| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE A.I. GROUP INC3 Filed as: THE A I GROUP | 12725 MORRIS RD, BLDG 100 STE 200 ALPHARETTA, GA 30004 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA INC. | $57K | — | $57K | 3.75% |
| THE A.I. GROUP INC3 Filed as: THE A I GROUP | 12725 MORRIS RD, BLDG 100 STE 200 ALPHARETTA, GA 30004 | BLUE CROSS BLUE SHIELD OF GEORGIA INC | $6K | — | $6K | 3.56% |
| THE A.I. GROUP INC3 Filed as: A I GROUP | 1150 JULIAN DR STE 100 WATKINSVILLE, GA 30677 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 15.00% |
| THE A.I. GROUP INC3 Filed as: THE A I GROUP | 1150 JULIAN DR STE 100 WATKINSVILLE, GA 30677 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 15.00% |
| THE A.I. GROUP INC3 Filed as: THE A. I. GROUP INC | 1150 JULIAN DR STE 100 WATKINSVILLE, GA 30677 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 15.00% |
| AI GROUP3 Filed as: THE AI GROUP | 1150 JULIAN DR STE 100 WATKINSVILLE, GA 306775966 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 15.00% |
| REGIONS INSURANCE INC3 | 12725 MORRIS ROAD BUILDING 100 ALPHARETTA, GA 30004 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 21.90% |
| REGIONS INSURANCE INC3 | PO BOX 3198 LITTLE ROCK, AR 72203 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 21.60% |
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 | 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) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA INC. | 202 | $1.5M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF GEORGIA INC | 216 | $192K |
| Vision | BLUE CROSS BLUE SHIELD OF GEORGIA INC | 216 | $179K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 244 | $78K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 126 | $31K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 140 | $34K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 244 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 244 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.