIFFORD FRANKLIN BROOKS3 | 9200 SHELBYVILLE RD STE 605 LOUISVILLE, KY 40222 | AFLAC | $7 | — | $7 | 0.03% |
| MICHAEL FATHERREE3 | 171 COUNTY RD 1559 ALBA, TX 75410 | AFLAC | $6 | — | $6 | 0.03% |
| STEPHANIE RINGER3 | 411 WALNUT ST STE 5859 GREEN COVE SPRINGS, FL 32043 | AFLAC | $6 | — | $6 | 0.03% |
| THE HINTON AGENCY LLC3 | 121 E ELECTRIC AVE FLEMINGSBURG, KY 41041 | AFLAC | $5 | — | $5 | 0.02% |
| DAVID A EMERSON3 | 11551 NUCKOLS RD STE P GLENN ALLEN, VA 23059 | AFLAC | $5 | — | $5 | 0.02% |
| LESLIE D. FAULKNER3 Filed as: LESLIE D FAULKNER | 50 HURT PLZ SE STE 995 ATLANTA, GA 30303 | AFLAC | $5 | — | $5 | 0.02% |
| MARY CARMELA BERARDI3 | 1795 ALYSHEBA WAY STE 1204 LEXINGTON, KY 40509 | AFLAC | $4 | — | $4 | 0.02% |
| KRISTYN E BLACKFORD3 | 2220 EXECUTIVE DR STE 204 LEXINGTON, KY 40505 | AFLAC | $2 | — | $2 | 0.01% |
| JEANNETTE E FATHERREE3 | 174 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $2 | — | $2 | 0.01% |
| BRANDY ANN HARTIN3 | 3115 PHOENIX AVE OLDSMAR, FL 34677 | AFLAC | $1 | — | $1 | 0.00% |
| CHARLENE MONTGOMERY LLC3 | 214 EDGEWOOD DR NICHOLASVILLE, KY 40356 | AFLAC | $2K | $104 | $2K | 9.08% |
| LIB WILSON & ASSOCIATES, INC.3 | 214 EDGEWOOD DR NICHOLASVILLE, KY 40356 | AFLAC | $739 | — | $739 | 3.95% |
| POWELL ENTERPRISES LLC3 | 125 PLANTATION CENTRE DR S STE 900 MACON, GA 31210 | AFLAC | $279 | $21 | $300 | 1.60% |
| DALE I DAVIS3 | 333 E SHORT ST STE 130 NUMBER 416 LEXINGTON, KY 40507 | AFLAC | $232 | $21 | $253 | 1.35% |
| HOPE DAMRON3 | 737 SPRUCEWOOD DR LEXINGTON, KY 40514 | AFLAC | $128 | — | $128 | 0.68% |
| MIRNA CERRADA3 | 3797 BELLEAU WOOD DR LEXINGTON, KY 40517 | AFLAC | $127 | — | $127 | 0.68% |
| RUEANN M EMERSON3 | 11551 NUCKOLS RD ST P GLEN ALLEN, VA 23059 | AFLAC | $87 | — | $87 | 0.46% |
| RPM LTD3 | PO BOX 484 BLOOMINGDALE, GA 31302 | AFLAC | $29 | — | $29 | 0.15% |
| R AARON WRIGHT3 | 9200 SHELBYVILLE RD STE 605 LOUISVILLE, KY 40222 | AFLAC | $27 | — | $27 | 0.14% |
| LAWRENCE TODD FUGATE3 | 2352 HARTLAND PARKSIDE DR LEXINGTON, KY 40515 | AFLAC | $23 | — | $23 | 0.12% |
| TYLER DECKER3 | 4325 COBBLESTONE KNOLL DR LEXINGTON, KY 40515 | AFLAC | $23 | — | $23 | 0.12% |
| LESLIE K KIMBROUGH3 | PO BOX 273488 BOCA RATON, FL 33427 | AFLAC | $21 | — | $21 | 0.11% |
| SALLY A MEAD3 | 1535 FIANNA PLACE TER FORT SMITH, AR 72908 | AFLAC | $21 | — | $21 | 0.11% |
| LAURA BETH KELLER3 Filed as: LAURA KELLER | 2220 EXECUTIVE DR STE 204 LEXINGTON, KY 40505 | AFLAC | $18 | — | $18 | 0.10% |
| BROCK POWELL3 | 125 PLANTATION CENTRE DR S STE 900 MACON, GA 31210 | AFLAC | $14 | — | $14 | 0.07% |
| THE HINTON AGENCY LLC3 | 121 E ELECTRIC AVE FLEMINGSBURG, KY 41041 | AFLAC | $12 | — | $12 | 0.06% |
| CLIFFORD FRANKLIN BROOKS3 | 9200 SHELBYVILLE RD STE 605 LOUISVILLE, KY 40222 | AFLAC | $8 | — | $8 | 0.04% |
| MICHAEL FATHERREE3 | 171 COUNTY RD 1559 ALBA, TX 75410 | AFLAC | $8 | — | $8 | 0.04% |
| BRADLEY L ELLIS3 | 7713 INDEPENDENCE PL CRESTWOOD, KY 40014 | AFLAC | $7 | — | $7 | 0.04% |
| DAVID A EMERSON3 | 11551 NUCKOLS RD STE P GLEN ALLEN, VA 23059 | AFLAC | $5 | — | $5 | 0.03% |
| HEATHER MAMMEN3 | 468 BOB O LINK DR LEXINGTON, KY 40503 | AFLAC | $3 | — | $3 | 0.02% |
| KATHLEEN A SMITH3 | 1180 HIGH POINT DR NICHOLASVILLE, KY 40356 | AFLAC | $3 | — | $3 | 0.02% |
| KRISTIANNA J FLY3 | PO BOX 206 NORTH MIDDLETOWN, KY 40357 | AFLAC | $2 | — | $2 | 0.01% |
| BRANDY ANN HARTIN3 | 3115 PHOENIX AVE OLDSMAR, FL 34677 | AFLAC | $2 | — | $2 | 0.01% |
| TANDRA FAYE FREED3 | 719 LAWMAN AVE BRIDGEPORT, WV 26330 | AFLAC | $1 | — | $1 | 0.01% |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 126 | $791K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 220 | $67K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 220 | $67K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 220 | $67K |
| Short-term disability(3 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 220 | $108K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 126 | $791K |
| Other(3 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 220 | $108K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 220 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.