| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VERITAS CONSULTING GROUP LLC3 | 999 PEACHTREE STREET NE SUITE 1500 ATLANTA, GA 30309 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC (G0385) | $46K | — | $46K | 2.13% |
| HEART OF GEORGIA INSURANCE BROKERS3 | PO BOX 109 MACON, GA 31202 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC (G0385) | $15K | — | $15K | 0.71% |
| VERITAS CONSULTING GROUP LLC3 | 999 PEACHTREE STREET NE SUITE 1500 ATLANTA, GA 30309 | GREATER GEORGIA LIFE INSURANCE COMPANY | $10K | — | $10K | 9.13% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA VCG CONSULTANTS | 999 PEACHTREE STREET NE SUITE 1500 ATLANTA, GA 30309 | VISION SERVICE PLAN | $756 | — | $756 | 3.14% |
| ROBERT M LYMAN3 Filed as: ROBERT M LYMAN SR | 1145 SPARKLING CRYSTAL AVE HENDERSON, NV 89015 | CONTINENTAL AMERICAN INSURANCE COMPANY | $429 | — | $429 | 2.07% |
| ROBERT L GOBLE3 | 6087 CITY WALK LANE SANDY SPRINGS, GA 30328 | CONTINENTAL AMERICAN INSURANCE COMPANY | $247 | — | $247 | 1.19% |
| ACRISURE LLC3 | 999 PEACHTREE STREET NE, SUITE 1500 ATLANTA, GA 30309 | CONTINENTAL AMERICAN INSURANCE COMPANY | $244 | — | $244 | 1.18% |
| KELLEY G SANGREY3 | 609 GOLD VALLEY PASS CANTON, GA 30114 | CONTINENTAL AMERICAN INSURANCE COMPANY | $217 | — | $217 | 1.05% |
| ALEXANDER BARYLAK3 | PO BOX 264 WATSON, LA 70786 | CONTINENTAL AMERICAN INSURANCE COMPANY | $178 | — | $178 | 0.86% |
| BLAKE A THOMAS JR3 | 435 CHANTAN AY PLACE JOHNS CREEK, GA 30022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $158 | — | $158 | 0.76% |
| ROBERT HESLEP3 Filed as: ROBERT L HESLEP | 6680 RIVER ISLAND CIRCLE BUFORD, GA 30518 | CONTINENTAL AMERICAN INSURANCE COMPANY | $112 | — | $112 | 0.54% |
| AMY BARYLAK3 | PO BOX 264 WATSON, LA 70786 | CONTINENTAL AMERICAN INSURANCE COMPANY | $105 | — | $105 | 0.51% |
| DAVID C CLOUD JR3 | 89 GEMSTONE LANE ACWORTH, GA 30101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $103 | — | $103 | 0.50% |
| ROBERT M LYMAN3 Filed as: ROBERT LYMAN JR | 514 ERESMA STREET HENDERSON, NV 89015 | CONTINENTAL AMERICAN INSURANCE COMPANY | $43 | — | $43 | 0.21% |
| ELENI A NIKOLAS3 Filed as: ELENI A KRAUSE | 2110 CHARMARIE CT MARIETTA, GA 30062 | CONTINENTAL AMERICAN INSURANCE COMPANY | $31 | — | $31 | 0.15% |
| RONALD S SANDERS3 | 1194 E LAKEVIEW DRIVE SAN TAN VALLEY, AZ 85143 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | — | $23 | 0.11% |
| AMY A O SHIELDS3 Filed as: AMY A O'SHIELDS | 5159 CALGARY DRIVE DOUGLASVILLE, GA 30135 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.05% |
| ALEXANDER B WARD3 | 5194 FOREST VIEW CT SE MABLETON, GA 30126 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.05% |
| CHARLES S MADISON3 | 6110 CEDARCR EST RD NE STE 350-249 ACWORTH, GA 30101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| RICHARD MICHAEL TIDWELL3 Filed as: RICHARD M TIDWELL | PO BOX 1801 CUMMING, GA 30028 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| RYAN E MCPHAIL3 | 206 ARBOR CT CANTON, GA 30114 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| LAURA M SYVERSON3 | 50 HURT PLAZA SUITE 1630 ATLANTA, GA 30303 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| DUSTIN ROBERT JOHNSON3 Filed as: DUSTIN R JOHNSON | 5300 OAKBROOK PARKWAY SUITE 350 NORCROSS, GA 30093 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| TARRAH SMITHSON3 | 2000 BROOKE FOREST CT ALPHARETTA, GA 30022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| STEVEN VORDERLANDWEHR3 | 2219 MCCAHILL CT BUFORD, GA 30519 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| ELENI A NIKOLAS3 | 2110 CHARMARIE CT MARIETTA, GA 30062 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| MICHAEL LEROY COY3 Filed as: MICHAEL L COY | 3571 FAR WEST BLVD AUSTIN, TX 78731 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| MICAH MESSER3 | 790 HERRELL ROAD VILLA RICA, GA 30180 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
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 | 115 | 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) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC (G0385) | 334 | $2.1M |
| Dental | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC (G0385) | 334 | $2.1M |
| Vision | VISION SERVICE PLAN | 105 | $24K |
| Life insurance(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC (G0385) | 357 | $2.2M |
| Short-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 357 | $105K |
| Long-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 357 | $105K |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 66 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 357 | — |
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.