| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHARLES HINKLE JR3 | 6416 FALCON WOOD CT MOBILE, AL 36695 | AFLAC | $16K | $243 | $16K | 11.58% |
| SARAH Y ZACCARO3 Filed as: SARAH ZACCARO | 4430 GOVERNMENT BLVD MOBILE, AL 36693 | AFLAC | $6K | $157 | $6K | 4.36% |
| GERALD JAMES3 | 100 DACY RD JACKSON, AL 36545 | AFLAC | $3K | $99 | $4K | 2.52% |
| RONALD EUGENE WALLACE3 Filed as: RONALD WALLACE | PO BOX 1355 BAY MINETTE, AL 36507 | AFLAC | $2K | $87 | $3K | 1.83% |
| SAIC INC3 | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $2K | $0 | $2K | 1.57% |
| C W H INC3 | 6416 FALCON WOOD CT MOBILE, AL 36695 | AFLAC | $377 | $0 | $377 | 0.27% |
| SUPPLEMENTAL SPECIALISTS INC3 | 25405 PERDIDO BEACH BLVD STE 21-226 ORANGE BEACH, AL 36561 | AFLAC | $351 | $0 | $351 | 0.25% |
| SAMMIE HALL3 | PO BOX 2094 ORANGE BEACH, AL 36561 | AFLAC | $274 | $0 | $274 | 0.20% |
| MASKILL ENTERPRISES INC3 | P.O. BOX 1702 POINT CLEAR, AL 36564 | AFLAC | $218 | $10 | $228 | 0.16% |
| JAMES HARTMAN3 | 2801 GILL ROAD MOBILE, AL 36605 | AFLAC | $201 | $0 | $201 | 0.14% |
| MICHAEL MASKILL3 | P.O. BOX 1702 POINT CLEAR, AL 36564 | AFLAC | $170 | $10 | $180 | 0.13% |
| JACKIE F BURLESON3 Filed as: JACKIE BURLESON | 1124 MARTHA ALLEYN DR SARALAND, AL 36571 | AFLAC | $157 | $0 | $157 | 0.11% |
| ELLA OGLESBY3 | 10002 SUMMER WOODS CT MOBILE, AL 36695 | AFLAC | $140 | $0 | $140 | 0.10% |
| DEREK R MANN3 Filed as: DEREK MANN | 2708 SUMMERFIELD PLACE PHENIX CITY, AL 36867 | AFLAC | $135 | $0 | $135 | 0.10% |
| CHRISTOPHER EUBANKS3 | 15835 FOOTHILL FARMS LOOP APT 2822 PFLUGERVILLE, TX 78660 | AFLAC | $107 | $0 | $107 | 0.08% |
| LYNNE HUDGINS MOORE3 Filed as: LYNNE MOORE | 8650 MINNIE BROWN RD STE 150 MONTGOMERY, AL 36117 | AFLAC | $72 | $0 | $72 | 0.05% |
| TINA OGLESBY3 | 9535 BRISTOW COURT MOBILE, AL 36695 | AFLAC | $70 | $0 | $70 | 0.05% |
| BETTY JEAN GAMACHE3 Filed as: BETTY GAMACHE | 136 CHARLESTON COURT N MONTGOMERY, AL 36117 | AFLAC | $67 | $0 | $67 | 0.05% |
| DESIREE JOHNSTON3 | 7771 PECAN DRIVE NORTH IRVINGTON, AL 36544 | AFLAC | $52 | $0 | $52 | 0.04% |
| PALOMAR INSURANCE CORPORATION3 Filed as: PALOMAR INS CORP | 4525 EXECUTIVE PARK DRIVE SUITE 202 MONTGOMERY, AL 36116 | AFLAC | $43 | $0 | $43 | 0.03% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN LEE | 322 FARMHOUSE ROAD ELLERSLIE, GA 31807 | AFLAC | $23 | $3 | $26 | 0.02% |
| KEITH BELICH3 | 2740 CENTRAL PKWY MONTGOMERY, AL 36106 | AFLAC | $22 | $0 | $22 | 0.02% |
| JOHN W AMOS3 Filed as: JOHN AMOS | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $17 | $0 | $17 | 0.01% |
| STAN A SHERLIN3 Filed as: STAN SHERLIN | 773 TOWNE LAKE DR MONTGOMERY, AL 36117 | AFLAC | $11 | $3 | $14 | 0.01% |
| ALICIA AARON BLEVINS3 Filed as: ALICIA BLEVINS | 1850 SQUAW RIDGE ROAD ECLECTIC, AL 36024 | AFLAC | $12 | $0 | $12 | 0.01% |
| HAROLD GROOMS3 | 1208 JAMESTOWN DR PRATTVILLE, AL 36067 | AFLAC | $8 | $0 | $8 | 0.01% |
| BRIAN E HICKS3 Filed as: BRIAN HICKS | 188 FRONT STREET STE 116 39 FRANKLIN, TN 37064 | AFLAC | $8 | $0 | $8 | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: DEBORAH WILLIS | 1853 PENNY ROYAL COURT MONUMENT, CO 80132 | AFLAC | $7 | $0 | $7 | 0.00% |
| THOMAS R BAILEY3 | 142 MAPLE COURT NW CHARLESTON, TN 37310 | AFLAC | $6 | $0 | $6 | 0.00% |
| KATHERINE MILES3 | P.O. BOX 8086 COLUMBUS, GA 31908 | AFLAC | $4 | $0 | $4 | 0.00% |
| DONALD BECK JR3 | 6900 HILLTOP CT COLUMBUS, GA 31904 | AFLAC | $2 | $0 | $2 | 0.00% |
| JOHN W AMOS3 Filed as: JOHN AMOS | 10051 VETERANS PKWY #2B MIDLAND, GA 31820 | AFLAC | $1 | $0 | $1 | 0.00% |
| JOEL SANDERS3 | 2165 HALCYON BLVD MONTGOMERY, AL 36117 | AFLAC | $1 | $0 | $1 | 0.00% |
| ALLIANCE INSURANCE GROUP LLC3 | 2595 BELL ROAD MONTGOMERY, AL 36117 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $7K | $4K | $11K | 18.59% |
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 | 174 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ALABAMA | 198 | $1.0M |
| Dental | BLUECROSS BLUESHIELD OF ALABAMA | 77 | $22K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 148 | $59K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 148 | $59K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 148 | $59K |
| Prescription drug | BLUECROSS BLUESHIELD OF ALABAMA | 198 | $1.0M |
| Other(6 contracts, 3 carriers) | BLUECROSS BLUESHIELD OF ALABAMA | 270 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 270 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.