| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF GA | 525 MARKET ST SUITE 3400 SAN FRANCISCO, CA 94105 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $75K | — | $75K | 4.16% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF GA INC | 100 MANSELL CT. E STE 200 ROSWELL, GA 30076 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $7K | — | $7K | 0.38% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA INC | 444 MARKET ST STE 1600 SAN FRANCISCO, CA 94111 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | — | $180 | $180 | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF GA | 525 MARKET ST SUITE 3400 SAN FRANCISCO, CA 94105 | BLUE CROSS BLUE SHIELD OF GEORGIA, INC. | $7K | — | $7K | 5.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF GA INC | 525 MARKET ST STE 3400 SAN FRANCISCO, CA 94105 | GREATER GEORGIA LIFE INSURANCE COMPANY | $12K | — | $12K | 16.49% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF GA INC | 100 MANSELL CT. E STE 200 ROSWELL, GA 30076 | GREATER GEORGIA LIFE INSURANCE COMPANY | $634 | — | $634 | 0.90% |
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 | 240 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 244 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 214 | $1.8M |
| Dental | BLUE CROSS BLUE SHIELD OF GEORGIA, INC. | 246 | $136K |
| Vision | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | 245 | $20K |
| Life insurance | GREATER GEORGIA LIFE INSURANCE COMPANY | 290 | $70K |
| Long-term disability | GREATER GEORGIA LIFE INSURANCE COMPANY | 290 | $70K |
| Other | GREATER GEORGIA LIFE INSURANCE COMPANY | 290 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 290 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.