| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSHA K LAVENDER3 Filed as: MARSHA LAVENDER | PO BOX 322 EVA, AL 35621 | AFLAC | $10K | $508 | $10K | 9.54% |
| SAIC INC3 | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $2K | — | $2K | 1.77% |
| RONALD E KIRKLAND3 Filed as: RONALD KIRKLAND | 1044 HARBOR RIDGE RD GUNTERSVILLE, AL 35976 | AFLAC | $1K | $103 | $1K | 1.24% |
| KATLIN E LEE3 Filed as: KATLIN LEE | PO BOX 154 LAFAYETTE, AL 36862 | AFLAC | $1K | $28 | $1K | 1.19% |
| LOUIS CULLEN SMITH3 Filed as: LOUIS SMITH | 3205 QUIET TREE GRV OLD HICKORY, TN 37138 | AFLAC | $1K | — | $1K | 0.95% |
| CHARLES HOWARD JOBE3 Filed as: CHARLES JOBE | 6852 AMHERST DR APT 2108 SAGAMORE HILLS, OH 44067 | AFLAC | $838 | $75 | $913 | 0.85% |
| RANDALL BLEVINS3 | 814 LONGBOW DR SW DECATUR, AL 35603 | AFLAC | $733 | — | $733 | 0.68% |
| GREGORY S FRY3 Filed as: GREGORY FRY | 3205 QUIET TREE GRV OLD HICKORY, TN 37138 | AFLAC | $729 | — | $729 | 0.68% |
| MELANIE H KELLEY3 Filed as: MELANIE KELLEY | 112 FOXBORO PL NW HUNTSVILLE, AL 35806 | AFLAC | $696 | — | $696 | 0.65% |
| R AND L SUPPLEMENTAL BENEFITS INC3 | PO BOX 893 FLORENCE, AL 35631 | AFLAC | $473 | — | $473 | 0.44% |
| VICKI CLACKLEY3 | 115 HICKORY LN DECATUR, AL 35603 | AFLAC | $446 | — | $446 | 0.42% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN LEE | 322 FARMHOUSE RD ELLERSLIE, GA 31807 | AFLAC | $80 | — | $80 | 0.07% |
| ROBERTA WILSON3 | 709 LILY FLAGG RD SE HUNTSVILLE, AL 35802 | AFLAC | $74 | — | $74 | 0.07% |
| STAN A SHERLIN3 Filed as: STAN SHERLIN | 773 TOWNE LAKE DR MONTGOMERY, AL 36117 | AFLAC | $63 | — | $63 | 0.06% |
| MARILYN HUNTER3 | PO BOX 2826 MUSCLE SHOALS, AL 35662 | AFLAC | $52 | — | $52 | 0.05% |
| CNL ENTERPRISES INC3 | PO BOX 2746 FLORENCE, AL 35630 | AFLAC | $45 | — | $45 | 0.04% |
| PHYLLIS BRALY3 | PO BOX 327 PULASKI, TN 38478 | AFLAC | $43 | — | $43 | 0.04% |
| ERIN C TOMLINSON3 Filed as: ERIN TOMLINSON | 109 MOONGLOW TRL HUNTSVILLE, AL 35806 | AFLAC | $36 | $7 | $43 | 0.04% |
| DIXIE A SMITH3 Filed as: DIXIE SMITH | 114 MAIN AVE N FAYETTEVILLE, TN 37334 | AFLAC | $38 | — | $38 | 0.04% |
| JOSEPH MCBRIDE3 | 106 AMY LN MUSCLE SHOALS, AL 35661 | AFLAC | $28 | — | $28 | 0.03% |
| MICHAEL SHANE KIRKLAND3 Filed as: MICHAEL KIRKLAND | 137 PLANTATION DR KILLEN, AL 35645 | AFLAC | $25 | — | $25 | 0.02% |
| BRIAN HICKS3 | 188 FRONT ST STE 11639 FRANKLIN, TN 37064 | AFLAC | $22 | — | $22 | 0.02% |
| RALPH H KEELER3 Filed as: RALPH MANN | 254 SEVILLE ST STE A FLORENCE, AL 35630 | AFLAC | $21 | — | $21 | 0.02% |
| BRENDA S SPEER3 Filed as: BRENDA SPEER | PO BOX 327 PULASKI, TN 38478 | AFLAC | $21 | — | $21 | 0.02% |
| STEVEN P MOORE3 Filed as: STEVEN MOORE | 4749 GRIFFITT BEND RD TALLADEGA, AL 35160 | AFLAC | $20 | — | $20 | 0.02% |
| S S NESBITT & CO INC3 Filed as: SS NESBITT & CO INC | 3500 BLUE LAKE DRIVE STE 120 BIRMINGHAM, AL 35223 | AFLAC | $17 | — | $17 | 0.02% |
| LYNNE HUDGINS MOORE3 Filed as: LYNNE MOORE | 8650 MINNIE BROWN RD STE 150 MONTGOMERY, AL 36117 | AFLAC | $17 | — | $17 | 0.02% |
| JANE E TUCKER3 | PO BOX 2825 SHELBYVILLE, TN 37162 | AFLAC | $16 | — | $16 | 0.01% |
| DEANNA IVEY3 | 1807 LINDSAY LN S ATHENS, AL 35613 | AFLAC | $14 | — | $14 | 0.01% |
| JOHN AMOS3 | 10051 VETERANS PKWY STE B-2 MIDLAND, GA 31820 | AFLAC | $14 | — | $14 | 0.01% |
| MICHAEL HUNTER3 | PO BOX 2826 MUSCLE SHOALS, AL 35662 | AFLAC | $13 | — | $13 | 0.01% |
| PATRICIA ELLERTH3 | 1423 HIGHWAY 130 E SHELBYVILLE, TN 37160 | AFLAC | $13 | — | $13 | 0.01% |
| BYRON ALLEN BRAY3 Filed as: BYRON BRAY | 3214 18TH AVE BEAVER FALLS, PA 15010 | AFLAC | $11 | — | $11 | 0.01% |
| JOEL SANDERS3 | 2165 HALCYON BLVD MONTGOMERY, AL 36117 | AFLAC | $9 | — | $9 | 0.01% |
| BARRY CAMPBELL3 | 5278 LICKTON PIKE GOODLETTSVILLE, TN 37072 | AFLAC | $9 | — | $9 | 0.01% |
| STEPHEN D. ALLEN3 Filed as: STEPHEN ALLEN | 305 W DUNCAN AVE FLORENCE, AL 35630 | AFLAC | $8 | — | $8 | 0.01% |
| ESTATE OF JACK DAVID LARD3 | 278 PLANTATION SPRINGS DR FLORENCE, AL 35630 | AFLAC | $8 | — | $8 | 0.01% |
| THOMAS J PITZENBERGER3 Filed as: THOMAS PITZENBERGER | 1501 SUGARLAND PKWY PLEASANT HILL, MO 64080 | AFLAC | $7 | — | $7 | 0.01% |
| DAVID M CRUMLEY3 Filed as: DAVID CRUMLEY | 5111 MARYLAND WAY STE 210 BRENTW, TN 37027 | AFLAC | $4 | — | $4 | 0.00% |
| ALAN W MARTIN3 Filed as: ALAN MARTIN | 123 CENTER PARK DRIVE STE 102 KNOXVILLE, TN 37922 | AFLAC | $4 | — | $4 | 0.00% |
| JOHN PAUL THOMPSON II3 Filed as: JOHN THOMPSON JR | 343 SABAL SPRINGS CT DEBARY, FL 32713 | AFLAC | $4 | — | $4 | 0.00% |
| JONATHON REESE3 | 100 COUNTRY CLUB DR FAYETTEVILLE, TN 37334 | AFLAC | $2 | — | $2 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: J SMITH LANIER & CO INC | PO BOX 6087 HUNTSVILLE, AL 35813 | AFLAC | $2 | — | $2 | 0.00% |
| JASON L WEEKS3 Filed as: JASON WEEKS | 620 STONEGLEN DR STE L KELLER, TX 76248 | AFLAC | $1 | — | $1 | 0.00% |
| KANDI H HECKLER3 Filed as: KANDI HECKLER | 5453 HASELL DR ROCKVALE, TN 37153 | AFLAC | $1 | — | $1 | 0.00% |
| CARLA WITHERINGTON3 | 1405 HERRING DR COVINGTON, TN 38019 | AFLAC | $1 | — | $1 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: J SMITH LANIER AND COMPANY | PO BOX 6087 HUNTSVILLLE, AL 35824 | DELTA DENTAL INSURANCE COMPANY | $7K | — | $7K | 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 | 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) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 317 | $1.7M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 297 | $66K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 317 | $1.8M |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 317 | $1.7M |
| Other(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 317 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 317 | — |
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.