| 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 | — | $2K | $2K | 0.04% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | THE HARTFORD LIFE AND ACCIDENT INSURANCE CO | $291K | $46K | $337K | 11.60% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 300969022 | VISION SERVICE PLAN | $10K | — | $10K | 1.30% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | HARTFORD LIFE AND ACCIDENT COMPANY | $25K | — | $25K | 10.00% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: REUBEN WARNER ASSOCIATES INC | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | FEDERAL INSURANCE COMPANY | $15K | — | $15K | 20.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 3475 PIEDMONT ROAD SUITE 800 ATLANTA, GA 30305 | FEDERAL INSURANCE COMPANY | $11K | — | $11K | 15.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | FEDERAL INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CLAIMS ADMIN | Other services; Non-monetary compensation; Claims processing; Direct payment from the plan; Float revenue; Named fiduciary; Participant communication; Contract Administrator Service code 12 | — | $4.9M |
| EDGEWOOD PARTNERS INSURANCE CENTER AGENT BROKER | Insurance services; Insurance agents and brokers Service code 22 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | $170K |
| CIGNA | Direct payment from the plan; Contract Administrator; Claims processing; Named fiduciary; Float revenue; Non-monetary compensation; Other services; Participant communication Service code 12 | — | $0 |
| THE MCCART GROUP AGENT BROKER | Insurance services; Insurance agents and brokers Service code 22 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | -$873 |
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 | 5,230 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 146 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,376 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 6 | $15K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 12,082 | $5.3M |
| Vision | VISION SERVICE PLAN | 0 | $745K |
| Life insurance | THE HARTFORD LIFE AND ACCIDENT INSURANCE CO | 5,932 | $2.9M |
| Long-term disability | THE HARTFORD LIFE AND ACCIDENT INSURANCE CO | 5,932 | $2.9M |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 12,284 | $1.3M |
| Other(6 contracts, 3 carriers) | THE HARTFORD LIFE AND ACCIDENT INSURANCE CO | 5,230,177 | $3.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,230,177 | — |
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.