| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 235 HIGHLANDIA DRIVE SUITE 200 BATON ROUGE, LA 70810 | STARMOUNT LIFE INSURANCE COMPANY | $131K | $0 | $131K | 9.28% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | 235 HIGHLANDIA DRIVE STE 200 BATON ROUGE, LA 70810 | HARTFORD LIFE AND ACCIDENT | $74K | $0 | $74K | 7.20% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | 2 PIERCE PLACE 21ST FL ITASCA, FL 601433141 | HARTFORD LIFE AND ACCIDENT | $0 | $8K | $8K | 0.77% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | 4100 NEWPORT PLACE DRIVE STE 650 NEWPORT BEACH, CA 92660 | HARTFORD LIFE AND ACCIDENT | $0 | $5K | $5K | 0.51% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | HARTFORD LIFE AND ACCIDENT | $0 | $5K | $5K | 0.50% |
| JAMES VERGENAL3 Filed as: JAMES A VERGENAL | 911 DARTEZ DR NEW IBERIA, LA 70563 | AFLAC | $8K | $177 | $8K | 2.40% |
| DAVID LAVIGNE3 Filed as: DAVID M LAVIGNE | 210 ELYSIAN FIELDS DR LAFAYETTE, LA 70508 | AFLAC | $6K | $205 | $6K | 1.94% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | AFLAC | $5K | $0 | $5K | 1.47% |
| ROGER A PISANI3 | PO BOX 11136 NEW IBERIA, LA 70562 | AFLAC | $3K | $51 | $3K | 0.80% |
| ANGELA MARIE VERGENAL3 | 911 DARTEZ DR NEW IBERIA, LA 70563 | AFLAC | $2K | $0 | $2K | 0.49% |
| BLAZE J FREMIN3 | PO BOX 53871 LAFAYETTE, LA 70505 | AFLAC | $994 | $0 | $994 | 0.30% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | AFLAC | $825 | $0 | $825 | 0.25% |
| SKYE A VERGENAL3 | 715 MALLARD CV NEW IBERIA, LA 70560 | AFLAC | $734 | $20 | $754 | 0.23% |
| FRANKLIN W STOUTE3 | 2388 PEACH BLOOM HWY CHURCH POINT, LA 70525 | AFLAC | $687 | $16 | $703 | 0.21% |
| JUSTIN C LAMB3 | 5350 LAKE LIZZIE DR SAINT CLOUD, FL 34771 | AFLAC | $687 | $0 | $687 | 0.21% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $641 | $0 | $641 | 0.19% |
| KEITH WILLIAM BELLE3 | 302 LA RUE FRANCE STE 100 LAFAYETTE, LA 70508 | AFLAC | $641 | $0 | $641 | 0.19% |
| SIEGAN J VERGENAL3 | 101 OVERBROOK DR BROUSSARD, LA 70518 | AFLAC | $538 | $17 | $555 | 0.17% |
| STEVEN E MALINOWSKI3 | 10115 W CANDLEWOOD DR SUN CITY, AZ 85351 | AFLAC | $434 | $0 | $434 | 0.13% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: RANDALL S BROWN | PO BOX 900246 SANDY, UT 84090 | AFLAC | $400 | $0 | $400 | 0.12% |
| JASON A MAYNARD3 | 140 RUE BEAUREGARD STE C LAFAYETTE, LA 70508 | AFLAC | $316 | $0 | $316 | 0.09% |
| JOI D JONES3 | 4626 PLATA DEL SOL DR LAS VEGAS, NV 89121 | AFLAC | $296 | $0 | $296 | 0.09% |
| RORY G CRUSER3 | 7516 BLUEBONNET BLVD 116 BATON ROUGE, LA 70810 | AFLAC | $293 | $0 | $293 | 0.09% |
| RICHARD A KIRK3 | 300 LA CANTERA CT LAS VEGAS, NV 89144 | AFLAC | $241 | $0 | $241 | 0.07% |
| BRAD J ERICKSEN3 | 478 W ROSEMARY PL SARATOGA SPRINGS, UT 84045 | AFLAC | $238 | $0 | $238 | 0.07% |
| CARLOS D ESPINOSA3 | 17103 VERDE PARK LN CYPRESS, TX 77433 | AFLAC | $196 | $37 | $233 | 0.07% |
| GARY L RICKETTS INC3 | PO BOX 576 SEFFNER, FL 33583 | AFLAC | $226 | $0 | $226 | 0.07% |
| STEPHEN L SCORESBY3 | 70 S 320 W OREM, UT 84058 | AFLAC | $217 | $0 | $217 | 0.06% |
| CARLA A MCENTIRE3 | 81 8TH ST STE 12 BELGRADE, MT 59714 | AFLAC | $215 | $0 | $215 | 0.06% |
| KATHRYN L KITE LLC3 | 2920 CARLISLE BLVD NE A-Z ALBUQUERQUE, NM 87110 | AFLAC | $215 | $0 | $215 | 0.06% |
| CANDICE BRUNO3 | 23 BAILEY RD CANDLER, NC 28715 | AFLAC | $205 | $0 | $205 | 0.06% |
| SCOTT M EDLIN3 | 5628 MESA MOUNTAIN DR LAS VEGAS, NV 89135 | AFLAC | $187 | $0 | $187 | 0.06% |
| AARON L PARVINO3 | 102 MISSION HILLS DR BROUSSARD, LA 70518 | AFLAC | $168 | $0 | $168 | 0.05% |
| TERRY JAMES LAPORTE3 | 1007 HUGH DR SAINT MARTINVILLE, LA 70582 | AFLAC | $164 | $0 | $164 | 0.05% |
| KRISTEN BRUNZELL3 Filed as: KRISTEN M BRUNZELL | 340 E 1ST ST # 3746 TUSTIN, CA 92781 | AFLAC | $158 | $0 | $158 | 0.05% |
| QUINTON J MILES3 | PO BOX 22434 CHARLESTON, SC 29413 | AFLAC | $151 | $0 | $151 | 0.05% |
| MICHAEL LIPCHOCK3 Filed as: MICHAEL J LIPCHOCK | 3204 GRAY MARSH CT IJAMSVILLE, MD 21754 | AFLAC | $148 | $0 | $148 | 0.04% |
| PG ELLIS BENEFITS INC3 | 733 LYNDON LN HAW RIVER, NC 27258 | AFLAC | $146 | $0 | $146 | 0.04% |
| GREGORY S FRY3 | 3205 QUIET TREE GRV OLD HICKORY, TN 37138 | AFLAC | $145 | $0 | $145 | 0.04% |
| ROCKY B CUNNINGHAM JR3 | PO BOX 84478 BATON ROUGE, LA 70884 | AFLAC | $133 | $0 | $133 | 0.04% |
| DANIEL GREGG THATCHER3 | 2229 DESERT VILLAGE CT SPARKS, NV 89436 | AFLAC | $129 | $0 | $129 | 0.04% |
| BURTON MARMANDE3 Filed as: BURTON B MARMANDE | 120 SAINT MICHEL PLANTATION CT HOUMA, LA 70363 | AFLAC | $124 | $0 | $124 | 0.04% |
| MELVIN R WARNER3 | 16 GRANDVIEW CT POWDER SPRINGS, GA 30127 | AFLAC | $115 | $0 | $115 | 0.03% |
| MICHAEL D SINGLETON3 | 132 ADAMS LAKE RD CONWAY, AR 72032 | AFLAC | $109 | $0 | $109 | 0.03% |
| JINX LIBERATO3 | 2821 IONE ST SACRAMENTO, CA 95821 | AFLAC | $79 | $30 | $109 | 0.03% |
| HAROLD B CHRISTENSEN3 | 4212 HOOKBILLED KITE BEE CAVE, TX 78738 | AFLAC | $107 | $0 | $107 | 0.03% |
| JOHN J MACIAS JR3 | 950 N UNIVERSITY PARK LOOP RENO, NV 89512 | AFLAC | $107 | $0 | $107 | 0.03% |
| CHARLOTTE A FISHBURN3 | PO BOX 7066 GOLDEN, CO 80403 | AFLAC | $106 | $0 | $106 | 0.03% |
| STEPHEN HOBBS3 Filed as: STEPHEN ALLEN HOBBS | 28 GLASGOW CT LITTLE ROCK, AR 72211 | AFLAC | $102 | $0 | $102 | 0.03% |
| ETB INC3 | 5241 W ORCHARD AVE RATHDRUM, ID 83858 | AFLAC | $97 | $0 | $97 | 0.03% |
| MICHELLE D VEAL3 | 7284 EFFIE DR DENHAM SPRINGS, LA 70706 | AFLAC | $89 | $8 | $97 | 0.03% |
| ROGER JONES II3 Filed as: ROGER DALE JONES II | 12902 WICKERHILL FALLS CT HUMBLE, TX 77346 | AFLAC | $96 | $0 | $96 | 0.03% |
| JERRY DUNCAN3 Filed as: JERRY F HOKE | 517 E 3270 N LEHI, UT 84043 | AFLAC | $95 | $0 | $95 | 0.03% |
| JAMES A TAFT JR3 | 573 CANE RUN ST HARRODSBURG, KY 40330 | AFLAC | $93 | $0 | $93 | 0.03% |
| ADRIAN S JOHNSON3 | 289 MONTROSE PL BOSSIER CITY, LA 71111 | AFLAC | $91 | $0 | $91 | 0.03% |
| MIKE LUNDQUIST3 | 4541 S MOSSY SPRINGS LN SALT LAKE CITY, UT 84117 | AFLAC | $90 | $0 | $90 | 0.03% |
| RAYMOND WYLIE3 Filed as: RAYMOND M WYLIE | 10734 ERIN VALE AVE BATON ROUGE, LA 70810 | AFLAC | $88 | $0 | $88 | 0.03% |
| SAIC INC3 | 4245 MILGEN RD COLUMBUS, GA 31907 | AFLAC | $86 | $0 | $86 | 0.03% |
| LL BERRY LTD3 Filed as: L L BERRY LTD | 2456 32ND ST W BILLINGS, MT 59102 | AFLAC | $86 | $0 | $86 | 0.03% |
| NANCY H. HUGHES3 Filed as: NANCY H HUGHES | PO BOX 91182 ALBUQUERQUE, NM 87199 | AFLAC | $85 | $0 | $85 | 0.03% |
| KAREN HARMER3 Filed as: KAREN LEE HARMER | PO BOX 829 SANDY, UT 84091 | AFLAC | $85 | $0 | $85 | 0.03% |
| IRBY JOSEPH CHATELAIN III3 | 2315 FLORDIA ST STE121 BLDG 200 MANDEVILLE, LA 70448 | AFLAC | $85 | $0 | $85 | 0.03% |
| TRAVIS D HURT3 | 18446 S 154TH EAST AVE BIXBY, OK 74008 | AFLAC | $84 | $0 | $84 | 0.03% |
| ANNA M WISEMAN3 | 3100 5OTH STREET SW NAPLES, FL 34116 | AFLAC | $83 | $0 | $83 | 0.02% |
| MARC MICKELSEN3 | 1324 S 1900 E SALT LAKE CITY, UT 84108 | AFLAC | $81 | $0 | $81 | 0.02% |
| SABRINA BUSH3 | PO BOX 15133 PIKESVILLE, MD 21282 | AFLAC | $81 | $0 | $81 | 0.02% |
| LARRY W NICHOLSON3 | 116 E MAIN ST ROCK HILL, SC 29730 | AFLAC | $74 | $0 | $74 | 0.02% |
| SIEGAN J VERGENAL3 | 911 DARTEZ DR NEW IBERIA, LA 70563 | AFLAC | $73 | $0 | $73 | 0.02% |
| KUKULICA ENTERPRISES INC3 | 243 CALIFORNIA AVE STE 5 RENO, NV 89509 | AFLAC | $71 | $0 | $71 | 0.02% |
| ERICKSEN INC3 | 478 W ROSEMARY PLACE SARATOGA SPRINGS, UT 84045 | AFLAC | $71 | $0 | $71 | 0.02% |
| CAROL JACKSON3 Filed as: CAROL S JACKSON | PO BOX 1550 MILLBROOK, AL 36054 | AFLAC | $71 | $0 | $71 | 0.02% |
| DEBORAH A MARINO3 | 6440 SKY POINTE DR 140-221 LAS VEGAS, NV 89131 | AFLAC | $69 | $0 | $69 | 0.02% |
| LAURA M MARCOTTE3 | 4928 SILVERWOOD DR JOHNSTOWN, CO 80534 | AFLAC | $68 | $0 | $68 | 0.02% |
| JACK ALAN HENNINGSGAARD3 | 2562 LOST LAKE RD MOUND, MN 55364 | AFLAC | $65 | $0 | $65 | 0.02% |
| DAVID MARKS3 | 4021 WE HECK CT STE J BATON ROUGE, LA 70816 | AFLAC | $62 | $3 | $65 | 0.02% |
| IRBY JOSEPH CHATELAIN III3 | 310 BLACK JACK OAK DR MADISONVILLE, LA 70447 | AFLAC | $64 | $0 | $64 | 0.02% |
| JOSEPH N HARRIS3 | 1353 MCCOY ST BIRMINGHAM, AL 35210 | AFLAC | $62 | $0 | $62 | 0.02% |
| REBECCA LYNN HOGAN3 | 5671 EDGMON RD OOLTEWAH, TN 37363 | AFLAC | $62 | $0 | $62 | 0.02% |
| DANIEL L FRENCH3 | 240 43RD AVE GREELEY, CO 80634 | AFLAC | $62 | $0 | $62 | 0.02% |
| LONA BISHOP3 Filed as: LONA J BISHOP | PO BOX 20753 ROANOKE, VA 24018 | AFLAC | $61 | $0 | $61 | 0.02% |
| KATHERINE L SIMOS3 | 1605 CONRAD RD LEWISVILLE, NC 27023 | AFLAC | $61 | $0 | $61 | 0.02% |
| LYNN MARIE BARRY3 Filed as: LYNN G BARNSON | 10153 S WASATCH BLVD SANDY, UT 84092 | AFLAC | $60 | $0 | $60 | 0.02% |
| WAYNE G MCMEEN3 | 2727 WATERHAVEN DR CHATTANOOGA, TN 37406 | AFLAC | $59 | $0 | $59 | 0.02% |
| SUSAN E RYAN3 | PO BOX 71 CORNELIUS, OR 97113 | AFLAC | $59 | $0 | $59 | 0.02% |
| CATHI TURNER3 | 4804 MISTLETOE LN DURHAM, NC 27703 | AFLAC | $59 | $0 | $59 | 0.02% |
| HELEN P LIPCHOCK3 | 3204 GRAY MARSH CT IJAMSVILLE, MD 21754 | AFLAC | $58 | $0 | $58 | 0.02% |
| GERALD R WILLIAMSON3 | 26803 N 15TH DR PHOENIX, AZ 85085 | AFLAC | $55 | $0 | $55 | 0.02% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $54 | $0 | $54 | 0.02% |
| ASHLEY M MELTON3 | 2230 LLOYD DR SUMTER, SC 29154 | AFLAC | $54 | $0 | $54 | 0.02% |
| JENNIFER E MACIAS3 | 950 N UNIVERSITY PARK LOOP RENO, NV 89512 | AFLAC | $54 | $0 | $54 | 0.02% |
| BRETT MERLYN BIGELOW3 | 10140 W POTTER DR PEORIA, AZ 85382 | AFLAC | $53 | $0 | $53 | 0.02% |
| KIEFER GROUP INSURANCE AGENCY LLC3 Filed as: KIEFER GROUP INS AGCY LC | 155 INVERNESS DR W STE 300 ENGLEWOOD, CO 80112 | AFLAC | $53 | $0 | $53 | 0.02% |
| JAMES MCCOY3 | 3733 WIREGRASS RD NEW PORT RICHEY, FL 34655 | AFLAC | $52 | $0 | $52 | 0.02% |
| ELIZABETH MANGUM3 Filed as: ELIZABETH W MANGUM | 3919 WENTWORTH DR DURHAM, NC 27707 | AFLAC | $51 | $0 | $51 | 0.02% |
| JOSE CRUZ BLANCO3 | 808 EASTLAND DR STE A TWIN FALLS, ID 83301 | AFLAC | $51 | $0 | $51 | 0.02% |
| CRUSER MARKETING INC3 | 7516 BLUEBONNET BLVD 116 BATON ROUGE, LA 70810 | AFLAC | $51 | $0 | $51 | 0.02% |
| TEATORS INS PROTECTION SERVICES3 | 524 TROUTWOOD PL FUQUAY VARINA, NC 27526 | AFLAC | $51 | $0 | $51 | 0.02% |
| JOHN MICHAEL CHRISTOPHER3 | 1637 S SILVERTHORNE DR LITTLE ROCK, AR 72210 | AFLAC | $50 | $0 | $50 | 0.01% |
| BARRY BEVERLY3 | 1888 E 6400 S HOLLADAY, UT 84121 | AFLAC | $50 | $0 | $50 | 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 | 2,284 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 27 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,311 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 1,690 | $1.4M |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 1,690 | $1.4M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 2,291 | $1.0M |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 2,291 | $1.0M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 2,291 | $1.0M |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 2,291 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,291 | — |
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.