| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 3400 OVERTON PARK DRIVE SUITE 300 ATLANTA, GA 30339 | MINNESOTA LIFE INSURANCE COMPANY | $261K | — | $261K | 4.45% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | PO BOX 896620 CHARLOTTE, NC 28289 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $112K | — | $112K | 4.50% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | 101 N CHERRY STREET SUITE 500 WINSTON SALEM, NC 271014080 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $11K | $11K | 0.44% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 3400 OVERTON PARK DRIVE SUITE 300 ATLANTA, GA 30339 | MINNESOTA LIFE INSURANCE COMPANY | $5K | — | $5K | 4.50% |
| OCEAN CONSULTING GROUP3 Filed as: OCEAN CONSULTING GROUP INC | 1555 PALM BEACH LAKES BLVD. SUITE 810 WEST PALM BEACH, FL 33404 | FEDERAL INSURANCE COMPANY | $5K | — | $5K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHY ALLIANCE LIFE INS. CO. EIN 86-0257201 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Other services; Contract Administrator Service code 12 | — | $3.5M |
| DELTA DENTAL OF MISSOURI EIN 43-0908349 NONE | Contract Administrator; Claims processing Service code 12 | — | $174K |
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 | 3,168 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 868 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 42 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,078 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 3,225 | $627K |
| Life insurance | MINNESOTA LIFE INSURANCE COMPANY | 6,912 | $5.9M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 3,320 | $2.5M |
| Other(3 contracts, 3 carriers) | MINNESOTA LIFE INSURANCE COMPANY | 1,620 | $137K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,912 | — |
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."
No prospect flags tripped on this filing.