| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 2600 EASTPOINT PARKWAY LOUISVILLE, KY 40223 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $73K | — | $73K | 5.60% |
| DIANNE J RAY3 | PO BOX 335 SUNNYSIDE, GA 30284 | AFLAC | $25K | $835 | $26K | 12.09% |
| DONNA M JOHNSON3 | 500 LANIER AVE W STE 912A FAYETTEVILLE, GA 30214 | AFLAC | $9K | $209 | $9K | 4.24% |
| ANDY B GLENN II3 | 100 HARTSFIELD CENTER PKWY STE 500 ATLANTA, GA 30354 | AFLAC | $4K | $209 | $4K | 1.81% |
| DEBBIE ST JOHN3 | 44 MAGNOLIA PKWY HAMPTON, GA 30228 | AFLAC | $3K | $210 | $3K | 1.63% |
| THOMAS D BAXTER3 | PO BOX 86 FAYETTEVILLE, GA 30214 | AFLAC | $2K | — | $2K | 0.78% |
| CHRISTOPHER A TUGGLE3 | 97 PHEASANT DR MONTICELLO, GA 31064 | AFLAC | $843 | — | $843 | 0.40% |
| BONNIE BISHOP3 | 74 CODY TRL SENOIA, GA 30276 | AFLAC | $703 | — | $703 | 0.33% |
| DAVID C CLOUD JR3 | 1301 SHILOH RD NW STE 1020 KENNESAW, GA 30144 | AFLAC | $423 | — | $423 | 0.20% |
| DEBBIE ST JOHN3 | 610 MCBRIDE RD FAYETTEVLLE, GA 30215 | AFLAC | $365 | — | $365 | 0.17% |
| BARRY T FISHER3 | 4055 PIEDMONT LAKE ROAD PINE MOUNTAIN, GA 31822 | AFLAC | $275 | — | $275 | 0.13% |
| JORDAN R VALIMONT BOBO3 | 1857 W MCINTOSH RD GRIFFIN, GA 30223 | AFLAC | $167 | — | $167 | 0.08% |
| THOMAS ROBERT GIDDENS3 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $156 | — | $156 | 0.07% |
| TULL COOPER WIGLEY3 | 205 VILLAGE GREEN SQUARE WINSTON SALEM, NC 27104 | AFLAC | $133 | — | $133 | 0.06% |
| DIANNA L HEATLY3 | 122 WHITESTONE DR MCDONOUGH, GA 30253 | AFLAC | $132 | — | $132 | 0.06% |
| MARTHA J BRYAN3 | 2930 BOMAR ROAD DOUGLASVILLE, GA 30135 | AFLAC | $85 | — | $85 | 0.04% |
| RONALD S SANDERS3 | 1194 E LAKEVIEW DRT SAN TAN VALLEY, AZ 85143 | AFLAC | $56 | — | $56 | 0.03% |
| JONATHAN W MCCUTCHEON3 | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $49 | — | $49 | 0.02% |
| ELENI A NIKOLAS3 Filed as: ELENI A KRAUSE | 50 HURT PLZ SE STE 995 THE HURT BUILDING ATLANTA, GA 30303 | AFLAC | $30 | — | $30 | 0.01% |
| ALEXANDER B WARD3 | 5194 FORST VIEW CT SE MABLETON, GA 30126 | AFLAC | $29 | — | $29 | 0.01% |
| CLAYTON H BENNETT3 | 2950 ASCOT LN ROSWELL, GA 30076 | AFLAC | $27 | — | $27 | 0.01% |
| KATHY L MULLINS3 | PO BOX 844 EXPERIMENT, GA 30212 | AFLAC | $26 | — | $26 | 0.01% |
| MICAH S CASEY3 | 461 ANNANDALE PKWY MADISON, MS 39110 | AFLAC | $26 | — | $26 | 0.01% |
| MARIANNE ETHRIDGE3 | 856 TURKEY TRAIL FORTSON, GA 31808 | AFLAC | $25 | — | $25 | 0.01% |
| CONDOR F MCCOLLUM3 | 2402 WILLIAMS ST AUGUSTA, GA 30904 | AFLAC | $20 | — | $20 | 0.01% |
| KAREN L BURGESS3 | 1968 EASTERN VALLEY RD BESSEMER, AL 35022 | AFLAC | $20 | — | $20 | 0.01% |
| SHARON D ROBERTS3 | PO BOX 1129 YOUNG HARRIS, GA 30582 | AFLAC | $14 | — | $14 | 0.01% |
| DANIEL FITZGERALD INC3 | 3672 BAY PT AUGUSTA, GA 30907 | AFLAC | $11 | — | $11 | 0.01% |
| GINA RENEA PIPER3 | 6521 STATION DR CLERMONT, GA 30527 | AFLAC | $9 | — | $9 | 0.00% |
| SANDRA VELAZQUEZ3 | 6374 SW 22ND ST MIAMI, FL 33155 | AFLAC | $7 | — | $7 | 0.00% |
| AMY A O SHIELDS3 | 5159 CALGARY DRIVE DOUGLASVILLE, GA 30135 | AFLAC | $6 | — | $6 | 0.00% |
| MARIA C ORTIZ3 | 7400 SW 50TH TER STE 300 MIAMI, FL 33155 | AFLAC | $5 | — | $5 | 0.00% |
| SCOTT J RUSSELL3 | 15275 LOBLOLLY CT NORTHPORT, AL 35475 | AFLAC | $5 | — | $5 | 0.00% |
| KIMBERLY ANN GARRISON3 | 3620 WHITING RD GAINESVILLE, GA 30504 | AFLAC | $4 | — | $4 | 0.00% |
| MARGARET PEARSON3 | 1250 OLD DIXIE HWY SUITE 201 LAKE PARK, FL 33403 | AFLAC | $4 | — | $4 | 0.00% |
| LAWSON BENEFITS GROUP LLC3 | PO BOX 86 FAYETTEVILLE, GA 30214 | AFLAC | $4 | — | $4 | 0.00% |
| MARQUITA S FOSTER3 | PO BOX 2702 PEACHTREE CITY, GU 30269 | AFLAC | $3 | — | $3 | 0.00% |
| PAUL SHELBY AMOS II3 | 1932 WYNNTON RD 14TH FLOOR COLUMBUS, GA 31999 | AFLAC | $3 | — | $3 | 0.00% |
| LEONARD KIMBALL NICHOLSON3 | PO BOX 73367 METAIRIE, LA 70033 | AFLAC | $3 | — | $3 | 0.00% |
| SAIC INC3 | 4245 MILGEN RD COLUMBUS, GA 31907 | AFLAC | $2 | — | $2 | 0.00% |
| DEBORAH B SMITH3 | 4720 TWIN OAKS DR NW KENNESW, GA 30152 | AFLAC | $2 | — | $2 | 0.00% |
| MARTA M SASTRE3 | PO BOX 140127 CORAL GABLES, FL 33114 | AFLAC | $2 | — | $2 | 0.00% |
| EVERETT HINES3 | 317 W LAUREN DR LEXANDRIA, LA 71303 | AFLAC | $2 | — | $2 | 0.00% |
| WILLIAM M WARDLAW JR3 | 5300 OAKBROOK PKWY BLDG 300 STE 350 NORCROSS, GA 30093 | AFLAC | $2 | — | $2 | 0.00% |
| TARRAH SMITHSON3 Filed as: TARRAH L SMITHSON | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $1 | — | $1 | 0.00% |
| STEVEN VORDERLANDWEHR3 Filed as: STEVEN VODERLANDWEHR | 1242 HADAWAY TRL LAWRENCEVILLE, GA 30043 | AFLAC | $1 | — | $1 | 0.00% |
| RICHARD MICHAEL TIDWELL3 | 5511 KINGSLEY MANOR CUMMING, GA 30041 | AFLAC | $1 | — | $1 | 0.00% |
| HEATHER LAWSON3 | PO BOX 86 FAYETTEVILLE, GA 30214 | AFLAC | $1 | — | $1 | 0.00% |
| BENJAMIN LEE ARCHER3 | 65 STILLMEADOW DR THE HILLS, TN 78738 | AFLAC | $1 | — | $1 | 0.00% |
| HUGH FOSTER3 | PO BOX 2257 PEACHTREE CITY, GA 30268 | AFLAC | $1 | — | $1 | 0.00% |
| SCOTTI MADISON3 | 3330 COBB PARKWAY STE 324-3 ACWORTH, GA 30101 | AFLAC | $1 | — | $1 | 0.00% |
| DUSTIN ROBERT JOHNSON3 | 50 HURT PLZ SE STE 995 ATLANTA, GA 30303 | AFLAC | $1 | — | $1 | 0.00% |
| MELYNDA RAY-MCCUTCHEON3 Filed as: MELYNDA RAY MCCUTCHEON | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $1 | — | $1 | 0.00% |
| RYAN E MCPHAIL3 | 206 ARBOR CT CANTON, GA 30114 | AFLAC | $1 | — | $1 | 0.00% |
| BB&T INSURANCE SERVICES, INC.3 | 414 GALLIMORE DAIRY ROAD, STE F GREESBORO, NC 27409 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | $11K | — | $11K | 12.00% |
| DIANNE J RAY3 | PO BOX 335 SUNNY SIDE, GA 30284 | AFLAC | $451 | $17 | $468 | 4.94% |
| DONNA M JOHNSON3 | 500 LANIER AVE W STE 912A FAYETTEVILLE, GA 30214 | AFLAC | $195 | $3 | $198 | 2.09% |
| CHRISTOPHER A TUGGLE3 | 97 PHEASANT DR MONTICELLO, GA 31084 | AFLAC | $150 | — | $150 | 1.58% |
| THOMAS D BAXTER3 | PO BOX 86 FAYETTEVILLE, GA 30214 | AFLAC | $87 | — | $87 | 0.92% |
| DAVID C CLOUD JR3 | 1301 SHILOH RD NW STE 1020 KENNESAW, GA 30144 | AFLAC | $37 | — | $37 | 0.39% |
| BARRY T FISHER3 | 4055 PIEDMONT LAKE ROAD PINE MOUNTAIN, GA 31822 | AFLAC | $14 | — | $14 | 0.15% |
| ANDY B GLENN II3 | 100 HARTSFIELD CENTER PKWY STE 500 ATLANTA, GA 30354 | AFLAC | $7 | $3 | $10 | 0.11% |
| THOMAS ROBERT GIDDENS3 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $7 | — | $7 | 0.07% |
| RONALD S SANDERS3 | 1194 E LAKEVIEW DRT SAN TAN VALLEY, AZ 85143 | AFLAC | $4 | — | $4 | 0.04% |
| AMITA PATEL3 | 3455 VICTORY DR COLUMBUS, GA 31903 | AFLAC | $3 | — | $3 | 0.03% |
| DEBORAH B SMITH3 | 4720 TWIN OAKS DR NW KENNESAW, GA 30152 | AFLAC | $1 | — | $1 | 0.01% |
| AMY A O SHIELDS3 | 5159 CALGARY DRIVE DOUGLASVILLE, GA 30135 | AFLAC | $1 | — | $1 | 0.01% |
| ALEXANDER B WARD3 | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | AFLAC | $1 | — | $1 | 0.01% |
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 | 183 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 185 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 259 | $1.3M |
| Dental | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | 184 | $93K |
| Vision | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 259 | $1.3M |
| Life insurance | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 259 | $1.3M |
| Other(2 contracts) | AFLAC | 154 | $221K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 259 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.