| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| C W H INC3 | 6416 FALCON WOOD CT MOBILE, AL 36695 | AFLAC | $12K | $288 | $12K | 12.88% |
| SARAH Y ZACCARO3 Filed as: SARAH ZACCARO | 4430 GOVERNMENT BLVD MOBILE, AL 36693 | AFLAC | $4K | $204 | $4K | 4.07% |
| SAIC INC3 | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $2K | $112 | $2K | 2.17% |
| GERALD JAMES3 | 100 DACY RD JACKSON, AL 36545 | AFLAC | $1K | $115 | $1K | 1.36% |
| RONALD EUGENE WALLACE3 Filed as: RONALD WALLACE | PO BOX 1355 BAY MINETTE, AL 36507 | AFLAC | $1K | $113 | $1K | 1.32% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH WILLIS | 1853 PENNY ROYAL COURT MONUMENT, CO 80132 | AFLAC | $281 | $0 | $281 | 0.30% |
| MASKILL ENTERPRISES INC3 | 818 DARRAH ST FAIRHOPE, AL 36532 | AFLAC | $252 | $23 | $275 | 0.30% |
| SAMMIE HALL3 | PO BOX 2094 ORANGE BEACH, AL 36561 | AFLAC | $231 | $0 | $231 | 0.25% |
| JAMES HARTMAN3 | PO BOX 71 DAUPHIN ISLAND, AL 36528 | AFLAC | $163 | $0 | $163 | 0.18% |
| DEREK R MANN3 Filed as: DEREK MANN | 361 LEE ROAD 339 SALEM, AL 36874 | AFLAC | $138 | $0 | $138 | 0.15% |
| JACKIE F BURLESON3 Filed as: JACKIE BURLESON | 1124 MARTHA ALLEYN DR SARALAND, AL 36571 | AFLAC | $118 | $0 | $118 | 0.13% |
| CURTIS W OGLESBY3 Filed as: CURTIS OGLESBY | 3615 POTOMAC RIDGE COURT EAST MOBILE, AL 36695 | AFLAC | $111 | $0 | $111 | 0.12% |
| CHRISTOPHER EUBANKS3 | 15835 FOOTHILL FARMS LOOP APT 2711 PFLUGERVILLE, TX 78660 | AFLAC | $90 | $0 | $90 | 0.10% |
| DESIREE JOHNSTON3 | 7771 PECAN DRIVE NORTH IRVINGTON, AL 36544 | AFLAC | $44 | $46 | $90 | 0.10% |
| MICHAEL MASKILL3 | 818 DARRAH ST FAIRHOPE, AL 36532 | AFLAC | $60 | $0 | $60 | 0.06% |
| TINA OGLESBY3 | 9535 BRISTOW COURT MOBILE, AL 36695 | AFLAC | $55 | $0 | $55 | 0.06% |
| LYNNE HUDGINS MOORE3 Filed as: LYNNE MOORE | 8650 MINNIE BROWN RD STE 150 MONTGOMERY, AL 36117 | AFLAC | $52 | $0 | $52 | 0.06% |
| BETTY JEAN GAMACHE3 Filed as: BETTY GAMACHE | 136 CHARLESTON COURT N MONTGOMERY, AL 36117 | AFLAC | $50 | $0 | $50 | 0.05% |
| PALOMAR INSURANCE CORPORATION3 Filed as: PALOMAR INS CORP | 4525 EXECUTIVE PARK DRIVE SUITE 202 MONTGOMERY, AL 36116 | AFLAC | $32 | $0 | $32 | 0.03% |
| JOHN W AMOS3 Filed as: JOHN AMOS | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $13 | $0 | $13 | 0.01% |
| KEITH BELICH3 | 2740 CENTRAL PKWY MONTGOMERY, AL 36106 | AFLAC | $10 | $0 | $10 | 0.01% |
| THOMAS R BAILEY3 | 142 MAPLE COURT NW CHARLESTON, TN 37310 | AFLAC | $9 | $0 | $9 | 0.01% |
| ALICIA AARON BLEVINS3 Filed as: ALICIA BLEVINS | 1850 SQUAW RIDGE ROAD ECLECTIC, AL 36024 | AFLAC | $9 | $0 | $9 | 0.01% |
| KEITH BELICH3 | 8650 MINNIE BROWN RD STE 150 MONTGOMERY, AL 36117 | AFLAC | $7 | $0 | $7 | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: DEBORAH WILLIS | 1853 PENNY ROYAL COURT MONUMENT, CO 80132 | AFLAC | $6 | $0 | $6 | 0.01% |
| HAROLD GROOMS3 | 1208 JAMESTOWN DR PRATTVILLE, AL 36067 | AFLAC | $6 | $0 | $6 | 0.01% |
| ALLIANCE INSURANCE GROUP LLC3 | 2595 BELL ROAD MONTGOMERY, AL 36117 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $7K | $3K | $9K | 17.50% |
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 | 173 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ALABAMA | 184 | $963K |
| Dental | BLUECROSS BLUESHIELD OF ALABAMA | 75 | $23K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 146 | $54K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 146 | $54K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 146 | $54K |
| Prescription drug(2 contracts) | BLUECROSS BLUESHIELD OF ALABAMA | 184 | $986K |
| Other(6 contracts, 3 carriers) | BLUECROSS BLUESHIELD OF ALABAMA | 229 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 229 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.