| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| C2 CENTRIC LLC4 | P.O. BOX 6824 GRAND RAPIDS, MI 49516 | UNIMERICA INSURANCE COMPANY | $7K | — | $7K | 3.00% |
| STERLING SEACREST PRITCHARD, INC.4 | 2500 CUMBERLAND PKWY, SUITE 400 ATLANTA, GA 30339 | UNIMERICA INSURANCE COMPANY | $4K | — | $4K | 2.00% |
| STERLING SEACREST PRITCHARD, INC.3 | 2500 CUMBERLAND PKWY, SUITE 400 ATLANTA, GA 30339 | RELIANCE MATRIX | $21K | — | $21K | 12.86% |
| MGIS3 | 111 SOUTH MAIN STREET, SUITE 400 SALT LAKE CITY, UT 841112176 | RELIANCE MATRIX | — | $150 | $150 | 0.09% |
| ASSUREDPARTNERS3 Filed as: STERLING SEACREST PARTNERS INC | PO BOX 8004 SAVANNAH, GA 314128004 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $81 | $81 | 0.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHGRAM,INC EIN 56-1449504 ADMINISTRATION | Contract Administrator Service code 13 | P.O BOX 11088 CHARLOTTE, NC 28220 | $42K |
| STERLING SEACREST PARTNERS, INC. EIN 45-0491669 ADMINISTRATION | Insurance agents and brokers Service code 22 | 1001 WHITAKER STREET SAVANNAH, GA 31401 | $40K |
| MEMORIAL HEALTH PARTNERS EIN 58-1707311 PPO FEE | Other insurance fees and expenses Service code 73 | P.O. BOX 11088 CHARLOTTE, NC 28220 | $6K |
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 | 114 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNIMERICA INSURANCE COMPANY | 117 | $222K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 252 | $84K |
| Life insurance | RELIANCE MATRIX | 157 | $160K |
| Long-term disability | RELIANCE MATRIX | 157 | $160K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 252 | — |
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.