| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: DIGITAL INSURANCE INC, GEORGIA'S | DIGITAL INSURANCE 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 303393182 | HEALTHNET | $31K | — | $31K | 5.95% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ALABAMA | 2101 6TH AVENUE N SUITE 1200 BIRMINGHAM, AL 352032775 | METLIFE | $61K | — | $61K | 16.05% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 303395946 | KAISER FOUNDATION HEALTH PLAN INC. | $17K | $4 | $17K | 5.04% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ALABAMA INC | 2101 6TH AVENUE N SUITE 725 BIRMINGHAM, AL 35203 | HM LIFE INSURANCE COMPANY | $22K | — | $22K | 10.00% |
| BERNIE LOWE & ASSOCIATES INC3 Filed as: BERNIE LOWE & ASSOCIATES | 615 HORSESHOE DRIVE SUITE G GRINNELL, IA 501124711 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 2.52% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ALABAMA | 2101 6TH AVENUE NORTH SUITE 725 BIRMINGHAM, AL 352032776 | AMERITAS LIFE INSURANCE CORP. OF NEW YORK | $11K | — | $11K | 10.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW JERSEY | PO BOX 5002 SHORT HILLS, NJ 070785002 | AMERITAS LIFE INSURANCE CORP. OF NEW YORK | — | $3K | $3K | 2.27% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK | ONE WORLD FINANCIAL CENTER 200 LIBERTY STREET NEW YORK, NY 102811003 | AMERITAS LIFE INSURANCE CORP. OF NEW YORK | — | $1K | $1K | 0.93% |
| REGIONS INSURANCE INC3 | 300 COLONIAL CENTER PARKWAY SUITE 200 ROSWELL, GA 300768844 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | — | $8K | 7.66% |
| DAVID WOODRUFF3 | 1150 JULIAN DR STE 100 WATKINSVILLE, GA 306776012 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 2.34% |
| BERNIE LOWE & ASSOCIATES INC3 | 615 HORSESHOE DRIVE SUITE G GRINNELL, IA 50112 | HARTFORD LIFE AND ACCIDENT | $4K | $203 | $4K | 5.89% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY SE SUITE 1950 ATLANTA, GA 303395946 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $2K | $7K | 13.02% |
| JANICE KAY BEATY3 Filed as: JANICE BEATY | #3 BRAMLETTE PLACE LONGVIEW, TX 75601 | AFLAC | $3K | $73 | $3K | 7.77% |
| ADAM SCOTT3 | 352 ZAMBEZI LANE BULLARD, TX 75757 | AFLAC | $454 | $29 | $483 | 1.08% |
| KIMBERLY GERACI3 | 8701 FM 1448 WINNSBORO, TX 75494 | AFLAC | $272 | $73 | $345 | 0.77% |
| RONNIE WEBBER3 | 411 GREEN MEADOW TRAIL HOLLY LAKE RANCH, TX 75765 | AFLAC | $301 | — | $301 | 0.67% |
| SCOTT W BLACKSHEAR3 Filed as: SCOTT GUTHRIE | 14227 N 14TH STREET PHOENIX, AZ 85022 | AFLAC | $276 | — | $276 | 0.62% |
| BENEFITS AT WORK LLC3 Filed as: BENEFITS AT WORK, LLC | PO BOX 49909 AUSTIN, TX 78765 | AFLAC | $229 | $29 | $258 | 0.58% |
| WILLIAM HURLEY3 | 712 S CHILTON AVENUE TYLER, TX 75701 | AFLAC | $217 | — | $217 | 0.48% |
| DEBBIE TOWNSEND3 | PO BOX 6881 TYLER, TX 75711 | AFLAC | $184 | — | $184 | 0.41% |
| DEBORAH LEE STANLEY3 Filed as: DEBORAH STANLEY | 3727 COLONY PARK DRIVE TYLER, TX 75701 | AFLAC | $162 | — | $162 | 0.36% |
| JEANNETTE FATHERREE3 | 171 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $160 | — | $160 | 0.36% |
| FRANKLIN R DAVIES3 Filed as: FRANKLIN DAVIES | 201 ROYAL ABERDEEN WAY MCKINNEY, TX 75070 | AFLAC | $144 | — | $144 | 0.32% |
| GALYEAN INSURANCE AGENCY3 Filed as: GALYEAN INSURANCE AGENCY, INC. | P O BOX 797 SULPHUR SPRINGS, TX 75483 | AFLAC | $129 | — | $129 | 0.29% |
| CYNTHIA SMITH3 | 3017 JAN AVENUE TYLER, TX 75701 | AFLAC | $109 | — | $109 | 0.24% |
| SHAWN M GRAMMER3 Filed as: SHAWN GRAMMER | 8143 FM 1616 ATHENS, TX 75752 | AFLAC | $96 | — | $96 | 0.21% |
| LINDA STAGGS-LOPEZ3 | 3508 OMAR LANE PLANO, TX 75023 | AFLAC | $86 | — | $86 | 0.19% |
| MICHAEL FATHERREE3 | 171 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $82 | — | $82 | 0.18% |
| JEREMIAH D SMITH3 Filed as: JEREMIAH SMITH | 6250 ROSEWOOD DRIVE APT 2602 N RICHLAND HILLS, TX 76180 | AFLAC | $51 | — | $51 | 0.11% |
| MICHAEL SHANE KIRKLAND3 Filed as: MICHAEL KIRKLAND | 137 PLANTATION DRIVE KILLEN, AL 35645 | AFLAC | $50 | — | $50 | 0.11% |
| CYNTHIA VENTRESS3 | 13939 VINEHILL DRIVE SUGAR LAND, TX 77498 | AFLAC | $45 | — | $45 | 0.10% |
| MARTHA MCBRAYER3 | 208 ANN DRIVE MARSHALL, TX 75672 | AFLAC | $39 | — | $39 | 0.09% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: CHARLOTTE WARFORD-BROWN | 1051 GOLF DRIVE BRANSON WEST, MO 65737 | AFLAC | $22 | — | $22 | 0.05% |
| SANDRA SHARPE3 | 406 WEST HILL STREET CARTHAGE, TX 75633 | AFLAC | $19 | — | $19 | 0.04% |
| LARRY D DENNY3 Filed as: LARRY MARONEY | 1230 MOUNTAIN BREEZE CANYON LAKE, TX 78133 | AFLAC | $18 | — | $18 | 0.04% |
| JAMES ROB BLAKEY3 Filed as: JAMES BLAKEY | 14234 SAVANNAH PASS SAN ANTONIO, TX 78216 | AFLAC | $18 | — | $18 | 0.04% |
| D AND V BUTLER INC3 Filed as: D AND V BUTLER, INC. | 601 CRESENT BLVD #102 RIDGELAND, MS 39157 | AFLAC | $17 | — | $17 | 0.04% |
| RONALD GRAVES3 | 3403 ELM KNOLL STREET SAN ANTONIO, TX 78230 | AFLAC | $16 | — | $16 | 0.04% |
| TAMELA GALE WELLBORN3 Filed as: TAMELA WELLBORN | 117 OLIVER STREET DOUGLASSVILLE, TX 75560 | AFLAC | $9 | — | $9 | 0.02% |
| ROY CHAVERS3 | 2401 BELMONT PLACE PLANO, TX 75023 | AFLAC | $9 | — | $9 | 0.02% |
| MICHAEL RUSHING3 | 21973 FM 15 TROUP, TX 75789 | AFLAC | $9 | — | $9 | 0.02% |
| POWELL A JOHNSON III3 Filed as: POWELL JOHNSON III | 9074 ELM TREE CIRCLE TYLER, TX 75703 | AFLAC | $9 | — | $9 | 0.02% |
| JARED N JONES3 Filed as: JARED JONES | 6907 RANCH FOREST DRIVE COLUMBUS, GA 31904 | AFLAC | $7 | — | $7 | 0.02% |
| PERRY HALL3 | P O BOX 5107 TEXARKANA, TX 75505 | AFLAC | $6 | — | $6 | 0.01% |
| CHARLES HAMM3 | 9602 PHILMONT DRIVE HOUSTON, TX 77080 | AFLAC | $5 | — | $5 | 0.01% |
| BRADLEY S JONES3 Filed as: BRADLEY JONES | 19 BRITISH AMERICAN BLVD WEST LATHAM, NY 12110 | AFLAC | $4 | — | $4 | 0.01% |
| JOYCE MASON3 | 3791 DELOACH STREET PENSACOLA, FL 32514 | AFLAC | $3 | — | $3 | 0.01% |
| RICHARD COLE JR.3 Filed as: RICHARD COLE, JR. | 2504 PECAN STREET TEXARKANA, AR 71854 | AFLAC | $2 | — | $2 | 0.00% |
| CAROLYN J LEE3 Filed as: CAROLYN LEE | 1412 MAIN STREET, SUITE 504 TEXARKANA, TX 75501 | AFLAC | $2 | — | $2 | 0.00% |
| RICKY POLSER3 | 1210 COUNTY ROAD 4930 LEONARD, TX 75452 | AFLAC | $1 | — | $1 | 0.00% |
| JEFFERY TAL WEBB3 Filed as: JEFFERY WEBB | 900 PIERREMONT ROAD SUITE 114 SHREVEPORT, LA 71106 | AFLAC | $1 | — | $1 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ALABAMA, INC | RSA BATTLE HOUSE TOWER 11 N WATER STREET STE 19290 MOBILE, AL 36602 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY ATLANTA, GA 30339 | EYEMED VISION CARE | $2K | — | $2K | 14.84% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 400 GALLERIA PKWY #300 ATLANTA, GA 30339 | DENTAL HEALTH SERVICES OF CALIFORNIA | $753 | — | $753 | 10.00% |
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 | 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)(4 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF ALABAMA | 320 | $5.5M |
| Dental(6 contracts, 6 carriers) | BLUE CROSS BLUE SHIELD OF ALABAMA | 393 | $3.3M |
| Vision(2 contracts, 2 carriers) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 218 | $44K |
| Life insurance | METLIFE | 1,623 | $379K |
| Short-term disability(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 350 | $211K |
| Prescription drug(2 contracts) | BLUE CROSS BLUE SHIELD OF ALABAMA | 320 | $4.6M |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 1,049 | $216K |
| Other(4 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF ALABAMA | 2,008 | $5.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,008 | — |
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."
Final-filing indicator set. Plan is winding down; don't waste sales effort here.