No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BCBS EIN 58-0469845 NONE | Contract Administrator; Direct payment from the plan; Other services; Float revenue; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $235K |
| WILLIS TOWERS WATSON/EXTEND HEALTH EIN 13-5654526 NONE | Actuarial; Direct payment from the plan; Contract Administrator; Claims processing Service code 11 | — | $127K |
| CARR, RIGGS & INGRAM EIN 72-1396621 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $55K |
| O.C. TANNER EIN 87-0440228 NONE | Other fees; Direct payment from the plan Service code 50 | — | $51K |
| UNITED HEALTHCARE EIN 36-2739571 NONE | Claims processing; Other services Service code 12 | — | $44K |
| EXPRESS SCRIPTS EIN 43-1420503 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $30K |
| AETNA EIN 06-6033492 NONE | Contract Administrator; Direct payment from the plan; Other services; Float revenue; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $30K |
| CIGNA EIN 06-0303370 NONE | Contract Administrator; Non-monetary compensation; Direct payment from the plan; Other services; Float revenue; Claims processing; Named fiduciary; Participant communication Service code 12 | — | $19K |
| THE BENEFITS ADVOCATES EIN 56-2244196 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $18K |
| AON CONSULTING EIN 52-1219029 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $12K |
| KPMG EIN 13-5565207 NONE | Accounting (including auditing); Direct payment from the plan; Consulting (general) Service code 10 | — | $7K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1,965 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,965 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 14 | $141K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 10 | $5K |
| Vision(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 154 | $47K |
| Other | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 10 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 154 | — |
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."
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.