| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COVENANT ADMINISTRATORS LLC3 Filed as: COVENANT BENEFIT GROUP, INC. | 1104 RIDGEPOLE DRIVE, SUITE 319 DILLARD, GA 30537 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. | $47K | $0 | $47K | 5.42% |
| UNITED PRODUCERS GROUP LLC3 Filed as: UNITED PRODUCERS GROUP, LLC | 1439 STUART ENGLAS BOULEVARD SUITE 300 MOUNT PLEASANT, SC 29464 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. | $15K | $0 | $15K | 1.70% |
| COVENANT ADMINISTRATORS LLC3 Filed as: COVENANT BENEFIT GROUP, INC. | 1104 RIDGEPOLE DRIVE, SUITE 319 DILLARD, GA 30537 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $15K | $0 | $15K | 19.97% |
| COVENANT ADMINISTRATORS LLC3 Filed as: COVENANT BENEFIT GROUP, INC. | 1104 RIDGEPOLE DRIVE, SUITE 319 DILLARD, GA 30537 | STARMOUNT LIFE INSURANCE COMPANY | $7K | $0 | $7K | 10.00% |
| UNITED PRODUCERS GROUP LLC3 Filed as: UNITED PRODUCERS GROUP, LLC | 1439 STUART ENGALS BOULEVARD SUITE 300 MOUNT PLEASANT, SC 29464 | STARMOUNT LIFE INSURANCE COMPANY | $4K | $0 | $4K | 5.00% |
| THE CASON GROUP INC3 Filed as: THE CASON GROUP, LLC | PO BOX 11229 COLUMBIA, SC 29206 | STARMOUNT LIFE INSURANCE COMPANY | $3K | $0 | $3K | 4.35% |
| COVENANT ADMINISTRATORS LLC3 Filed as: COVENANT BENEFIT GROUP, INC. | 1104 RIDGEPOLE DRIVE, SUITE 319 DILLARD, GA 30537 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | $0 | $10K | 15.32% |
| UNITED PRODUCERS GROUP LLC3 Filed as: UNITED PRODUCERS GROUP, LLC | 1439 STUART ENGLAS BOULEVARD SUITE 300 MOUNT PLEASANT, SC 29464 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 5.00% |
| COVENANT ADMINISTRATORS LLC3 Filed as: COVENANT BENEFIT GROUP, INC. | 1104 RIDGEPOLE DRIVE, SUITE 319 DILLARD, GA 30537 | UNUM INSURANCE COMPANY | $1K | $0 | $1K | 8.25% |
| UNITED PRODUCERS GROUP LLC3 Filed as: UNITED PRODUCERS GROUP, LLC | 1439 STUART ENGLAS BOULEVARD SUITE 300 MOUNT PLEASANT, SC 29464 | UNUM INSURANCE COMPANY | $1K | $0 | $1K | 7.15% |
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 | 121 | 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) | 121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. | 163 | $876K |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 118 | $72K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 118 | $72K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 121 | $63K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 121 | $75K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 121 | $75K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. | 163 | $876K |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 121 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 163 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.