| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE A.I. GRUOP INC.3 | 12725 MORRIS RD, BLDG 100 STE 200 ALPHARETTA, GA 30004 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $31K | — | $31K | 5.88% |
| THE A.I. GROUP INC3 Filed as: THE A.I. GROUP, INC. | P.O. BOX 80568 ATHENS, GA 30608 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $22K | — | $22K | 11.60% |
| AXA ASSISTANCE, USA5 | 122 S. MICHIGAN AVE. SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $92 | — | $92 | 0.05% |
| THE A.I. GROUP INC3 Filed as: THE A. I. GROUP, INC. | 12725 MORRIS RD. BLDG. 100, SUITE 200 ALPHARETTA, GA 30004 | UNITED CONCORDIA INSURANCE COMPANY | $11K | — | $11K | 10.60% |
| THE A.I. GROUP INC3 Filed as: THE A. I. GROUP, INC. | P.O. BOX 80568 ATHENS, GA 30608 | EYEMED VISION CARE | $2K | — | $2K | 9.01% |
No Schedule C service providers reported on this filing.
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 | 253 | 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) | 253 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 82 | $528K |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 315 | $100K |
| Vision | EYEMED VISION CARE | 242 | $17K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 253 | $189K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 253 | $189K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 253 | $189K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 253 | $189K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 315 | — |
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.