| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 220 WALNUT PLAZA MUNCIE, IN 47305 | GREATER GEORGIA LIE INSURANCE COMPANY | $18K | $1K | $20K | 9.43% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DRIVE CALEDONIA, MI 49316 | GREATER GEORGIA LIE INSURANCE COMPANY | $7K | — | $7K | 3.26% |
| PEACHTREE BENEFIT GROUP INC3 Filed as: PEACHTREE BENEFIT PARTNERS OF GA | 3580 PIERCE DRIVE SUITE 100 ATLANTA, GA 30341 | GREATER GEORGIA LIE INSURANCE COMPANY | $5K | — | $5K | 2.18% |
| PEACHTREE BENEFIT GROUP INC3 Filed as: PEACHTREE BENEFIT GROUP | 3580 PIERCE DRIVE SUITE 100 CHAMBLEE, GA 30341 | AETNA LIFE INSURANCE COMPANY | $30K | — | $30K | 16.27% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DRIVE CALEDONIA, MI 49316 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA INC | $414 | — | $414 | 1.33% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD HEALTHCARE EIN 58-1638390 NETWORK PH MGN | Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Float revenue; Claims processing Service code 12 | — | $424K |
| BLUE CROSS AND BLUE SHIELD OF GEORG EIN 58-0469845 ADMIN SERVICES | Float revenue; Other services; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $174K |
| ACRISURE LLC | Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $123K |
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 | 454 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 454 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF GEORGIA INC | 692 | $478K |
| Vision | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA INC | 660 | $31K |
| Life insurance | AETNA LIFE INSURANCE COMPANY | 454 | $184K |
| Short-term disability | GREATER GEORGIA LIE INSURANCE COMPANY | 386 | $209K |
| Long-term disability | GREATER GEORGIA LIE INSURANCE COMPANY | 386 | $209K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS AND BLUE SHIELD OF GEORGIA INC | 692 | $478K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 692 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.