| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT ADVISORS SERVICES GROUP LLC3 | 1125 SANCTUARY PKWY STE 300 ALPHARETTA, GA 30009 | ANTHEM | — | $65K | $65K | 6.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 1125 SANCTUARY PKEWY STE 300 ALPHARETTA, GA 30009 | ANTHEM | $33K | — | $33K | 3.00% |
| CFN AGENCY INC7 Filed as: CFN AGENCY, INC | 4450 RIVER GREEN PKWY DULUTH, GA 30096 | CONTINENTAL AMERICAN INSURANCE COMPANY | $88K | — | $88K | 22.54% |
| BSC AGENCY LLC7 | 1025 ASHWORTH ROAD STE 101 WEST DES MOINES, IA 50265 | CONTINENTAL AMERICAN INSURANCE COMPANY | $22 | — | $22 | 0.01% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B ST FL 6 SAN DIEGO, CA 921018156 | VISION SERVICE PLAN | $7K | — | $7K | 1.88% |
| ALLIANT INSURANCE SERVICES, INC.7 | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | KAISER FOUNDATION HEALTH PLAN OF MIDATLANTIC | — | $2K | $2K | 1.65% |
| ALLIANT INSURANCE SERVICES, INC.7 Filed as: ALLIANT INSURANCE SERVICES INC | 6400 S FIDDLERS GREEN CIRLE STE 2000 GREENWOOD VILLAGE, CO 80111 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | — | $1 | $1 | 0.00% |
| BENEFIT ADVISORS SERVICES7 | 701 B ST 6TH FLOOR SAN DIEGO, CA 92101 | CIGNA LIFE INSURANCE CO OF NEW YORK | $5K | $1K | $6K | 10.23% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | STE 300 1120 SANCTUARY PKWY ALPHARETTA, GA 30009 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $15K | — | $15K | 46.02% |
| 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 | $301 | $602 | 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 | $59 | — | $59 | 2.57% |
| BENEFIT ADVISORS SERVICES7 | 701 B ST 6TH FLOOR SAN DIEGO, CA 92101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $126 | $27 | $153 | 9.73% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | STE 300 1120 SANCTUARY PKWY ALPHARETTA, GA 30009 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $550 | — | $550 | 68.15% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CVS CAREMARK EIN 05-0340626 TPA | Claims processing Service code 12 | — | $8.2M |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 TPA | Participant communication; Named fiduciary; Contract Administrator; Investment management fees paid indirectly by plan; Non-monetary compensation; Claims processing; Other services; Direct payment from the plan Service code 12 | — | $1.6M |
| ADP BENEFIT SERVICES EIN 58-2018248 TPA | Claims processing Service code 12 | — | $202K |
| BUSINESSOLVER EIN 42-1503807 TPA | Claims processing Service code 12 | — | $125K |
| FEI BEHAVIORAL HEALTH EIN 39-1714534 TPA | Claims processing Service code 12 | — | $90K |
| WAGEWORKS EIN 94-3351864 TPA | Plan Administrator; Claims processing Service code 12 | — | $49K |
| LIFE INSURANCE COMPANY OF NORTH AME EIN 23-1503749 TPA | Plan Administrator; Claims processing Service code 12 | — | $43K |
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 | 3,952 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,126 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 5,078 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLANS INC. | 138 | $2.3M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 4,482 | $1.7M |
| Vision | VISION SERVICE PLAN | 1,956 | $353K |
| Long-term disability(5 contracts, 5 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 28 | $37K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLANS INC. | 80 | $721K |
| Stop-loss / reinsurancereinsurance | ANTHEM | 23,141 | $1.1M |
| Other | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 4,482 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 23,141 | — |
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."
No prospect flags tripped on this filing.