| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LORI COLEMAN3 | — | AETNA LIFE INSURANCE CO. | $44K | — | $44K | 2.23% |
| DAVID HARRIS ASBURY3 | PHIPPS TOWER SUITE 1100 3438 PEACHTREE ROAD ATLANTA, GA 30326 | AETNA LIFE INSURANCE CO. | $7K | — | $7K | 0.37% |
| LORI COLEMAN3 | — | AETNA HEALTH, INC. | $31K | — | $31K | 1.85% |
| DAVID HARRIS ASBURY3 | PHIPPS TOWER SUITE 1100 3438 PEACHTREE ROAD ATLANTA, GA 30326 | AETNA HEALTH, INC. | $12K | — | $12K | 0.70% |
| LORI COLEMAN3 Filed as: LORI A. COLEMAN | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 6.88% |
| DAVID HARRIS ASBURY3 Filed as: DAVID H. ASBURY | PHIPPS TOWER SUITE 1100 3438 PEACHTREE ROAD ATLANTA, GA 30326 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 3.80% |
| PHILLIP PORTER GOODRUM3 | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 19.43% |
| DAVID HARRIS ASBURY3 | PHIPPS TOWER SUITE 1100 3438 PEACHTREE ROAD ATLANTA, GA 30326 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 8.44% |
| BENEFITS EXCHANGE ALLIANCE3 Filed as: BENEFITS EXCHANGE ALLIANCE INC. | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $391 | — | $391 | 1.43% |
| IBENEFIT COMMUNICATION LLC3 Filed as: IBENEFIT COMMUNICATION | ATTN PHILLIP GOODWIN 4400 PARK ROAD SUITE 307 CHARLOTTE, NC 28209 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $222 | $222 | 0.81% |
| THOMAS CHRISTOPHER SMITH3 | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $196 | — | $196 | 0.72% |
| LORI COLEMAN3 Filed as: LORI A. COLEMAN | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 7.27% |
| DAVID HARRIS ASBURY3 Filed as: DAVID H ASBURY | PHIPPS TOWER SUITE 1100 3438 PEACHTREE ROAD ATLANTA, GA 30326 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 4.43% |
| PROFESSIONAL PENSION INC.3 Filed as: PROFESSIONAL PENSION AND BENEFIT | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $44 | — | $44 | 0.17% |
| DAVID ASBURY3 | PHIPPS TOWER SUITE 1100 3438 PEACHTREE ROAD ATLANTA, GA 30326 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 7.13% |
| LORI COLEMAN3 Filed as: LORI A. COLEMAN | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $701 | — | $701 | 3.48% |
| PHILLIP PORTER GOODRUM3 | — | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4K | — | $4K | 24.27% |
| IBENEFIT COMMUNICATION LLC3 Filed as: IBENEFIT COMMUNICATION | ATTN PHILLIP GOODRUM 4400 PARK ROAD SUITE 307 CHARLOTTE, NC 28209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $191 | $2K | 14.18% |
| DAVID HARRIS ASBURY3 | PHIPPS TOWER SUITE 1100 3438 PEACHTREE ROAD ATLANTA, GA 30326 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 10.40% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: NORTHWESTERN BENEFITS CORP OF GA | PHIPPS TOWER SUITE 1100 3438 PEACHTREE ROAD ATLANTA, GA 30326 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $916 | $1 | $917 | 5.58% |
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 | 835 | 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) | 835 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 496 | $2.0M |
| Dental | AETNA LIFE INSURANCE CO. | 496 | $2.0M |
| Vision | AETNA LIFE INSURANCE CO. | 496 | $2.0M |
| Life insurance(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 264 | $65K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 85 | $26K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 85 | $26K |
| Other(3 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 264 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 496 | — |
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.