| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT ADVISORS SERVICES GROUP LLC3 | 1125 SANCTUARY PKWY STE 300 ALPHARETTA, GA 30009 | ANTHEM | — | $56K | $56K | 6.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 1125 SANCTUARY PKEWY STE 300 ALPHARETTA, GA 30009 | ANTHEM | $28K | — | $28K | 3.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B ST FL 6 SAN DIEGO, CA 921018156 | VISION SERVICE PLAN | $6K | — | $6K | 1.71% |
| CFN AGENCY INC7 Filed as: CFN AGENCY, INC | 4450 RIVER GREEN PKWY DULUTH, GA 30096 | CONTINENTAL AMERICAN INSURANCE COMPANY | $78K | — | $78K | 23.24% |
| ALLIANT INSURANCE SERVICES, INC.7 | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | KAISER FOUNDATION HEALTH PLAN OF MIDATLANTIC | — | $2K | $2K | 1.33% |
| BENEFIT ADVISORS SERVICES7 | 701 B ST 6TH FLOOR SAN DIEGO, CA 92101 | CIGNA LIFE INSURANCE CO OF NEW YORK | $4K | — | $4K | 8.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | STE 300 1120 SANCTUARY PKWY ALPHARETTA, GA 30009 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4K | — | $4K | 23.36% |
| ALLIANT INSURANCE SERVICES, INC.7 Filed as: ALLIANT INSURANCE SERVICE | 1120 SANCTUARY PKWY STE 300 ALPHARETTA, GA 30009 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $301 | $302 | $603 | 4.00% |
| BENEFIT ADVISORS SERVICES7 | 1125 SANCTUARY PKWY STE 300 ALPHARETTA, GA 30009 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $301 | — | $301 | 2.00% |
| AON CONSULTING INC7 | 29840 NETWORK PLACE CHICAGO, IL 60673 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $44 | — | $44 | 2.75% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | STE 300 1120 SANCTUARY PKWY ALPHARETTA, GA 30009 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $289 | — | $289 | 24.43% |
| BENEFIT ADVISORS SERVICES7 | 701 B ST 6TH FLOOR SAN DIEGO, CA 92101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $68 | — | $68 | 7.95% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CVS CAREMARK EIN 05-0340626 TPA | Claims processing Service code 12 | — | $8.1M |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 TPA | Participant communication; Other services; Non-monetary compensation; Direct payment from the plan; Claims processing; Investment management fees paid indirectly by plan; Named fiduciary; Contract Administrator Service code 12 | — | $1.5M |
| ADP BENEFIT SERVICES EIN 58-2018248 TPA | Claims processing Service code 12 | — | $290K |
| WAGEWORKS EIN 94-3351864 TPA | Plan Administrator; Claims processing Service code 12 | — | $99K |
| FEI BEHAVIORAL HEALTH EIN 39-1714534 TPA | Claims processing Service code 12 | — | $64K |
| LIFE INSURANCE COMPANY OF NORTH AME EIN 23-1503749 TPA | Plan Administrator; Claims processing Service code 12 | — | $38K |
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 | 4,823 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,823 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 157 | $2.5M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 4,219 | $1.7M |
| Vision | VISION SERVICE PLAN | 1,882 | $349K |
| Long-term disability(5 contracts, 5 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 22 | $23K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLANS INC. | 83 | $760K |
| Stop-loss / reinsurancereinsurance | ANTHEM | 22,113 | $931K |
| Other | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 4,219 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 22,113 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.