| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| POINTENORTH INSURANCE GROUP2 Filed as: POINTENORTH INSURANCE GROUP, LLC | PO BOX 724728 ATLANTA, GA 31139 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | — | $7K | $7K | 0.25% |
| HOLMES SHAW INC3 Filed as: HOLMES INC | PO BOX 724728 ATLANTA, GA 31139 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $110K | — | $110K | 10.00% |
| POINTENORTH INSURANCE GROUP3 Filed as: POINTENORTH INSURANCE GROUP, LLC | 1000 PARKWOOD CIRCLE SE, SUITE 600 ATLANTA, GA 30339 | GREATER GEORGIA LIFE INSURANCE COMPANY | $13K | — | $13K | 2.71% |
| LAWRENCE N HILL3 Filed as: LAWRENCE HILL | 26 SPRINGHILL DR TIFTON, GA 31793 | GREATER GEORGIA LIFE INSURANCE COMPANY | $1K | — | $1K | 0.24% |
| POINTENORTH INSURANCE GROUP3 Filed as: POINTENORTH INSURANCE GROUP, LLC | PO BOX 724728 ATLANTA, GA 31139 | GREATER GEORGIA LIFE INSURANCE COMPANY | $18K | — | $18K | 15.22% |
| LAWRENCE N HILL3 Filed as: LAWRENCE HILL | PO BOX 1869 TIFTON, GA 31793 | GREATER GEORGIA LIFE INSURANCE COMPANY | $2K | — | $2K | 1.32% |
| POINTENORTH INSURANCE GROUP3 Filed as: POINTENORTH INSURANCE GROUP, LLC | PO BOX 724728 ATLANTA, GA 31139 | ZURICH AMERICAN INSURANCE COMPANY | $841 | — | $841 | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PARAGON BENEFITS, INC. EIN 58-1741732 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | 6065 BUSINESS PARK DRIVE COLUMBUS, GA 31909 | $3.1M |
| BLUE CROSS BLUE SHIELD HEALTHCARE EIN 58-1638390 SERVICE PROVIDER | Contract Administrator; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing Service code 12 | 3350 PEACHTREE RD NE ATLANTA, GA 30326 | $2.6M |
| GEORGIA BANKERS ASSOCIATION, INC. EIN 58-0254910 PLAN SPONSOR | Plan Administrator Service code 14 | 50 HURT PLAZA, SUITE 1050 ATLANTA, GA 30303 | $1.0M |
| POINTENORTH INSURANCE GROUP, LLC INSURANCE CONSULTING | Consulting (general) Service code 16 | P.O. BOX 724728 ATLANTA, GA 31139 | $343K |
| SENTRYHEALTH (F/K/A WELLVIEW) WELLNESS SERVICES | Other services Service code 49 | 7410 NEW LA GRANGE ROAD STE 205 LOUISVILLE, KY 40222 | $321K |
| CARE2025, LLC CONSULTANT | Consulting (general) Service code 16 | — | $310K |
| LIFE2, INC. PRODUCT DEVELOPMENT | Other services Service code 49 | 11720 AMBER PARK DRIVE ALPHARETTA, GA 30009 | $300K |
| TESSA NOLAN EIN 58-2241094 EMPLOYEE | Employee (plan) Service code 30 | — | $229K |
| MARY K WREN EIN 58-2241094 EMPLOYEE | Employee (plan) Service code 30 | — | $141K |
| MICHEAL COFIELD EIN 58-2241094 EMPLOYEE | Employee (plan) Service code 30 | — | $128K |
| BNY MELLON WEALTH MANAGEMENT | Investment management Service code 28 | — | $0 |
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 | 11,398 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 177 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 11,575 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 0 | $2.6M |
| Dental | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 0 | $2.6M |
| Life insurance(4 contracts) | GREATER GEORGIA LIFE INSURANCE COMPANY | 11,398 | $3.2M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 4,933 | $1.1M |
| Other | ZURICH AMERICAN INSURANCE COMPANY | 401 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11,398 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.