No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROOS BLUE SHIELD EIN 58-1638390 NONE | Claims processing; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 3075 VANDERCARE WAY CINCINNATI, OH 32202 | $173K |
| NATIONAL EMPLOYEE BENEFIT ADMIN EIN 65-0498809 NONE | Contract Administrator Service code 13 | 8657 BAYPINE RD BLDG 500 JACKSONMVILLE, FL 32256 | $63K |
| SMITH GAMBRELL & RUSSELL EIN 58-0967450 NONE | Legal Service code 29 | 50 N LAURA ST, STE 2600 JACKSONVILLE, FL 32202 | $48K |
| BHA CONSULTING SERVICE EIN 26-1384808 NONE | Actuarial; Consulting (general) Service code 11 | 5400 LAUREL SPRINGS PKWAY SUWANNE, GA 30024 | $18K |
| DENNIS G. JENKINS, CPA,LLC EIN 20-5886120 NONE | Accounting (including auditing) Service code 10 | 1690 STONE VILLAGE LN BLDG 500 KENNESAW, GA 30152 | $9K |
| BLUE CROSS BLUE SHIELD | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $0 |
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 | 379 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 379 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS BLUE SHIELD | 379 | $0 |
| Vision | ANTHEM BLUE CROSS BLUE SHIELD | 379 | $0 |
| Life insurance | SYMETRA LIFE INSURANCE CO | 379 | $32K |
| Stop-loss / reinsurancereinsurance | BERSHIRE HATHAWAY SPECIALTY INSURANCE | 379 | $282K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 379 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.