| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 1120 SANCTUARY PARKWAY SUITE 300 ALPHARETTA, GA 30009 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $23K | $4K | $27K | 4.99% |
| C AND H FINANCIAL, LLC3 Filed as: C& H FINANCIAL LLC | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $18K | — | $18K | 3.32% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | 1 STATE STREET PLAZA, 9TH FLOOR NEW YORK, NY 10004 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $18K | — | $18K | 3.29% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1120 SANCTUARY PARKWAY SUITE 300 ALPHARETTA, GA 30009 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $5K | $984 | $6K | 5.03% |
| C AND H FINANCIAL, LLC3 Filed as: C & H FINANCIAL LLC | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $4K | — | $4K | 3.31% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | 1 STATE STREET PLAZA, 9TH FLOOR NEW YORK, NY 10004 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $4K | — | $4K | 3.30% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 1120 SANCTUARY PARKWAY SUITE 300 ALPHARETTA, GA 30009 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $2K | — | $2K | 4.22% |
| C AND H FINANCIAL, LLC3 Filed as: C & H FINANCIAL LLC | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $2K | $65 | $2K | 3.43% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | 1 STATE STREET PLAZA, 9TH FLOOR NEW YORK, NY 10004 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $2K | — | $2K | 3.32% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | 1 STATE STREET PLAZA, 9TH FLOOR NEW YORK, NY 10004 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $2K | — | $2K | 4.14% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1120 SANCTUARY PARKWAY SUITE 300 ALPHARETTA, GA 30009 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $2K | — | $2K | 3.37% |
| C AND H FINANCIAL, LLC3 Filed as: C & H FINANCIAL LLC | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $746 | — | $746 | 1.67% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 1120 SANCTUARY PARKWAY SUITE 300 ALPHARETTA, GA 30009 | DISCOVERY BENEFITS | $1K | $40K | $41K | 103.48% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 1120 SANCTUARY PARKWAY SUITE 300 ALPHARETTA, GA 30009 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $364 | — | $364 | 4.30% |
| C AND H FINANCIAL, LLC3 Filed as: C & H FINANCIAL LLC | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $282 | — | $282 | 3.33% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | 1 STATE STREET PLAZA, 9TH FLOOR NEW YORK, NY 10004 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $273 | — | $273 | 3.23% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1120 SANCTUARY PARKWAY SUITE 300 ALPHARETTA, GA 30004 | DELTA DENTAL INSURANCE COMPANY | $685 | $9K | $10K | — |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | 1 STATE STREET PLAZA, 9TH FLOOR NEW YORK, NY 10004 | DELTA DENTAL INSURANCE COMPANY | $676 | — | $676 | — |
| C AND H FINANCIAL, LLC3 Filed as: C & H FINANCIAL LLC | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | DELTA DENTAL INSURANCE COMPANY | $223 | — | $223 | — |
| ALLIANT INSURANCE SERVICES, INC.3 | 1120 SANCTUARY PARKWAY SUITE 300 ALPHARETTA, GA 30004 | DELTA DENTAL INSURANCE COMPANY | $5K | $59K | $64K | — |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | 1 STATE STREET PLAZA, 9TH FLOOR NEW YORK, NY 10004 | DELTA DENTAL INSURANCE COMPANY | $5K | — | $5K | — |
| C AND H FINANCIAL, LLC3 Filed as: C & H FINANCIAL LLC | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | DELTA DENTAL INSURANCE COMPANY | $2K | — | $2K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | — | $1.9M |
| ALLIANT INSURANCE SERVICES EIN 33-0785439 BROKER | Other commissions Service code 55 | 1120 SANCTUARY PKWY, 300 ALPHARETTA, GA 30009 | $0 |
| C & H FINANCIAL LLC EIN 58-2363807 BROKER | Other commissions Service code 55 | 1350 DRESDEN DR NE ATLANTA, GA 30319 | $0 |
| INTEGRO USA INC EIN 20-2600995 BROKER | Other commissions Service code 55 | 2300 CONTRA COSTA BLVD PLEASANT HILL, CA 945233976 | $0 |
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 | 1,738 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,746 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | DELTA DENTAL INSURANCE COMPANY | 2,830 | $0 |
| Life insurance | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,393 | $538K |
| Short-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,319 | $52K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 444 | $128K |
| Prescription drug | CVS PHARMACY, INC | 0 | $2.6M |
| Other(3 contracts, 2 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,336 | $93K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,830 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.