| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF GEORGIA INC | 5 CONCOURSE PKWY STE 1800 ATLANTA, GA 30328 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $46K | $46K | 2.52% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF GEORGIA INC | 29727 NETWORK PL CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $95 | $12K | 10.56% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF GEORGIA INC | 29727 NETWORK PL CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.74% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF GA | LOCKBOX 905260 806 TYVOLA RD, STE 108 CHARLOTTE, NC 28217 | STANDARD INSURANCE COMPANY | $11K | — | $11K | 14.15% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF CA INC | PO BOX 101162 PASADENA, CA 91189 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 1.41% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS. SERVICES OF GEORGIA INC | CORP CONCOURSE CENTER FIVE 5 CONCOURSE PKWY 18TH FLOOR ATLANTA, GA 30328 | METLIFE - DELAWARE AMERICAN LIFE INSURANCE COMPANY | $4K | — | $4K | 9.59% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF GA | LOCKBOX 905260 806 TYVOLA RD, STE 108 CHARLOTTE, NC 28217 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 14.14% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF CA INC | PO BOX 101162 PASADENA, CA 91189 | STANDARD INSURANCE COMPANY | $290 | — | $290 | 1.34% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF GEORGIA, INC | CONCOURSE CORP. CENTER FIVE 18TH FLOOR ATLANTA, GA 30328 | NATIONAL VISION ADMINISTRATORS, L.L.C. | $2K | — | $2K | 10.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSSURANCE SERVICES OF GA | LOCKBOX 905260 806 TYVOLA RD, STE 108 CHARLOTTE, NC 28217 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 14.16% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF CA INC | PO BOX 101162 PASADENA, CA 91189 | STANDARD INSURANCE COMPANY | $161 | — | $161 | 1.35% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF GEORGIA INC | 29727 NETWORK PL CHICAGO, IL 60673 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $357 | $59 | $416 | 12.92% |
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 | 153 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 402 | $1.8M |
| Dental(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 513 | $160K |
| Vision | NATIONAL VISION ADMINISTRATORS, L.L.C. | 310 | $17K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 153 | $117K |
| Short-term disability | STANDARD INSURANCE COMPANY | 153 | $12K |
| Long-term disability | STANDARD INSURANCE COMPANY | 153 | $22K |
| Other | METLIFE - DELAWARE AMERICAN LIFE INSURANCE COMPANY | 2 | $40K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 513 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.