| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIANNE J RAY3 | PO BOX 335 SUNNY SIDE, GA 30284 | AFLAC | $19K | $1K | $21K | 12.35% |
| DEBBIE ST JOHN3 | 44 MAGNOLIA PKWY HAMPTON, GA 30228 | AFLAC | $8K | $569 | $8K | 4.90% |
| THOMAS D BAXTER3 | PO BOX 86 FAYETTEVILLE, GA 30214 | AFLAC | $7K | $403 | $7K | 4.13% |
| ANDY B GLENN II3 | 100 HARTSFIELD CENTER PKWY STE 500 ATLANTA, GA 30354 | AFLAC | $2K | $174 | $2K | 1.38% |
| ANDY B GLENN II3 | 50 HURT PLZ SE STE 1630 ATLANTA, GA 30303 | AFLAC | $2K | $229 | $2K | 1.35% |
| DONNA M JOHNSON3 | 500 LANIER AVE W, STE 912A FAYETTEVILLE, GA 30214 | AFLAC | $2K | — | $2K | 1.27% |
| CHRISTOPHER A TUGGLE3 | 155 BRAMBLE BUSH TRL COVINGTON, GA 30014 | AFLAC | $393 | — | $393 | 0.24% |
| BONNIE BISHOP3 | 426 MOORE RD NEWNAN, GA 30263 | AFLAC | $332 | — | $332 | 0.20% |
| DAVID C CLOUD JR3 | 12 TRENT DR SE ROME, GA 30161 | AFLAC | $153 | — | $153 | 0.09% |
| BARRY T FISHER3 | 9662 SPRINGMEADOW DR NEW PORT RICHEY, FL 34655 | AFLAC | $131 | — | $131 | 0.08% |
| JORDAN R VALIMONT BOBO3 | PO BOX 63 EXPERIMENT, GA 30212 | AFLAC | $85 | — | $85 | 0.05% |
| THOMAS ROBERT GIDDENS3 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $74 | — | $74 | 0.04% |
| JONATHAN W MCCUTCHEON3 | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $53 | — | $53 | 0.03% |
| ALEXANDER B WARD3 | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | AFLAC | $38 | — | $38 | 0.02% |
| WILLIAM A GRAHAM COMPANY3 Filed as: WILLIAM AARON DEES | PO BOX 708 WINONA, MS 38967 | AFLAC | $36 | — | $36 | 0.02% |
| TULL COOPER WIGLEY3 | 205 VILLAGE GREEN SQ WINSTON SALEM, NC 27104 | AFLAC | $33 | — | $33 | 0.02% |
| AMY A O SHIELDS3 | 5159 CALGARY DR DOUGLASVILLE, GA 30135 | AFLAC | $30 | — | $30 | 0.02% |
| MARTHA J BRYAN3 | 2930 BOMAR RD DOUGLASVILLE, GA 30135 | AFLAC | $26 | — | $26 | 0.02% |
| CALOB CANOY3 | 998 HIGHWAY 1 BENOIT, MS 38725 | AFLAC | $24 | — | $24 | 0.01% |
| CAROL DENISE VANBIBBER3 | 4502 WELLINGTON BLVD ALEXANDRIA, LA 71303 | AFLAC | $21 | — | $21 | 0.01% |
| MATTHEW REED3 Filed as: MATTHEW D REED | 198 PARKER RD HOLLANDALE, MS 38748 | AFLAC | $20 | — | $20 | 0.01% |
| KAREN L BURGESS3 | 1968 EASTERN VALLEY RD BESSEMER, AL 35022 | AFLAC | $17 | — | $17 | 0.01% |
| JEREMIAH TROY TALTON3 | 309 NEW POINTE STE B RIDGELAND, MS 39157 | AFLAC | $14 | — | $14 | 0.01% |
| DEBORAH B SMITH3 | 5703 BRYNWOOD CIRCLE NW ACWORTH, GA 30101 | AFLAC | $13 | — | $13 | 0.01% |
| DIANNA L HEATLY3 | 122 WHITESTONE DR MCDONOUGH, GA 30253 | AFLAC | $11 | — | $11 | 0.01% |
| TERESA REED3 | 1417 TRAILWOOD DR STE E GREENVILLE, MS 38701 | AFLAC | $11 | — | $11 | 0.01% |
| KATHY L MULLINS3 | PO BOX 844 EXPERIMENT, GA 30212 | AFLAC | $11 | — | $11 | 0.01% |
| RONALD S SANDERS3 | 1194 E LAKEVIEW DR SAN TAN VALLEY, AZ 85143 | AFLAC | $9 | — | $9 | 0.01% |
| MARIANE ETHRIDGE3 | 856 TURKEY TRAIL FORTSON, GA 31808 | AFLAC | $7 | — | $7 | 0.00% |
| CLAYTON H BENNETT3 | 2950 ASCOT LN ROSWELL, GA 30076 | AFLAC | $6 | — | $6 | 0.00% |
| ELENI A NIKOLAS3 | 50 HURT PLZ SE STE 1630 THE HURT BUILDING ATLANTA, GA 30303 | AFLAC | $6 | — | $6 | 0.00% |
| LOYE W MIMS3 | 79 LARHONDA DR OXFORD, MS 38655 | AFLAC | $5 | — | $5 | 0.00% |
| DAVID W WOODS3 | 432 GRAYSPORT RD WINONA, MS 38967 | AFLAC | $4 | — | $4 | 0.00% |
| TARRAH SMITHSON3 Filed as: TARRAH L SMITHSON | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $4 | — | $4 | 0.00% |
| SCOTT J RUSSELL3 | 15275 LOBLOLLY CT NORTHPORT, AL 35475 | AFLAC | $4 | — | $4 | 0.00% |
| JEREMIAH TROY TALTON3 | 232 GOODMAN RD W STE 305 SOUTHHAVEN, MS 38671 | AFLAC | $4 | — | $4 | 0.00% |
| MELYNDA RAY-MCCUTCHEON3 | 1150 MALLARD LAKE DR BOGART, GA 30622 | AFLAC | $4 | — | $4 | 0.00% |
| LAURA MILLS3 | 404 GALLERIA DR STE 8 OXFORD, MS 38655 | AFLAC | $3 | — | $3 | 0.00% |
| MICAH S CASEY3 | 461 ANNANDALE PKWY MADISON, MS 39110 | AFLAC | $3 | — | $3 | 0.00% |
| RICHARD MICHAEL TIDWELL3 | 5511 KINGSLEY MNR CUMMING, GA 30041 | AFLAC | $3 | — | $3 | 0.00% |
| LACY DODD3 | 734 SHADY OAKS CIR OXFORD, MS 38655 | AFLAC | $2 | — | $2 | 0.00% |
| VANESSA C MITCHELL3 | 200 STONE CREEK DR MADISON, MS 39110 | AFLAC | $2 | — | $2 | 0.00% |
| STEVEN VORDERLANDWEHR3 | 1599 AMHEARST MILL DR LAWRENCEVILLE, GA 30043 | AFLAC | $2 | — | $2 | 0.00% |
| SAIC INC3 | 4245 MILGEN RD COLUMBUS, GA 31907 | AFLAC | $2 | — | $2 | 0.00% |
| RYAN E MCPHAIL3 | 206 ARBOR CT CANTON, GA 30114 | AFLAC | $2 | — | $2 | 0.00% |
| DUSTIN ROBERT JOHNSON3 | 50 HURT PLZ SE STE 995 STE 1630 ATLANTA, GA 30303 | AFLAC | $2 | — | $2 | 0.00% |
| WILLIAM M WARDLAW JR3 | 5300 OAKBROOK PKWY STE 300 NORCROSS, GA 30093 | AFLAC | $1 | — | $1 | 0.00% |
| SCOTTI MADISON3 | 3330 COBB PKWY NW STE 324-3 ACWORTH, GA 30101 | AFLAC | $1 | — | $1 | 0.00% |
| ROBERT L GOBLE3 | 1410 4TH STREET DR NW UNIT 208 HICKORY, NC 28601 | AFLAC | $1 | — | $1 | 0.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 414 GALLIMORE DAIRY ROAD SUITE F GREENSBORO, NC 27409 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | $15K | — | $15K | 12.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 414 GALLIMORE DAIRY RD, SUITE F GREENSBORO, NC 27409 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $11K | — | $11K | 33.02% |
| MCGRIFF INSURANCE SERVICES INC3 | 1104 AMHERST ST WINCHESTER, VA 22601 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $542 | $496 | $1K | 3.20% |
| DIANNE J RAY3 | PO BOX 335 SUNNY SIDE, GA 30284 | AFLAC | $554 | $75 | $629 | 6.48% |
| THOMAS D BAXTER3 | PO BOX 86 FAYETTEVILLE, GA 30214 | AFLAC | $156 | $15 | $171 | 1.76% |
| DONNA M JOHNSON3 | 500 LANIER AVE W STE 912A FAYETTEVILLE, GA 30214 | AFLAC | $168 | — | $168 | 1.73% |
| CHRISTOPHER A TUGGLE3 | 155 BRAMBLE BUSH TRAIL COVINGTON, GA 30014 | AFLAC | $128 | — | $128 | 1.32% |
| ANDY B GLENN II3 | 100 HARTSFIELD CENTER PKWY STE 500 ATLANTA, GA 30354 | AFLAC | $24 | $15 | $39 | 0.40% |
| DAVID C CLOUD JR3 | 12 TRENT DR SE ROME, GA 30161 | AFLAC | $33 | — | $33 | 0.34% |
| ANDY B GLENN II3 | 50 HURT PLAZA SE STE 1630 ATLANTA, GA 30303 | AFLAC | $25 | — | $25 | 0.26% |
| BARRY T FISHER3 | 9662 SPRINGMEADOW DR NEW PORT RICHEY, FL 34655 | AFLAC | $12 | — | $12 | 0.12% |
| DEBORAH B SMITH3 | 5703 BRYNWOOD CIRCLE NW ACWORTH, GA 30101 | AFLAC | $7 | — | $7 | 0.07% |
| THOMAS ROBERT GIDDENS3 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $6 | — | $6 | 0.06% |
| ALEXANDER B WARD3 | 5194 FOREST VIEW CT SE MABLETON, GA 30135 | AFLAC | $3 | — | $3 | 0.03% |
| AMY A O SHIELDS3 | 5159 CALGARY DR DOUGLASVILLE, GA 30126 | AFLAC | $3 | — | $3 | 0.03% |
| AMITA PATEL3 | 3455 VICTORY DR COLUMBUS, GA 31903 | AFLAC | $3 | — | $3 | 0.03% |
| RONALD S SANDERS3 | 1194 E LAKEVIEW DR SAN TAN VALLEY, AZ 85143 | AFLAC | $3 | — | $3 | 0.03% |
| 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 | 351 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 351 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 441 | $32K |
| Dental | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | 300 | $129K |
| Vision | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 441 | $32K |
| Life insurance | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 441 | $32K |
| Other(3 contracts, 2 carriers) | AFLAC | 441 | $209K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 441 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.