| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PRITCHARD & JERDEN INC3 Filed as: PRITCHARD AND JERDEN INC. | 950 E. PACES FERRY ROAD, NE STE 2000 ATLANTA, GA 30326 | UNITEDHEALTHCARE OF WISCONSIN, INC. | $12K | — | $12K | 1.75% |
| STERLING SEACREST PRITCHARD, INC.3 Filed as: STERLING SEACREST PRITCHARD INC | 2500 CUMBERLAND PKWY SE STE 400 ATLANTA, GA 30339 | SUN LIFE ASSURANCE COMPANY OF CANADA | $83K | — | $83K | 16.20% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FIN SERVICES | 12404 PARK CENTRAL DR STE 400S DALLAS, TX 75251 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $28K | $28K | 5.40% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FIN SERVICES | PO BOX 29675 DEPT 2027 PHOENIX, AZ 85038 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $10K | $10K | 1.86% |
| UMR, INC.3 | 115 W WAUSAU AVE WAUSAU, WI 54401 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $2K | $2K | 0.41% |
| PRITCHARD & JERDEN INC3 Filed as: PRITCHARD AND JERDEN INC. | 950 E. PACES FERRY ROAD, NE SUITE 2000 ATLANTA, GA 30326 | UNITEDHEALTHCARE OF WISCONSIN, INC. | $7K | — | $7K | 1.75% |
| STERLING SEACREST PRITCHARD, INC.3 Filed as: STERLING SEACREST PRITCHARD INC | 2500 CUMBERLAND PKWY STE 400 ATLANTA, GA 30339 | HARTFORD LIFE AND ACCIDENT | $56K | — | $56K | 20.00% |
| STERLING SEACREST PRITCHARD, INC.3 Filed as: STERLING SEACREST PRITCHARD, INC | 2500 CUMBERLAND PARKWAY STE 400 ATLANTA, GA 30339 | HARTFORD LIFE AND ACCIDENT | $47K | — | $47K | 20.08% |
| ASSUREDPARTNERS3 Filed as: STERLING SEACREST PARTNERS INC. | 2500 CUMBERLAND PARKWAY ATLANTA, GA 30339 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 5.98% |
| PRITCHARD & JERDEN INC3 Filed as: PRITCHARD AND JERDEN INC. | 950 E. PACES FERRY ROAD STE 2000 ATLANTA, GA 30326 | UNITEDHEALTHCARE OF WISCONSIN, INC. | $207 | — | $207 | 1.52% |
| PRITCHARD & JERDEN INC3 Filed as: PRITCHARD AND JERDEN INC. | 950 E. PACES FERRY ROAD, NE SUITE 2000 ATLANTA, GA 30326 | UNITEDHEALTHCARE OF WISCONSIN, INC. | $127 | — | $127 | 1.59% |
| STERLING SEACREST PRITCHARD, INC.3 | 2500 CUMBERLAND PARKWAY SUITE 400 ATLANTA, GA 30339 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | $550 | — | $550 | 14.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ELEVANCE HEALTH, INC. EIN 54-0357120 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $335K |
| UMR, INC. EIN 39-1995276 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $233K |
| BUCK GLOBAL LLC EIN 13-3954297 NONE | Other services; Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $80K |
| THE ESI OPERATING COMPANY EIN 22-3461740 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $68K |
| BAUKNIGHT PIETRAS & STORMER, P.A. EIN 57-0940019 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $34K |
| MERITAIN HEALTH EIN 16-1264154 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $24K |
| TRUIST BANK EIN 62-1644863 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Float revenue Service code 21 | — | $19K |
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 | 993 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 84 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,077 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts) | UNITEDHEALTHCARE OF WISCONSIN, INC. | 187 | $1.1M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 836 | $80K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,500 | $234K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 487 | $278K |
| Prescription drug(4 contracts) | UNITEDHEALTHCARE OF WISCONSIN, INC. | 187 | $1.1M |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 503 | $513K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 1,500 | $238K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,500 | — |
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.