| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282896620 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $1K | $11K | 8.45% |
| LORI COLEMAN3 Filed as: LORI COLEMAN C/O COLEMAN BENEFIT AD | 870 HAVERFORD AVE UNIT 302 PACIFIC PALISADES, CA 902724391 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | — | $7K | 5.33% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS & WILLIAMS INC | 5080 SPECTRUM DR STE 900E ADDISON, TX 750016407 | METROPOLITAN LIFE INSURANCE COMPANY | — | $22 | $22 | 0.02% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC | 3400 OVERTON PARK DR. SE ATLANTA, GA 30339 | EYEMED VISION CARE | $583 | — | $583 | 4.09% |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 117 | $1.3M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 335 | $129K |
| Vision | EYEMED VISION CARE | 110 | $14K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 335 | $129K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 335 | $129K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 117 | $1.3M |
| Other(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 335 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 335 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.