No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF GA. EIN 58-1638390 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Float revenue; Claims processing Service code 12 | 3075 VANDERCAR WAY CINCINNATE, OH 45209 | $191K |
| BLUE CROSS BLUE SHIELD OF GEORGIA | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $143K |
| NATIONAL EMPLOYEE BENEFIT ADMIN EIN 65-0498809 NONE | Contract Administrator Service code 13 | 8657 BAYPINE RD BLDG 5 STE 200 JACKSONVILLE, FL 32256 | $63K |
| BHA CONSULTING INC EIN 26-1384808 NONE | Actuarial; Consulting (general) Service code 11 | 5400 LAUREL SPRINGS PKWAY SUWANNE, GA 30024 | $20K |
| DENNIS G. JENKINS,CPA,LLC EIN 20-5886120 NONE | Accounting (including auditing) Service code 10 | 1690 STONE VILLAGE LN KENNESAW, GA 30152 | $15K |
| SMITH GAMBRELL & RUSSELL EIN 58-0967450 NONE | Legal Service code 29 | 50 N LAURA ST, STE 2600 JACKSONVILLE, FL 32202 | $13K |
| ARNALL GOLDEN GREGORY, LLP EIN 58-0543673 NONE | Legal Service code 29 | 2010 NW E50TH AVIWAY ATLANTA, GA 30363 | $11K |
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 | 403 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 403 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS BLUE SHIELD | 403 | $0 |
| Vision | SYMETRA LIFE INSURANCE CO | 403 | $82K |
| Life insurance | SYMETRA LIFE INSURANCE CO | 403 | $82K |
| Stop-loss / reinsurancereinsurance | BERKSHIRE HATHAWAY SPECIALTY INSURANCE | 403 | $254K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 403 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.