| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SYNERGY CORPORATE SERVICES, INC.3 Filed as: SYNERGY CORPORATE SERVICES INC | 267 WEST WIEUCA ROAD SUITE 204 ATLANTA, GA 30342 | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | $28K | $2K | $30K | 4.12% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | $11K | — | $11K | 1.50% |
| SYNERGY CORPORATE SERVICES, INC.3 Filed as: SYNERGY CORPORATE SERVICES INC | 267 WEST WIEUCA ROAD SUITE 204 ATLANTA, GA 30342 | HUMANA DENTAL INSURANCE COMPANY | $4K | $901 | $4K | 4.46% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | HUMANA DENTAL INSURANCE COMPANY | $889 | — | $889 | 0.89% |
| SYNERGY CORPORATE SERVICES, INC.3 Filed as: SYNERGY CORPORATE SERVICES INC | 267 WEST WIEUCA ROAD SUITE 204 ATLANTA, GA 30342 | KANAWHA INSURANCE COMPANY | $2K | $181 | $2K | 10.35% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | KANAWHA INSURANCE COMPANY | $684 | — | $684 | 3.02% |
| SYNERGY CORPORATE SERVICES, INC.3 Filed as: SYNERGY CORPORATE SERVICES INC | 267 WEST WIEUCA ROAD SUITE 204 ATLANTA, GA 30342 | HUMANA INSURANCE COMPANY | $671 | $62 | $733 | 12.16% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BOULEVARD SUITE 200 DULUTH, GA 30096 | HUMANA INSURANCE COMPANY | $239 | — | $239 | 3.97% |
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 | 146 | 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) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | 146 | $736K |
| Dental | HUMANA DENTAL INSURANCE COMPANY | 134 | $100K |
| Vision | HUMANA DENTAL INSURANCE COMPANY | 134 | $100K |
| Life insurance | HUMANA INSURANCE COMPANY | 72 | $6K |
| Short-term disability | KANAWHA INSURANCE COMPANY | 68 | $23K |
| Long-term disability | KANAWHA INSURANCE COMPANY | 68 | $23K |
| Other(2 contracts, 2 carriers) | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | 146 | $742K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 146 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.