| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BURNETT INSURANCE AGENCY3 | 3447 LAWRENCEVILLE SUWANEE ROAD SUWANEE, GA 30024 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $15K | $0 | $15K | 4.94% |
| WALDORF INS & BONDING INC3 | 45 EGLIN PARKWAY NE STE 202 FORT WALTON BEACH, FL 32548 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | $0 | $5K | 1.65% |
| TONYA LANCASTER3 | 1820 THE EXCHANGE STE 750 ATLANTA, GA 30339 | TRANSAMERICA LIFE INSURANCE COMPANY | $22K | $0 | $22K | 26.45% |
| VOLUNTARY BENEFITS AT WORK3 | 1820 THE EXCHANGE STE 750 ATLANTA, GA 30339 | TRANSAMERICA LIFE INSURANCE COMPANY | $7K | $0 | $7K | 7.66% |
| BURNETT INSURANCE AGENCY3 | 3447 LAWRENCEVILLE SUWANEE ROAD SUWANEE, GA 30024 | TRANSAMERICA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 6.29% |
| WALDORFF INSURANCE & BONDING INC3 Filed as: WALDORFF INSURANCE AGENCY, INC. | 45 NE EGLIN PARKWAY SUITE 202 FORT WALTON BEACH, FL 32548 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 1.42% |
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 | 515 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 516 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 617 | $2.5M |
| Dental | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 412 | $306K |
| Vision | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 412 | $306K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,071 | $391K |
| Short-term disability | TRANSAMERICA LIFE INSURANCE COMPANY | 1,071 | $85K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 412 | $306K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 617 | $2.5M |
| Other(3 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 1,071 | $2.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,071 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.