| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHAMPION BENEFITS3 | 1455 LINCOLN PARKWAY E SUITE 100 ATLANTA, GA 303462215 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $60K | $9K | $69K | 22.90% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $9K | $9K | 3.05% |
| CHAMPION BENEFITS3 | 1455 LINCOLN PARKWAY E SUITE 100 ATLANTA, GA 303462215 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $37K | $9K | $46K | 18.44% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $7K | $7K | 2.95% |
| CHAMPION BENEFITS3 | 1455 LINCOLN PARKWAY E SUITE 100 ATLANTA, GA 30346 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $5K | $5K | 3.56% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 3.05% |
| CHAMPION BENEFITS3 | 1455 LINCOLN PARKWAY E SUITE 100 ATLANTA, GA 303462215 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $17K | $4K | $21K | 18.40% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 2.92% |
| FMLASOURCE INC5 | 455 N CITYFRONT PLZ DR 13TH FLOOR CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $20K | $20K | 18.76% |
| CHAMPION BENEFITS3 | 1455 LINCOLN PARKWAY E SUITE 100 ATLANTA, GA 30346 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $16K | $4K | $20K | 18.55% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 3.05% |
| GCG FINANCIAL LLC3 Filed as: CHAMPION BENEFITS, AN ALERA GROUP A | 1455 LINCOLN PARKWAY E SUITE 100 ATLANTA, GA 30346 | UNUM INSURANCE COMPANY | $13K | $1K | $14K | 16.19% |
| GCG FINANCIAL LLC3 Filed as: CHAMPION BENEFITS AN ALERA GROUP AG | 1455 LINCOLN PARKWAY E SUITE 100 ATLANTA, GA 303462215 | AMERITAS LIFE INSURANCE CORP. | $7K | $0 | $7K | 10.00% |
| CHAMPION BENEFITS3 Filed as: CHAMPION BENEFITS APPROACH INC | 1455 LINCOLN PARKWAY E SUITE 100 ATLANTA, GA 30346 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 6.61% |
| CHAMPION BENEFITS3 Filed as: CHAMPION BENEFITS APPROACH INC BEN | STE 100 1455 LINCOLN PKWY ATLANTA, GA 30346 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 3.01% |
| GCG FINANCIAL LLC3 Filed as: CHAMPION BENEFITS AN ALERA GR | 1455 LINCOLN PARKWAY SUITE 100 ATLANTA, GA 30346 | UNUM INSURANCE COMPANY | $6K | $751 | $7K | 22.51% |
| HODGES, GREGORY, JAMES3 Filed as: HODGES-MACE BENEFITS GRP STE 80 | 3350 RIVERWOOD PARKWAY ATLANTA, GA 30339 | UNUM/PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $50 | $0 | $50 | 3.79% |
| CHAMPION BENEFITS3 Filed as: CHAMPION BENEFITS APPROACH INC BEN | 1455 LINCOLN PARKWAY E SUITE 100 ATLANTA, GA 30346 | UNUM/PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $40 | $0 | $40 | 3.03% |
| HODGES-MACE BENEFITS GRP INC3 | 3350 RIVERWOOD PARKWAY ATLANTA, GA 30339 | UNUM/PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $31 | $4 | $35 | 2.65% |
| CHAMPION BENEFITS3 Filed as: CHAMPION BENEFITS APPROACH INC | 1455 LINCOLN PARKWAY E SUITE 100 ATLANTA, GA 30346 | UNUM/PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $27 | $0 | $27 | 2.05% |
| BENEFIT ADVISORS NETWORK LLC3 Filed as: BENEFIT ADVISORS NETWORK | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNUM/PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $1 | $1 | 0.08% |
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 | 1,098 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,098 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | AMERITAS LIFE INSURANCE CORP. | 1,520 | $75K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,098 | $251K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 327 | $116K |
| Other(8 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,098 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,520 | — |
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.