| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 135 MAIN STREET FLOOR 21 SAN FRANCISCO, CA 94105 | METROPOLITAN LIFE INSURANCE COMPANY | — | $38K | $38K | 0.88% |
| THE MCCART GROUP INC3 Filed as: THE MCCART GROUP | 2405 SATELLITE BOULEVARD SUITE 125 DULUTH, GA 30096 | METROPOLITAN LIFE INSURANCE COMPANY | — | $12K | $12K | 0.29% |
| THE MCCART GROUP INC3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | THE HARTFORD LIFE AND ACCIDENT INSURANCE CO | $222K | $11K | $233K | 10.66% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 Filed as: EDGEWOOD PARTNERS INS CENTER | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | SYMETRA LIFE INSURANCE COMPANY | — | $20K | $20K | 1.76% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | VISION SERVICE PLAN | $5K | $723 | $6K | 1.03% |
| THE MCCART GROUP INC3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 300969022 | VISION SERVICE PLAN | $3K | — | $3K | 0.51% |
| THE MCCART GROUP INC3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | HARTFORD LIFE AND ACCIDENT | $20K | $1K | $21K | 10.51% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | FEDERAL INSURANCE COMPANY | $10K | $5K | $15K | 22.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CLAIMS ADMIN | Named fiduciary; Contract Administrator; Direct payment from the plan; Claims processing; Non-monetary compensation; Other services; Float revenue; Participant communication Service code 12 | — | $2.8M |
| THE MCCART GROUP AGENT BROKER | Insurance agents and brokers; Insurance services Service code 22 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | $142K |
| CIGNA | Other services; Non-monetary compensation; Claims processing; Direct payment from the plan; Float revenue; Named fiduciary; Participant communication; Contract Administrator Service code 12 | — | $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 | 4,827 | 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) | 4,827 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 6 | $23K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 9,620 | $4.3M |
| Vision | VISION SERVICE PLAN | 4,827 | $558K |
| Life insurance | THE HARTFORD LIFE AND ACCIDENT INSURANCE CO | 4,772 | $2.2M |
| Short-term disability | THE HARTFORD LIFE AND ACCIDENT INSURANCE CO | 4,772 | $62K |
| Long-term disability | THE HARTFORD LIFE AND ACCIDENT INSURANCE CO | 4,772 | $2.2M |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 4,162 | $1.1M |
| Other(5 contracts, 3 carriers) | THE HARTFORD LIFE AND ACCIDENT INSURANCE CO | 4,827 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,620 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.