| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GULF SOUTH LTD. | PO BOX 6650 METAIRIE, LA 70009 | EQUITABLE | $16K | — | $16K | 6.51% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 BUILDING I SUITE 100 AUSTIN, TX 78766 | EQUITABLE | — | $9K | $9K | 3.51% |
| OAKBRIDGE INSURANCE AGENCY LLC3 | 200 CORPORATE CENTER DRIVE SUITE A STOCKBRIDGE, GA 30281 | EQUITABLE | $6K | — | $6K | 2.27% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 2487 CEDARCREST ROAD SUITE 122 ACWORTH, GA 30101 | AFLAC | $2K | — | $2K | 4.15% |
| LESLIE F MORSE3 | 140 RIVER COURT PARKWAY ATLANTA, GA 30328 | AFLAC | $2K | $131 | $2K | 3.65% |
| FRAN C HARGARTEN III3 | 1140 MOSSY ROCK ROAD NORTHWEST KENNESAW, GA 30152 | AFLAC | $807 | $79 | $886 | 1.96% |
| ANDREW DAVID KOWN3 | 6130 RIVER SHORE PARKWAY ATLANTA, GA 30328 | AFLAC | $697 | — | $697 | 1.54% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES HARBOUR | 7725 GATEWAY UNITE 2503 IRVINE, CA 92618 | AFLAC | $320 | $164 | $484 | 1.07% |
| MARSH & MCLENNAN AGENCY LLC3 | 300 WEST 10TH STREET WEST POINT, GA 31833 | AFLAC | $359 | — | $359 | 0.79% |
| MEBPBC LLC3 | 112 CANDLEBERRY LANE SAVANNAH, GA 31406 | AFLAC | $299 | — | $299 | 0.66% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 744831 ATLANTA, GA 30374 | AFLAC | $264 | — | $264 | 0.58% |
| VANDON GIBBS3 | 12206 CICERO DRIVE ALPHARETTA, GA 30022 | AFLAC | $199 | — | $199 | 0.44% |
| ANGELICA SAMANIEGO3 | 792 NORTH STEELE DRIVE HAMPTON, GA 30228 | AFLAC | $177 | — | $177 | 0.39% |
| VELOCITY BENEFITS3 | 113 SILKY SULLIVAN WAY CANTON, GA 30115 | AFLAC | $131 | — | $131 | 0.29% |
| LESLIE F MORSE3 Filed as: LESLIE FAULKNER MORSE | 244 TURNER ROAD PINEHURST, NC 28374 | AFLAC | $122 | — | $122 | 0.27% |
| LINDA J MCCOY3 | 509 PINE STREET PALMETTO, GA 30268 | AFLAC | $93 | — | $93 | 0.21% |
| ANDY B GLENN II3 | 2999 DOUGLAS BOULEVARD SUITE 180 ROSEVILLE, CA 95661 | AFLAC | $91 | — | $91 | 0.20% |
| DENNIS L ENGLE3 | PO BOX 15446 SAVANNAH, GA 31416 | AFLAC | $87 | — | $87 | 0.19% |
| THOMAS D BAXTER3 | PO BOX 603 SUNNY SIDE, GA 30284 | AFLAC | $72 | — | $72 | 0.16% |
| MILLAN B TERRELL3 | 1299 BATTLECREEK ROAD SUITE 240 JONESBORO, GA 30236 | AFLAC | $63 | — | $63 | 0.14% |
| MARIE MENZIES3 | 1750 SHILOW ROAD NORTHWEST APARTMENT 102 KENNESAW, GA 30144 | AFLAC | $54 | — | $54 | 0.12% |
| CANDACE JACKSON3 | 932 JOHN CARTER ROAD BLOOMINGDALE, GA 31302 | AFLAC | $45 | — | $45 | 0.10% |
| DONNA N THOMAS3 | 71 MONTROSE LANE SHARPSBURG, GA 30277 | AFLAC | $33 | — | $33 | 0.07% |
| ALEXANDER B WARD3 | 5194 FOREST VIEW COURT SOUTHEAST MABLETON, GA 30126 | AFLAC | $25 | — | $25 | 0.06% |
| STEPHANIE K NUCKOLLS3 | 284 KESWICK DRIVE CHATSWORTH, GA 30705 | AFLAC | $25 | — | $25 | 0.06% |
| CLAYTON H BENNETT3 | 8700 FRONT BEACH ROAD UNIT 4307 PANAMA CITY BEACH, FL 32407 | AFLAC | $19 | — | $19 | 0.04% |
| JOSEPH BAILEY DUCKETT3 | 113 SILKY SULLIVAN WAY CANTON, GA 30115 | AFLAC | $18 | — | $18 | 0.04% |
| DARYL PERRY3 Filed as: DARYL E PERRY | 18 WATERS EDGE DRIVE SOUTHEAST ACWORTH, GA 30102 | AFLAC | $12 | — | $12 | 0.03% |
| DAVID C CLOUD JR3 | 12 TRENT DRIVE SOUTHEAST ROME, GA 30161 | AFLAC | $12 | — | $12 | 0.03% |
| REBEKAH ANN FERRELL3 | 84 VICEROY DRIVE POOLER, GA 31322 | AFLAC | $8 | $4 | $12 | 0.03% |
| SCOT J SPOONER3 | 173 MONTICELLO COURT DALLAS, GA 30132 | AFLAC | $11 | — | $11 | 0.02% |
| LISA M MUSTO3 Filed as: LISA MARIE MUSTO | 3424 WEST COMMUNITY DRIVE JUPITER, FL 33458 | AFLAC | $5 | $4 | $9 | 0.02% |
| JOHN P KOWN II3 | 430 DAVIS CARNES LANE NORTHWEST MARIETTA, GA 30064 | AFLAC | $8 | — | $8 | 0.02% |
| THOMAS ROBERT GIDDENS3 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $3 | — | $3 | 0.01% |
| CAROLINA BETANCUR GUTIERREZ3 | 140 STERLING ROAD JASPER, GA 30143 | AFLAC | $1 | — | $1 | 0.00% |
| KATHERINE LATIMER3 | 5093 BOONE LINKS LANE COLUMBUS, GA 31909 | AFLAC | $1 | — | $1 | 0.00% |
| LANCE OSBORNE3 | 21822 SEACREST LANE HUNTINGTON BEACH, CA 92646 | AFLAC | $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 | 211 | 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) | 211 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | EQUITABLE | 203 | $252K |
| Vision | EQUITABLE | 203 | $252K |
| Life insurance | EQUITABLE | 203 | $252K |
| Short-term disability | EQUITABLE | 203 | $252K |
| Long-term disability | EQUITABLE | 203 | $252K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 200 | $508K |
| Other(2 contracts, 2 carriers) | EQUITABLE | 203 | $297K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 203 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.