No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ADMIN. CONSULTING SERVICE OF TN. EIN 62-1408699 NONE | Contract Administrator Service code 13 | 661 NORTH ERICSON RD CORDOVA, TN 38018 | $52K |
| CIGNA HEALTH & LIFE INSURANCE CO EIN 59-1031071 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 13 | 900 COTTAGE GROVE RD BLOOMFIELD, CT 06002 | $50K |
| HORIZON ACTUARLIAL SERVICES, LLC EIN 26-1370698 NONE | Actuarial; Consulting (general) Service code 11 | 900 ASHWOOD PARKWAY, STE 170 ATLANTA, GA 30338 | $39K |
| DENNIS G. JENKINS, CPA,LLC EIN 20-5886120 NONE | Accounting (including auditing) Service code 10 | 1690 STONE VILLAGE LN STE 501 KENNESAW, GA 30152 | $6K |
| PARKER, HUDSON, RAINER & DOBBD EIN 58-1423485 NONE | Legal Service code 29 | 285 PEACHTREE CENTER AVE N.E. ATLANTA, GA 30305 | $5K |
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 | 412 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 412 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH & LIFE INSURANCE COMPANYY | 412 | $0 |
| Dental | CIGNA HEALTH & LIFE INSURANCE COMPANYY | 412 | $0 |
| Vision | FIDELITY SECURITY LIFE INSURANCE CO | 412 | $36K |
| Life insurance | BOSTON MUTUAL LIFE INSURANCE | 412 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 412 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.