| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 220 WALNUT PLAZA MUNCIE, IN 47305 | BLUE CROSS AND BLUE SHIELD HEALTHCARE PLAN GA | $75K | — | $75K | 13.18% |
| PEACHTREE BENEFIT GROUP INC3 | 3580 PIERCE DRIVE SUITE 100 CHAMBLEE, GA 30342 | BLUE CROSS AND BLUE SHIELD HEALTHCARE PLAN GA | $2K | — | $2K | 0.39% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DRIVE CALEDONIA, MI 49316 | GREATER GEORGIA LIFE INSURANCE COMPANY | $29K | — | $29K | 9.90% |
| ACRISURE LLC3 | 220 WALNUT PLAZA MUNCIE, IN 47305 | GREATER GEORGIA LIFE INSURANCE COMPANY | $14K | $2K | $16K | 5.51% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD HLTH PL GA EIN 58-1638390 NETWORK PHARMACY MARGIN | Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator; Claims processing; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 12 | — | $112K |
| BLUE CROSS AND BLUE SHIELD OF GEORG EIN 58-0469845 CLAIMS ADMIN | Claims processing; Contract Administrator; Other services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $105K |
| BLUE CROSS BLUE SHIELD HEALTH PL GA | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $90K |
| ACRISURE LLC | Insurance brokerage commissions and fees; Other commissions; Insurance agents and brokers Service code 22 | — | $6K |
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 | 355 | 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) | 355 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD HEALTHCARE PLAN GA | 585 | $567K |
| Dental | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA INC | 282 | $138K |
| Vision | BLUE CROSS AND BLUE SHIELD HEALTHCARE PLAN GA | 585 | $567K |
| Life insurance | GREATER GEORGIA LIFE INSURANCE COMPANY | 355 | $289K |
| Short-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 355 | $289K |
| Long-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 355 | $289K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 585 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.