| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GADA INSURANCE SERVICES3 Filed as: GADA SERVICES INC | 2060 POWERS FERRY RD. SE ATLANTA, GA 30339 | AMERICAN FIDELITY ASSURANCE COMPANY | $7K | $0 | $7K | 7.92% |
| ASSURANCE AGENCY LTD5 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P. O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $3K | $0 | $3K | 3.74% |
| GADA INSURANCE SERVICES3 Filed as: GADA SERVICES INC | 2060 POWERS FERRY RD SE ATLANTA, GA 30339 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $1K | $7K | 11.60% |
| GADA INSURANCE SERVICES3 Filed as: GADA SERVICES INC | 2060 POWERS FERRY RD. SE ATLANTA, GA 30339 | COMPANION LIFE INSURANCE COMPANY | $1K | $0 | $1K | 15.01% |
| J. L. HERRING & ASSOC INC3 | 315 COMMERCIAL DR. A. 5 SAVANNAH, GA 31406 | COMPANION LIFE INSURANCE COMPANY | $826 | $0 | $826 | 12.00% |
| GADA INSURANCE SERVICES3 Filed as: GADA SERVICES INC | 2060 POWERS FERRY RD. SE ATLANTA, GA 30339 | COMPANION LIFE INSURANCE COMPANY | $321 | $0 | $321 | 14.99% |
| J. L. HERRING & ASSOC INC3 | 315 COMMERCIAL DR. A. 5 SAVANNAH, GA 31406 | COMPANION LIFE INSURANCE COMPANY | $161 | $0 | $161 | 7.52% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GADA SERVICES INC BROKER | Claims processing Service code 12 | 2060 POWERS FERRY ROAD SE ATLANTA, GA 30339 | $34K |
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 | 248 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 249 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 34 | $310K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 248 | $63K |
| Life insurance(2 contracts) | COMPANION LIFE INSURANCE COMPANY | 130 | $9K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 68 | $91K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 68 | $91K |
| Other(3 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 130 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 248 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.