| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES | 2600 EASTPOINT PARKWAY LOUSIVILLE, KY 40223 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $10K | — | $10K | 3.21% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES | 414 GALLIMORE DAIRY ROAD GREENSBORO, NC 27409 | BLUE CROSS OF CALIFORNIA | $3K | — | $3K | 1.51% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES | 680 LANGSDORF DRIVE SUITE 100 FULLERTON, CA 92831 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 9.72% |
| WILLIS TOWERS WATSON US LLC3 Filed as: ASHLEY WILLIS | 213 W. PINE GROVE AVENUE NORTH AUGUSTA, SC 29841 | AFLAC | $3K | — | $3K | 7.40% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JON DAYTON WILLIS JR | 2528 FERNLEAF CT. NW ATLANTA, GA 30318 | AFLAC | $864 | — | $864 | 2.53% |
| DANNY TRAN3 | 3150 PERIMETER PKWY AUGUSTA, GA 30909 | AFLAC | $823 | — | $823 | 2.41% |
| DANIEL FITZGERALD INC3 Filed as: DANIEL FITZGERALD | 3672 BAY PT AUGUSTA, GA 30907 | AFLAC | $404 | — | $404 | 1.18% |
| ELIZABETH R SMITH3 Filed as: ELIZABETH R. SMITH | 1515 JOHNS ROAD AUGUSTA, GA 30904 | AFLAC | $165 | — | $165 | 0.48% |
| KERRY C EZZELL3 Filed as: KERRY EZZELL | P.O. BOX 15074 AUGUSTA, GA 30919 | AFLAC | $144 | — | $144 | 0.42% |
| RICHARD SMITHSON3 | 449 TIMBER PL. MILTON, GA 30004 | AFLAC | $126 | — | $126 | 0.37% |
| JOHN B COLLINS3 Filed as: JOHN B. COLLINS | 311 PEBBLE HOLLOW DRIVE MILLEDGEVILLE, GA 31061 | AFLAC | $73 | — | $73 | 0.21% |
| TARRAH SMITHSON3 Filed as: TARRAH L. SMITHSON | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $62 | — | $62 | 0.18% |
| THOMAS ROBERT GIDDENS3 | P.O. BOX 2517 KENNESAW, GA 30156 | AFLAC | $61 | — | $61 | 0.18% |
| LYNETTE KAY DUTTON3 | 131 COUNTRYSIDE DRIVE FOREST CITY, NC 28043 | AFLAC | $46 | — | $46 | 0.13% |
| SCOTT A SMITH3 Filed as: SCOTT A. SMITH | 5300 OAKBROOK PARKWAY BLDG 300, SUITE 350 NORCROSS, GA 30093 | AFLAC | $30 | — | $30 | 0.09% |
| ALAN C SMITH3 Filed as: ALAN C. SMITH | 401 AVRETT WAY EVANS, GA 30809 | AFLAC | $29 | — | $29 | 0.09% |
| WILLIAM L AMOS & CO INC3 Filed as: WILLIAM L. AMOS & CO. INC. | 6801 RIVER ROAD SUITE 205 COLUMBUS, GA 31904 | AFLAC | $21 | — | $21 | 0.06% |
| WILLIS TOWERS WATSON US LLC3 Filed as: PAUL B. WILLIS | 2541 HYDE MANOR DRIVE ATLANTA, GA 30327 | AFLAC | $14 | — | $14 | 0.04% |
| PAUL SHELBY AMOS II3 | 1932 WYNNTON ROAD/14TH FLOOR COLUMBUS, GA 31999 | AFLAC | $10 | — | $10 | 0.03% |
| WILLIAM M WARDLAW JR3 Filed as: WILLIAM M. WARDLAW, JR. | 5300 OAKBROOK PARKWAY BLDG 300, SUITE 350 NORCROSS, GA 30043 | AFLAC | $3 | — | $3 | 0.01% |
| STEVEN VORDERLANDWEHR3 | 1242 HADAWAY TRL. LAWRENCEVILLE, GA 30043 | AFLAC | $2 | — | $2 | 0.01% |
| DUSTIN ROBERT JOHNSON3 | 50 HURT PLZ SE SUITE 995 ATLANTA, GA 30303 | AFLAC | $2 | — | $2 | 0.01% |
| SUSAN REDDOCH BUFFINGTON3 | 400 TAX ROAD SHILOH, GA 31826 | AFLAC | $1 | — | $1 | 0.00% |
| LANCE OSBORNE3 | 21800 SEACREST LANE HUNTINGTON BEACH, CA 92646 | AFLAC | $1 | — | $1 | 0.00% |
| DEBORAH B SMITH3 Filed as: DEBORAH B. SMITH | 4720 TWIN OAKS DRIVE NW KENNESAW, GA 30152 | AFLAC | $1 | — | $1 | 0.00% |
| BRADLEY BOLICK3 Filed as: BRADLEY S. BOLICK | 6433 FALL BRANCH DR. COLUMBUS, GA 31904 | AFLAC | $1 | — | $1 | 0.00% |
| RPM LTD3 | P. O. BOX 484 BLOOMINGDALE, GA 31302 | AFLAC | $1 | — | $1 | 0.00% |
| ANA MARIE GARCIA SMITH3 | 110 BANDERVIEW ROAD SEYMOUR, TN 37865 | AFLAC | $1 | — | $1 | 0.00% |
| MELYNDA RAY-MCCUTCHEON3 | 1150 MALLARD LAKE DRIVE BOGART, GA 30622 | AFLAC | $1 | — | $1 | 0.00% |
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 | 417 | 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) | 417 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 465 | $584K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 413 | $57K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 413 | $57K |
| Life insurance(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 413 | $91K |
| Short-term disability | AFLAC | 150 | $34K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 413 | $57K |
| Prescription drug | BLUE CROSS OF CALIFORNIA | 326 | $232K |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 413 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 465 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.