| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PARTNERS BENEFIT GROUP LLC | P.O. BOX 7770 TIFTON, GA 31793 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $2K | — | $2K | 0.50% |
| PARTNERS BENEFIT GROUP LLC3 | P.O. BOX 7770 TIFTON, GA 31793 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $9K | $101 | $9K | 10.12% |
| PARTNERS BENEFIT GROUP LLC3 | P.O. BOX 7770 TIFTON, GA 31793 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | $98 | $7K | 15.21% |
| PARTNERS BENEFIT GROUP LLC3 | P.O. BOX 7770 TIFTON, GA 31793 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | $92 | $5K | 10.20% |
| PARTNERS BENEFIT GROUP LLC3 | P.O. BOX 7770 TIFTON, GA 31793 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | $106 | $7K | 15.24% |
| PARTNERS BENEFIT GROUP LLC3 | P.O. BOX 770 TIFTON, GA 31793 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | $75 | $5K | 15.24% |
| PARTNERS BENEFIT GROUP LLC | P.O. BOX 7770 TIFTON, GA 31793 | BLUE CROSS BLUE SHIELD OF GEORGIA, INC. | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD HEALTHCARE P EIN 58-1638390 RECORDKEEPER | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Other fees; Other services Service code 12 | — | $297K |
| PARTNERS BENEFIT GROUP LLC INSURANCE BROKER | Insurance brokerage commissions and fees; Other commissions; Insurance agents and brokers Service code 22 | P.O. BOX 7770 TIFTON, GA 31794 | $127K |
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 | 497 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 497 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 497 | $355K |
| Dental(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 182 | $131K |
| Vision | BLUE CROSS BLUE SHIELD OF GEORGIA, INC. | 362 | $20K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 110 | $44K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 187 | $32K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 497 | $355K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 155 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 497 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.