| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BIS BENEFITS, INC. Filed as: BIS BENEFITS INC. | 10745 WESTSIDE WAY SUITE 250 ALPHARETTA, GA 300097640 | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. | $49K | — | $49K | 4.32% |
| BIS BENEFITS, INC. Filed as: BIS BENEFITS INC | 10745 WESTSIDE WAY SUITE250 ALPHARETTA, GA 300097640 | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. | $13K | — | $13K | 4.43% |
| BIS BENEFITS, INC. Filed as: BIS BENEFITS INC. | 10745 WESTSIDE WAY SUIT 250 ALPHARETTA, GA 300097640 | HUMANA INSURANCE COMPANY | $18K | — | $18K | 15.60% |
| BIS BENEFITS, INC.3 Filed as: BIS BENEFITS INC | 10745 WESTSIDE PKWY SUITE 250 ALPHARETTA, GA 30009 | STANDARD INSURANCE COMPANY | $14K | $0 | $14K | 23.22% |
| BIS BENEFITS, INC.3 Filed as: BIS BENEFITS INC | 10745 WESTSIDE PKWY STE 250 ALPHARETTA, GA 30009 | STANDARD INSURANCE COMPANY | $1.1M | — | $1.1M | 1999.95% |
| BIS BENEFITS, INC. Filed as: BIS BENEFITS INC. | 10745 WESTSIDE WAY SUITE 250 ALPHARETTA, GA 300097640 | HUMANA INSURANCE COMPANY | $2K | — | $2K | 14.60% |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. | 33 | $1.4M |
| Dental | HUMANA INSURANCE COMPANY | 0 | $117K |
| Vision | HUMANA INSURANCE COMPANY | 0 | $17K |
| Life insurance | STANDARD INSURANCE COMPANY | 0 | $57K |
| Long-term disability | STANDARD INSURANCE COMPANY | 0 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 33 | — |
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.