| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PEACHTREE BENEFIT GROUP INC3 | 3580 PIERCE DRIVE SUITE 100 CHAMBLEE, GA 30342 | BLUE CROSS AND BLUE SHIELD HEALTHCARE PLAN GA | $6K | — | $6K | 1.32% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | BLUE CROSS AND BLUE SHIELD HEALTHCARE PLAN GA | $20 | — | $20 | 0.00% |
| PEACHTREE BENEFIT GROUP INC3 Filed as: PEACHTREE BENEFIT PARTNERS OF GAI | 3580 PIERCE DRIVE SUITE 100 ATLANTA, GA 30341 | GREATER GEORGIA LIFE INSURANCE COMPANY | $44K | — | $44K | 13.97% |
| PEACHTREE BENEFIT GROUP INC3 | 3580 PIERCE DRIVE SUITE 100 CHAMBLEE, GA 30342 | GREATER GEORGIA LIFE INSURANCE COMPANY | -$3K | — | -$3K | -0.97% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | GREATER GEORGIA LIFE INSURANCE COMPANY | -$34K | — | -$34K | -10.87% |
| PEACHTREE BENEFIT GROUP INC3 Filed as: PEACHTREE BENEFIT PARTNERS OF GA | 3580 PIERCE DRIVE SUITE 100 CHAMBLEE, GA 30342 | BLUE CROSS BLUE SHIELD OF GEORGIA | $19K | — | $19K | 13.02% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFIT LLC | 1166 AVENUE OF AMERICAS SUITE 22F NEW YORK, NY 10036 | FEDERAL INSURANCE COMPANY | $356 | — | $356 | 24.98% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD HLTH PL GA EIN 58-1638390 CLAIMS ADMIN | Other fees; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Claims processing Service code 12 | — | $161K |
| BLUE CROSS BLUE SHIELD HEALTH PL GA | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator; Float revenue Service code 12 | — | $59K |
| PEACHTREE BENEFIT PARTNERS OF GA | Other commissions; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $51K |
| PEACHTREE BENEFIT GROUP INC | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | — | $19K |
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 | 368 | 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) | 368 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD HEALTHCARE PLAN GA | 599 | $473K |
| Dental | BLUE CROSS BLUE SHIELD OF GEORGIA | 322 | $144K |
| Vision | BLUE CROSS AND BLUE SHIELD HEALTHCARE PLAN GA | 599 | $473K |
| Life insurance | GREATER GEORGIA LIFE INSURANCE COMPANY | 367 | $315K |
| Short-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 367 | $315K |
| Long-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 367 | $315K |
| Other | FEDERAL INSURANCE COMPANY | 368 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 599 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.