| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT PAGE CROZER3 | 3280 PEACHTREE DR. NE TALLAHASSEE, GA 30305 | CAPITAL HEALTH PLAN | $15K | — | $15K | 3.25% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 3280 PEACHTREE RD NE STE 800 ATLANTA, GA 30305 | BLUE CROSS BLUE SHIELD OF FLORIDA | $22K | — | $22K | 5.00% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 3280 PEACHTREE RD NE STE 250 ATLANTA, GA 30305 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | — | $7K | 15.03% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | 3280 PEACHTREE RD NE #250 ATLANTA, GA 30305 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $583 | — | $583 | 6.16% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | LOCKBOX 741738 COLLEGE PARK, GA 30349 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $298 | — | $298 | 3.15% |
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 | 127 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 127 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CAPITAL HEALTH PLAN | 72 | $907K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 127 | $9K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 114 | $44K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 114 | $44K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 114 | $44K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 127 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.