| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANTHONY SCOTT WATERS3 Filed as: ANTHONY WATERS | 3662 DAUPHIN ST STE 1A MOBILE, AL 36608 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | — | $7K | 10.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $1K | $5K | 6.47% |
| PETE CANARELA3 Filed as: PETE CANARRELA | 21036A STATE HIGHWAY 181, STE 102B FAIRHOPE, AL 36532 | AFLAC | $1K | — | $1K | 4.33% |
| LISA S TAYLOR3 | 12904 OAK CT WILMER, AL 36587 | AFLAC | $491 | — | $491 | 1.86% |
| SAIC INC3 | 1639 BRADLEY PARK DR ST 500 BOX 358 COLUMBUS, GA 31904 | AFLAC | $299 | — | $299 | 1.13% |
| SARAH Y ZACCARO3 | PO BOX 91531 MOBILE, AL 36691 | AFLAC | $137 | — | $137 | 0.52% |
| RONALD EUGENE WALLACE3 | PO BOX 1355 BAY MINETTE, AL 36507 | AFLAC | $133 | — | $133 | 0.50% |
| ROBERT HESLEP3 | 6680 RIVER ISLAND CIR BUFORD, GA 30518 | AFLAC | $122 | — | $122 | 0.46% |
| MICHAEL S MASKILL3 | 188 RIDEGWOOD DR DAPHNE, AL 36526 | AFLAC | $103 | — | $103 | 0.39% |
| THERESA JANE PITTMAN3 | 368 COUNTY ROAD 1612 LOUIN, MS 39338 | AFLAC | $77 | — | $77 | 0.29% |
| SUPPLEMENTAL SPECIALISTS INC3 | PO BOX 1173 BLAIRSVILLE, GA 30514 | AFLAC | $69 | — | $69 | 0.26% |
| CAROL JACKSON3 Filed as: CAROL S JACKSON | PO BOX 1550 MILLBROOK, AL 36054 | AFLAC | $69 | — | $69 | 0.26% |
| RANDY B JACKSON3 | PO BOX 1550 MILLBROOK, AL 36265 | AFLAC | $46 | — | $46 | 0.17% |
| TIMOTHY A. HUDNALL3 Filed as: TIMOTHY CANARELA | 427 PATLYNN DR STERRETT, AL 35147 | AFLAC | $45 | — | $45 | 0.17% |
| JOSEPH E PARKER JR3 | 17 STONECREST HATTIESBURG, MS 39402 | AFLAC | $41 | — | $41 | 0.15% |
| WILLIS TOWERS WATSON US LLC3 Filed as: DEBORAH C WILLIS | PO BOX 1173 BLAIRSVILLE, GA 30514 | AFLAC | $35 | — | $35 | 0.13% |
| TRACY ELEY3 | 2390 INDIAN RIDGE ESTATES DR MOBILE, AL 36695 | AFLAC | $32 | — | $32 | 0.12% |
| DUSTIN ROBERT JOHNSON3 | 745 W BROMPTON AVE APT 1 CHICAGO, IL 60657 | AFLAC | $29 | — | $29 | 0.11% |
| KEITH BELICH3 | 8408 TIMBER CREEK DR PIKE ROAD, AL 36064 | AFLAC | $23 | — | $23 | 0.09% |
| MARK BUTLER INC3 | 747 HOLLY HILLS DR BILOXI, MS 39532 | AFLAC | $20 | — | $20 | 0.08% |
| ALICE E NOBLE3 | 3231 GREEN VALLEY DR PENSACOLA, FL 32507 | AFLAC | $19 | — | $19 | 0.07% |
| KAREN HILTON KIMBRELL3 | PO BOX 714 SHELLMAN, GA 39886 | AFLAC | $19 | — | $19 | 0.07% |
| PATRICIA T SMITH3 | PO BOX 1566 ORANGE BEACH, AL 36561 | AFLAC | $17 | — | $17 | 0.06% |
| ELENI A NIKOLAS3 | 312 ABBEY CT CANTON, GA 30115 | AFLAC | $15 | — | $15 | 0.06% |
| JONATHAN ALI HAJIMOMEN3 Filed as: JONATHAN W LUCAS | 6250 BROWNS BRIDGE RD CUMMING, GA 30041 | AFLAC | $15 | — | $15 | 0.06% |
| JOHN TODD LEE3 | 322 FARMHOUSE RD ELLERSLIE, GA 31807 | AFLAC | $12 | — | $12 | 0.05% |
| CHRISTIE MARZARI3 Filed as: CHRISTIE M MARZARI | 3343 LANELL LN PEARL, MS 39208 | AFLAC | $11 | — | $11 | 0.04% |
| SHEILA M MIMS3 | 8115 WINDFALL WAY COLORADO SPRINGS, CO 80908 | AFLAC | $10 | — | $10 | 0.04% |
| RODNEY B CLINGAN3 | 1212 JACKSON WAY SW JACKSONVILLE, AL 36265 | AFLAC | $10 | — | $10 | 0.04% |
| DAVID S JESSE3 Filed as: DAVID S. JESSE | 11962 HOMETOWN PL ORLANDO, FL 36283 | AFLAC | $9 | — | $9 | 0.03% |
| STAN A SHERLIN3 | 773 TOWNE LAKE DR MONTGOMERY, AL 36117 | AFLAC | $7 | — | $7 | 0.03% |
| JEANNE BAGGETT3 | 836 MYSTIC PKWY SPRING BRANCH, TX 78070 | AFLAC | $6 | — | $6 | 0.02% |
| BRIAN E HICKS3 | 2739 AMERICUS DR THOMPSON STATION, TN 37179 | AFLAC | $5 | — | $5 | 0.02% |
| DORIS L BRACKETT3 | 3233 HIGHGATE CHASE CT BERKELEY LAKE, GA 30092 | AFLAC | $5 | — | $5 | 0.02% |
| RICHARD CARTER SR3 Filed as: RICHARD K CARTER SR | 1224 PEACOCK AVE STE 205 COLUMBUS, GA 39106 | AFLAC | $5 | — | $5 | 0.02% |
| CRAIG M GADDY3 | 405 ROCKY RIDGE RD NE JACKSONVILLE, FL 36265 | AFLAC | $3 | — | $3 | 0.01% |
| RONALD E KIRKLAND3 | 1044 HARBOR RIDGE RD GUNTERSVILLE, AL 35976 | AFLAC | $3 | — | $3 | 0.01% |
| TONYA S LANCASTER3 | 1820 THE EXCHANGE SE STE 750 ATLANTA, GA 30339 | AFLAC | $3 | — | $3 | 0.01% |
| LYNNE HUDGINS MOORE3 | 8650 MINNIE BROWN RD STE 150 MONTGOMERY, AL 36117 | AFLAC | $3 | — | $3 | 0.01% |
| JOHN W AMOS3 | 10051 VETERANS PKWY STE B-2 MIDLAND, GA 31820 | AFLAC | $2 | — | $2 | 0.01% |
| JOEL SANDERS3 | 2165 HALCYON BLVD MONTGOMERY, AL 36117 | AFLAC | $2 | — | $2 | 0.01% |
| DEBORAH B SMITH3 | 647 WOOD POINT WAY DALLAS, GA 30157 | AFLAC | $1 | — | $1 | 0.00% |
| DAVID C CLOUD JR3 | 12 TRENT DR SE ROME, GA 30161 | AFLAC | $1 | — | $1 | 0.00% |
| ASHLEY CROOK3 Filed as: ASHLEY L CROOK | 3187 ESSEX PLACE DR MOBILE, AL 36695 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN W AMOS3 Filed as: JOHN P THOMPSON JR | 1543 TEDDINGTON ST BAY MINETTE, AL 36507 | AFLAC | — | — | $0 | 0.00% |
| MASKILL ENTERPRISES INC3 | PO BOX 1702 POINT CLEAR, AL 36564 | AFLAC | — | — | $0 | 0.00% |
| JOHN B YARBOROUGH3 | 1113 MOUNTAIN OAKS DR HOOVER, AL 35226 | AFLAC | — | — | $0 | 0.00% |
| CHRISTOPHER PARSONS3 | 1925 CUBA LN HAYES, VA 23072 | AFLAC | — | — | $0 | 0.00% |
| ANTHONY SCOTT WATERS3 | 3662 DAUPHIN ST STE 1A MOBILE, AL 36608 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| ANTHONY SCOTT WATERS3 | 3662 DAUPHIN ST STE 1A MOBILE, AL 36608 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| ANTHONY SCOTT WATERS3 | 3662 DAUPHIN ST STE 1A MOBILE, AL 36608 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| ANTHONY SCOTT WATERS3 | 3662 DAUPHIN ST STE 1A MOBILE, AL 36608 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| CHANE SAMANTHA HINES3 | 927 KINBLE ROCK COURT LAS VEGAS, NV 89149 | COLONIAL LIFE & ACCIDENT INSURANCE CO | $23 | — | $23 | 0.82% |
| D'ARCIPRETE & ASSOCIATES INC3 | 12945 US HIGHWAY 331 MONTGOMERY, AL 36105 | COLONIAL LIFE & ACCIDENT INSURANCE CO | $11 | — | $11 | 0.39% |
| MINOR AND ASSOCIATES INC3 Filed as: MINOR AND ASSOCIATES, INC. | 2146 PRESERVE DR AUBURN, AL 36879 | COLONIAL LIFE & ACCIDENT INSURANCE CO | $11 | — | $11 | 0.39% |
| NICOLE D BOWEN3 | 2459 WILLIAMSON RD LUVERNE, AL 36049 | COLONIAL LIFE & ACCIDENT INSURANCE CO | $4 | — | $4 | 0.14% |
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 | 128 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ALABAMA | 85 | $1.0M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 235 | $71K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 235 | $71K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 139 | $29K |
| Long-term disability(3 contracts, 3 carriers) | AFLAC | 46 | $41K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ALABAMA | 85 | $1.0M |
| Other(3 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ALABAMA | 139 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 235 | — |
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.