| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS OF GA | 3400 OVERTON PARK DRIVE SUITE 300 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $238K | — | $238K | 2.90% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS OF GA | 3400 OVERTON PARK DRIVE SUITE 300 ALTANTA, GA 30339 | HARTFORD LIFE AND ACCIDENT | $95K | — | $95K | 10.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 414 GALLIMORE DAIRY ROAD SUITE F GRENSBORO, NC 27409 | HARTFORD LIFE AND ACCIDENT | — | $17K | $17K | 1.74% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS OF GA | 3400 OVERTON PARK DR SUITE 300 ATLANTA, GA 30339 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $45K | $13K | $57K | 10.28% |
| ASHFORD ADVISORS INC3 Filed as: ASHFORD ADVISORS | ONE RAVINIA DRIVE SUITE 1750 ATLANTA, GA 30346 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $774 | — | $774 | 0.14% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS OF GA | 3400 OVERTON PARK DRIVE SUITE 300 ATLANTA, GA 30339 | TRANSAMERICA LIFE INSURANCE COMPANY | $55K | — | $55K | 16.02% |
| MITCH BESVINICK3 | INNOBENEFITS LLC 1280 BRIGHTON WAY NEW TOWN SQUARE, PA 19073 | TRANSAMERICA LIFE INSURANCE COMPANY | $13K | — | $13K | 3.75% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 3605 GLENWOOD AVENUE SUITE 201 RALEIGH, NC 27612 | TRANSAMERICA LIFE INSURANCE COMPANY | $16K | — | $16K | 16.72% |
| THE BOON INSURANCE AGENCY3 | 6300 BRIDGEPOINT PARKWAY BUILDING 3 SUITE 500 AUSTIN, TX 78730 | TRANSAMERICA LIFE INSURANCE COMPANY | $6K | — | $6K | 5.89% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | P O BOX 10265 BIRMINGHAM, AL 35202 | VISION SERVICE PLAN | $3K | — | $3K | 2.82% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MCGRIFF SEIBELS AND WILLIAMS GA EIN 58-1834091 CLAIMS PROC | Claims processing; Direct payment from the plan; Contract Administrator; Insurance services Service code 12 | — | $19K |
| BOON ADMINISTRATIVE SERVICES INC EIN 33-0044933 CLAIMS PROC | Contract Administrator; Claims processing; Other insurance fees and expenses Service code 12 | — | $17K |
| MITCH BESVINICK CLAIMS PROC | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Plan Administrator; Claims processing Service code 12 | 1280 BRIGHTON WAY NEW TOWN SQUARE, PA 19073 | $13K |
| AMERICAN HEALTH DATA INSTITUTE EIN 35-2048379 CLAIMS PROCE | Plan Administrator; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $13K |
| KEY BENEFIT ADMINISTRATORS INC EIN 35-1450364 CLAIMS PROC | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Plan Administrator; Contract Administrator Service code 12 | — | $10K |
| MULTIPLAN EIN 35-2048379 CLAIMS PROC | Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator Service code 12 | — | $8K |
| RGI LLC EIN 32-0176370 CLAIMS PROC | Claims processing; Plan Administrator; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $3K |
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 | 349 | 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) | 349 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 1,406 | $8.2M |
| Dental(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,388 | $584K |
| Vision | VISION SERVICE PLAN | 1,612 | $96K |
| Life insurance(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 2,910 | $1.4M |
| Long-term disability(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 2,910 | $1.4M |
| Other | HARTFORD LIFE AND ACCIDENT | 2,910 | $955K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,910 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.