| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PEACHTREE BENEFIT GROUP INC3 Filed as: PEACHTREE BENEFIT PARTNERS OF GAI | 3580 PIERCE DRIVE SUITE 100 ATLANTA, GA 30341 | GREATER GEORGIA LIFE INSURANCE COMPANY | $37K | — | $37K | 11.64% |
| PEACHTREE BENEFIT GROUP INC3 | 3580 PIERCE DRIVE SUITE 100 CHAMBLEE, GA 30342 | GREATER GEORGIA LIFE INSURANCE COMPANY | — | $10K | $10K | 3.08% |
| ACRISURE LLC3 | 5665 PRAIRIE CREEK DRIVE CALEDONIA, MI 49316 | GREATER GEORGIA LIFE INSURANCE COMPANY | $8K | — | $8K | 2.44% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | GREATER GEORGIA LIFE INSURANCE COMPANY | $43 | — | $43 | 0.01% |
| PEACHTREE BENEFIT GROUP INC3 | 3580 PIERCE DRIVE SUITE 100 CHAMBLEE, GA 30342 | BLUE CROSS AND BLUE SHIELD HEALTHCARE PLAN GA | — | $638 | $638 | 0.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD HLTH PL GA EIN 58-1638390 NETWORK PHARMACY MARGIN | Claims processing; Contract Administrator; Other fees; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 12 | — | $613K |
| BLUE CROSS BLUE SHIELD HEALTH PL GA | Float revenue; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $66K |
| PEACHTREE BENEFIT PARTNERS OF GA | Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $65K |
| ACRISURE LLC | Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $12K |
| BLUE CROSS AND BLUE SHIELD OF GEORG EIN 58-0469845 CLAIMS ADMIN | Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing Service code 12 | — | $5K |
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 | 362 | 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) | 362 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD HEALTHCARE PLAN GA | 629 | $172K |
| Vision | BLUE CROSS AND BLUE SHIELD HEALTHCARE PLAN GA | 629 | $172K |
| Life insurance | GREATER GEORGIA LIFE INSURANCE COMPANY | 362 | $318K |
| Short-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 362 | $318K |
| Long-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 362 | $318K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 629 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.