| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSURANCE AGENCY LTD5 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P. O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $9K | $0 | $9K | 6.64% |
| GADA INSURANCE SERVICES3 Filed as: GADA SERVICES INC | 2060 POWERS FERRY RD. SE ATLANTA, GA 30339 | AMERICAN FIDELITY ASSURANCE COMPANY | $8K | $0 | $8K | 6.37% |
| GADA INSURANCE SERVICES3 Filed as: GADA SERVICES INC | 2060 POWERS FERRY RD SE ATLANTA, GA 30339 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $746 | $7K | 11.27% |
| GADA INSURANCE SERVICES3 Filed as: GADA SERVICES INC | 2060 POWERS FERRY RD. SE ATLANTA, GA 30339 | COMPANION LIFE INSURANCE COMPANY | $519 | $0 | $519 | 7.58% |
| J. L. HERRING & ASSOC INC3 | 315 COMMERCIAL DR. A. 5 SAVANNAH, GA 31406 | COMPANION LIFE INSURANCE COMPANY | $415 | $0 | $415 | 6.06% |
| GADA INSURANCE SERVICES3 Filed as: GADA SERVICES INC | 2060 POWERS FERRY RD. SE ATLANTA, GA 30339 | COMPANION LIFE INSURANCE COMPANY | $167 | $0 | $167 | 7.46% |
| J. L. HERRING & ASSOC INC3 | 315 COMMERCIAL DR. A. 5 SAVANNAH, GA 31406 | COMPANION LIFE INSURANCE COMPANY | $84 | $0 | $84 | 3.75% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GADA SERVICES INC BROKER | Claims processing Service code 12 | 2060 POWERS FERRY ROAD SE ATLANTA, GA 30339 | $48K |
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 | 234 | 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) | 234 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 169 | $978K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 234 | $59K |
| Life insurance(2 contracts) | COMPANION LIFE INSURANCE COMPANY | 130 | $9K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 79 | $133K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 79 | $133K |
| Other(3 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 130 | $142K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 234 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.