| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | DBA EPIC 2405 SATELLITE BOULEVARD, SUITE 200 DULUTH, GA 30096 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $61K | — | $61K | 4.94% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BLVD SUITE 200 DULUTH, GA 30096 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $35K | $9K | $44K | 14.10% |
| WORKSITE BENEFITS GROUP INC3 Filed as: WORKSITE BENEFITS SERVICES | 246 INVERNESS CENTER BIRMINGHAM, AL 35242 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 2.62% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST 24TH FLOOR SAN FRANCISCO, CA 94104 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 11.10% |
| MINDY M ELLIN3 Filed as: MINDY ELLEN | 135 FOX GRAPE LN ALPHARETTA, GA 30022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 4.47% |
| V C SMITH LLC3 | 6420 FALL BRANCH DR COLUMBUS, GA 31904 | CONTINENTAL AMERICAN INSURANCE COMPANY | $867 | — | $867 | 1.87% |
| LEIGH F SEXTON3 | 5300 OAKBROOK PKWY NORCROSS, GA 30093 | CONTINENTAL AMERICAN INSURANCE COMPANY | $286 | — | $286 | 0.62% |
| JEFFREY M SINTAY3 | 680 BLACKWELL BND ALPHARETTA, GA 30004 | CONTINENTAL AMERICAN INSURANCE COMPANY | $241 | — | $241 | 0.52% |
| ANGELICA SAMANIEGO3 | 782 N STEELE DR HAMPTON, GA 30248 | CONTINENTAL AMERICAN INSURANCE COMPANY | $171 | — | $171 | 0.37% |
| CINDY K CORVI3 | 24240 GALLBERRY DR VENICE, FL 34293 | CONTINENTAL AMERICAN INSURANCE COMPANY | $146 | — | $146 | 0.31% |
| PRESTON K STANCIL3 | 4546 DUANE DR BUFORD, GA 30519 | CONTINENTAL AMERICAN INSURANCE COMPANY | $103 | — | $103 | 0.22% |
| CAROLINA B GUTIERREZ3 | 140 STERLING RD JASPER, GA 30134 | CONTINENTAL AMERICAN INSURANCE COMPANY | $98 | — | $98 | 0.21% |
| WILLIAM M WARDLAW JR3 | 195 GARFIELD ST SANTA ROSE BEACH, FL 32459 | CONTINENTAL AMERICAN INSURANCE COMPANY | $96 | — | $96 | 0.21% |
| JEFFREY M SINTAY3 | PO BOX 540246 GREENARCES, FL 33454 | CONTINENTAL AMERICAN INSURANCE COMPANY | $78 | — | $78 | 0.17% |
| COLLEEN M KIRKLAND3 | 11050 CRABAPPLE RD STE C107 ROSWELL, GA 30075 | CONTINENTAL AMERICAN INSURANCE COMPANY | $49 | — | $49 | 0.11% |
| STEVEN KAISER3 Filed as: STEVEN WILLIAM KAISER | 6447 IVY SPRINGS DR FLOWERY BRANCH, GA 30542 | CONTINENTAL AMERICAN INSURANCE COMPANY | $42 | — | $42 | 0.09% |
| THOMAS DEAN BAXTER3 Filed as: THOMAS (DEAN) BAXTER | 500 LANIER AVE W STE 912A FAYETTEVILLE, GA 30214 | CONTINENTAL AMERICAN INSURANCE COMPANY | $40 | — | $40 | 0.09% |
| BURNHAM BENEFITS INSURANCE SERVICES3 Filed as: JOHN D BYERS | 2477 TITANS LN BRENTWOOD, TN 37027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $28 | — | $28 | 0.06% |
| MILLAN B TERRELL3 | 270 LANTANA DR LOCUST GROVE, GA 30248 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | — | $27 | 0.06% |
| DARYL PERRY3 | 1241 WADE GREEN COURT ACWORTH, GA 30102 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | — | $26 | 0.06% |
| RONALD E KIRKLAND3 | 1044 HARBOR RIDGE RD GUNTERSVILLE, AL 35976 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | — | $24 | 0.05% |
| MICHAEL B PETERS3 | 3385 SHOAL CREEK RD MONROE, GA 30656 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | — | $23 | 0.05% |
| WILLIAM M WARDLAW JR3 | 195 GARFIELD ST SANTA ROSE BEACH, FL 32459 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17 | — | $17 | 0.04% |
| SCOTT A SMITH3 | 5300 OAKBROOK PARKWAY STE 350 NORCROSS, GA 30093 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.03% |
| BROCK R ANDREA3 | 5120 INDIAN CIRCLE GAINSVILLE, GA 30506 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.01% |
| KEITH ANTHONY KLEINE3 Filed as: KEITH KLEINE | 2216 SPRUCEWOOD DR ACWORTH, GA 30101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| FRAN C HARGARTEN III3 Filed as: FRAN C HARGERTEN III | 1140 MOSSY ROCK RD NW KENNESAW, GA 30152 | CONTINENTAL AMERICAN INSURANCE COMPANY | $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 | 192 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 192 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 309 | $1.2M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 191 | $316K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 191 | $316K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 191 | $316K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 213 | $46K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 191 | $316K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 309 | $1.2M |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 213 | $362K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 309 | — |
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.