| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASCENSION INSURANCE INC3 | 5825 MEDLOCK BRIDGE PARKWAY JOHNS CREEK, GA 30022 | DELTA DENTAL | $84K | — | $84K | 5.00% |
| ASCENSION INSURANCE INC3 Filed as: ASCENSION | 5825 MEDLOCK BRIDGE PARKWAY JOHNS CREEK, GA 30022 | STANDARD INSURANCE COMPANY | $27K | — | $27K | 2.23% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: J SMITH LANIER & CO | 11330 LAKEFIELD DR STE 100 DULUTH, GA 30097 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $102K | — | $102K | 10.00% |
| BENEFIT EXCHANGE3 | SIX CONCOURSE PARKWAY NE SUITE 2750 ATLANTA, GA 30328 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $74K | — | $74K | 10.00% |
| BENEFIT EXCHANGE3 | SIX CONCOURSE PARKWAY NE SUITE 2750 ATLANTA, GA 30328 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $12K | — | $12K | 5.00% |
| ASCENSION INSURANCE INC3 | 5825 MEDLOCK BRIDGE PARKWAY JOHNS CREEK, GA 30022 | DELTA DENTAL INSURANCE COMPANY | $9K | — | $9K | 5.01% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | — | $7K | 6.13% |
| KID INSURANCE BENEFITS INC3 | 9085 BETHEL RD GAINESVILLE, GA 30506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $719 | $3K | 3.03% |
| TRAN B HUYEN-KEODARA3 | 115 BENDING OAK COURT LEXINGTON, SC 29073 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $377 | $2K | 1.55% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: J SMITH LANIER & CO | PO BOX 70 WEST POINT, GA 31833 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 1.48% |
| PLM SOLUTIONS INC3 | 3244 WINTERBERRY CIRCLE MARIETTA, GA 30062 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $679 | $1 | $680 | 0.59% |
| HAROLD J DOYLE3 | 892 RIDERS WAY EAST EVANS, GA 30809 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $541 | — | $541 | 0.47% |
| C MARIE ADAMS VOLK3 | 2295 OLD ORCHARD DRIVE MARIETTA, GA 30068 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $345 | $109 | $454 | 0.39% |
| NORMAC SOLUTIONS INC3 | 3730 EVEREST DR MONTGOMERY, AL 36106 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $287 | $17 | $304 | 0.26% |
| KIMBERLY A ELSEY3 | 1 JAHUE CT IRMO, SC 29063 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $93 | $144 | $237 | 0.21% |
| LAURIE J BURNS3 | 303 PLYLER ROAD INDIAN TRAIL, NC 28079 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $203 | $20 | $223 | 0.19% |
| ADVANCED BENEFIT SYSTEM INC3 | 245 SEVEN FARMS DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $86 | $112 | $198 | 0.17% |
| GRAEM M CLARK3 | 589 WINDMERE DR LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $55 | $78 | $133 | 0.12% |
| ASSUREDPARTNERS3 Filed as: JENNIFER ROSE SMITH | 4920 W SAN RAFAEL ST TAMPA, FL 33629 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $111 | $17 | $128 | 0.11% |
| MARIA VERONICA JARQUE3 | 8366 VIA SONOMA UNIT E LA JOLLA, CA 92037 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $94 | $16 | $110 | 0.10% |
| ARNITA P PATEL3 | 4450 CARVER COURT CUMMING, GA 30040 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $85 | — | $85 | 0.07% |
| B V STONE INC3 | 1800 SUNSET HARBOUR POINTE LAWRENCEVILLE, GA 30043 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $66 | — | $66 | 0.06% |
| THE CLARK GROUP OF SC3 | 589 WINDMERE DR LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $38 | $28 | $66 | 0.06% |
| CAROL PURDY FIELDS3 | 204 POTOMAC COURT WOODSTOCK, GA 30188 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $30 | — | $30 | 0.03% |
| NORTH FLORIDA BROKER SOLUTIONS LLC3 | 1550 HARRINGTON PARK DRIVE JACKSONVILLE, FL 32225 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $8 | $21 | 0.02% |
| MICHAEL C WALKER3 Filed as: MICHAEL J MINNEY | PO BOX 365 POWAY, CA 92074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | $3 | $8 | 0.01% |
| JAKORP INC3 | 15254 WINESPRINGS CT SAN DIEGO, CA 92127 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | $3 | $8 | 0.01% |
| WILLIAMS BENEFITS SOLUTIONS LLC3 Filed as: WILLIAMS BENEFITS SOLUTIONS LIE | WILLIAMS BENEFITS SOLUTIONS LIE LEESVILLE, SC 29070 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.01% |
| BURT INSURANCE GROUP LLC3 | 5000 THURMOND MALL COLUMBIA, SC 29201 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | $1 | $6 | 0.01% |
| ANNALIESE CLARK3 | 1336 HIDEAWAY DR S SAINT JOHNS, FL 32259 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| KLINGBEIL AND ASSOCIATES INC3 | 6000 LAKE FORREST DRIVE ATLANTA, GA 30328 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| ASCENSION INSURANCE INC3 | 5825 MEDLOCK BRIDGE PARKWAY JOHNS CREEK, GA 30022 | DELTA DENTAL INSURANCE COMPANY | $3K | — | $3K | 5.00% |
| RELATION INSURANCE INC3 | 5825 MEDLOCK BRIDGE PARKWAY JOHNS CREEK, GA 30022 | NATIONWIDE | $489 | — | $489 | 15.00% |
| RELATION INSURANCE INC3 | 5825 MEDLOCK BRIDGE PARKWAY JOHNS CREEK, GA 30022 | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | $150 | — | $150 | 15.03% |
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 | 3,799 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 3,799 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(3 contracts, 2 carriers) | DELTA DENTAL | 5,640 | $1.9M |
| Vision(2 contracts) | EYEMED VISION CARE | 3,941 | $168K |
| Life insurance(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 7,116 | $1.6M |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,940 | $1.0M |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 446 | $739K |
| Other(4 contracts, 4 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 769 | $352K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,116 | — |
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.