| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES | P. O. BOX 896620 CHARLOTTE, NC 28289 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $65K | — | $65K | 3.23% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES | 414 GALLIMORE DAIRY ROAD GREENSBORO, NC 27409 | BLUE CROSS OF CALIFORNIA | $43K | — | $43K | 3.00% |
| 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 | $21K | $3K | $24K | 6.97% |
| WILLIS TOWERS WATSON US LLC3 Filed as: ASHLEY WILLIS | 213 W. PINE GROVE AVENUE NORTH AUGUSTA, SC 29841 | AFLAC | $13K | $69 | $13K | 20.62% |
| DANNY TRAN3 | 3150 PERIMETER PKWY AUGUSTA, GA 30909 | AFLAC | $3K | $14 | $3K | 4.95% |
| DANIEL FITZGERALD INC3 Filed as: DANIEL FITZGERALD INC. | 3672 BAY PT. AUGUSTA, GA 30907 | AFLAC | $2K | $14 | $2K | 3.23% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JON DAYTON WILLIS JR | 2528 FERNLEAF CT. NW ATLANTA, GA 30318 | AFLAC | $709 | — | $709 | 1.10% |
| ALEXANDER DAMON CARBONELL3 | 1050 FLOWERING ALMOND DRIVE APT. D GRANITEVILLE, SC 29829 | AFLAC | $696 | — | $696 | 1.08% |
| MEBPBC LLC3 | 112 CANDLEBERRY LANE SAVANNAH, GA 31406 | AFLAC | $528 | — | $528 | 0.82% |
| ALAN C SMITH3 Filed as: ALAN C. SMITH | 401 AVRETT WAY EVANS, GA 30809 | AFLAC | $470 | — | $470 | 0.73% |
| ELIZABETH R SMITH3 Filed as: ELIZABETH R. SMITH | 1515 JOHNS ROAD AUGUSTA, GA 30904 | AFLAC | $127 | — | $127 | 0.20% |
| DENNIS L ENGLE3 Filed as: DENNIS L. ENGLE | P. O. BOX 15446 SAVANNAH, GA 31416 | AFLAC | $108 | — | $108 | 0.17% |
| KERRY C EZZELL3 Filed as: KERRY C. EZZELL | P.O. BOX 15074 AUGUSTA, GA 30919 | AFLAC | $101 | — | $101 | 0.16% |
| RICHARD SMITHSON3 | 449 TIMBER PL MILTON, GA 30004 | AFLAC | $76 | — | $76 | 0.12% |
| ROMONDA STYLES3 | 4112 SHORT LEAF CT. AUGUSTA, GA 30906 | AFLAC | $69 | — | $69 | 0.11% |
| JOHN B COLLINS3 Filed as: JOHN B. COLLINS | 311 PEBBLE HOLLOW DRIVE MILLEDGEVILLE, GA 31061 | AFLAC | $68 | — | $68 | 0.11% |
| CHARLES H WEISSBERGER3 Filed as: CHARLES H. WEISSBERGER | 308 GRAHAM AVENUE SE RENTON, WA 98059 | AFLAC | $65 | — | $65 | 0.10% |
| THOMAS ROBERT GIDDENS3 | P.O. BOX 2517 KENNESAW, GA 30156 | AFLAC | $55 | — | $55 | 0.09% |
| LYNETTE KAY DUTTON3 | 131 COUNTRYSIDE DRIVE FOREST CITY, NC 28043 | AFLAC | $30 | — | $30 | 0.05% |
| SCOTT A SMITH3 Filed as: SCOTT A. SMITH | 5300 OAKBROOK PKWY STE 300 SUITE 350 NORCROSS, GA 30093 | AFLAC | $15 | — | $15 | 0.02% |
| ROMONDA STYLES3 | 2201 COUNTRY CLUB COURT AUGUSTA, GA 30904 | AFLAC | $15 | — | $15 | 0.02% |
| TARRAH SMITHSON3 Filed as: TARRAH L. SMITHSON | 449 TIMBER PL. MILTON, GA 30004 | AFLAC | $12 | — | $12 | 0.02% |
| PAUL SHELBY AMOS II3 | 1932 WYNNTON ROAD/14TH FLOOR COLUMBUS, GA 31999 | AFLAC | $9 | — | $9 | 0.01% |
| CHARLES H WEISSBERGER3 Filed as: CHARLES H. WEISSBERGER | 107 SOUTHERN BLVD SUITE 103 SAVANNAH, GA 31405 | AFLAC | $9 | — | $9 | 0.01% |
| STEVEN VORDERLANDWEHR3 | 1599 AMHEARST MILL DRIVE LAWRENCEVILLE, GA 30043 | AFLAC | $8 | — | $8 | 0.01% |
| WILLIAM L AMOS & CO INC3 Filed as: WILLIAM L. AMOS & CO. INC. | 6801 RIVER ROAD COLUMBUS, GA 31904 | AFLAC | $7 | — | $7 | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: PAUL B. WILLIS | 2541 HYDE MANOR DRIVE NW ATLANTA, GA 30327 | AFLAC | $7 | — | $7 | 0.01% |
| DUSTIN ROBERT JOHNSON3 | 50 HURT PLZ SE SUITE 995 ATLANTA, GA 30303 | AFLAC | $7 | — | $7 | 0.01% |
| SUSAN REDDOCH BUFFINGTON3 Filed as: SUSAN REDDOCK BUFFINGTON | 400 TAX ROAD SHILOH, GA 31826 | AFLAC | $6 | — | $6 | 0.01% |
| LANCE OSBORNE3 | 21822 SEACREST LANE HUNTINGTON BEACH, CA 92646 | AFLAC | $5 | — | $5 | 0.01% |
| WILLIAM M WARDLAW JR3 Filed as: WILLIAM M. WARDLAW, JR. | 5300 OAKBROOK PARKWAY BLDG 300 SUITE 350 NORCROSS, GA 30093 | AFLAC | $3 | — | $3 | 0.00% |
| MELYNDA RAY-MCCUTCHEON3 | 1150 MALLARD LAKE DRIVE BOGART, GA 30622 | AFLAC | $3 | — | $3 | 0.00% |
| DEBORAH B SMITH3 Filed as: DEBORAH B. SMITH | 5703 BRYNWOOD CIRCLE NW ACWORTH, GA 30101 | AFLAC | $3 | — | $3 | 0.00% |
| ANA MARIE GARCIA SMITH3 | 110 BANDERVIEW ROAD SEYMOUR, TN 37865 | AFLAC | $2 | — | $2 | 0.00% |
| CHRISTIE MARZARI3 Filed as: CHRISTIE M. MARZARI | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $2 | — | $2 | 0.00% |
| BRADLEY BOLICK3 Filed as: BRADLEY S. BOLICK | 6433 FALL BRANCH DRIVE COLUMBUS, GA 31904 | AFLAC | $2 | — | $2 | 0.00% |
| RPM LTD3 | P. O. BOX 484 BLOOMINGDALE, GA 31302 | AFLAC | $2 | — | $2 | 0.00% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DRIVE WALNUT CREEK, CA 94598 | AFLAC | $2 | — | $2 | 0.00% |
| WENDY M RANKIN3 Filed as: WENDY M. RANKIN | 114 BROAD STREET SUITE 201 ROME, GA 30161 | AFLAC | $2 | — | $2 | 0.00% |
| DEBORAH B SMITH3 Filed as: DEBORAH B. SMITH | 4720 TWIN OAKS DRIVE NW KENNESAW, GA 30152 | AFLAC | $2 | — | $2 | 0.00% |
| STEVEN VORDERLANDWEHR3 | 1242 HADAWAY TRAIL LAWRENCEVILLE, GA 30043 | 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 | 410 | 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) | 410 | 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. | 502 | $3.5M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 428 | $342K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 428 | $342K |
| Life insurance(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 428 | $406K |
| Short-term disability | AFLAC | 202 | $64K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 428 | $342K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 502 | $3.4M |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 428 | $342K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 502 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.