| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 414 GALLIMORE DAIRY RD, SUITE F GREENSBORO, NC 27409 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $95K | — | $95K | 4.43% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC. | 113 SOUTH WAYNE AVE PO BOX 700 WAYNESBORO, VA 22980 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | — | $464 | $464 | 0.02% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 414 GALLIMORE DAIRY RD, SUITE F GREENSBORO, NC 27409 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | $13K | — | $13K | 12.00% |
| DIANNE J RAY3 | PO BOX 335 SUNNY SIDE, GA 30284 | AFLAC | $2K | — | $2K | 12.68% |
| THOMAS D BAXTER3 | PO BOX 86 FAYETTEVILLE, GA 30214 | AFLAC | $392 | — | $392 | 3.10% |
| DONNA M JOHNSON3 | 500 LANIER AVE W STE 912A FAYETTEVILLE, GA 30214 | AFLAC | $197 | — | $197 | 1.56% |
| ANDY B GLENN II3 | 100 HARTSFIELD CENTER PKWY STE 500 ATLANTA, GA 30354 | AFLAC | $186 | — | $186 | 1.47% |
| CHRISTOPHER A TUGGLE3 | 97 PHEASANT DR MONTICELLO, GA 31084 | AFLAC | $150 | — | $150 | 1.19% |
| DAVID C CLOUD JR3 | 1301 SHILOH RD NW STE 1020 KENNESAW, GA 30144 | AFLAC | $37 | — | $37 | 0.29% |
| BARRY T FISHER3 | 4055 PIEDMONT LAKE ROAD PINE MOUNTAIN, GA 31822 | AFLAC | $14 | — | $14 | 0.11% |
| THOMAS ROBERT GIDDENS3 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $7 | — | $7 | 0.06% |
| RONALD S SANDERS3 | 1194 E LAKEVIEW DRT SAN TAN VALLEY, AZ 85143 | AFLAC | $4 | — | $4 | 0.03% |
| DEBORAH B SMITH3 | 5703 BRYNWOOD CIRCLE NW ACWORTH, GA 30101 | AFLAC | $4 | — | $4 | 0.03% |
| AMY A O SHIELDS3 | 5159 CALGARY DRIVE DOUGLASVILLE, GA 30135 | AFLAC | $4 | — | $4 | 0.03% |
| ALEXANDER B WARD3 | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | AFLAC | $4 | — | $4 | 0.03% |
| DEBORAH B SMITH3 | 4720 TWIN OAKS DR NW KENNESAW, GA 30152 | AFLAC | $4 | — | $4 | 0.03% |
| AMITA PATEL3 | 3455 VICTORY DR COLUMBUS, GA 31903 | AFLAC | $3 | — | $3 | 0.02% |
| JONATHAN W MCCUTCHEON3 | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $2 | — | $2 | 0.02% |
| RICHARD MICHAEL TIDWELL3 | 5511 KINGSLEY MANOR CUMMING, GA 30041 | AFLAC | $1 | — | $1 | 0.01% |
| RYAN E MCPHAIL3 | 206 ARBOR CT CANTON, GA 30114 | 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 | 224 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 228 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 368 | $2.1M |
| Dental | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | 217 | $109K |
| Vision | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 368 | $2.1M |
| Life insurance | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 368 | $2.1M |
| Other | AFLAC | 10 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 368 | — |
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.