| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: NORTHWESTERN BENEFIT CORP OF GA | PHIPPS TOWER SUITE 1100 3438 PEACHTREE ROAD ATLANTA, GA 303261555 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $2K | $3K | 4.05% |
| GROUP BENEFITS CONSULTANTS3 Filed as: GROUP AND BENEFITS CONSULTANTS | PO BOX 16453 AUGUSTA, GA 309192453 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 2.74% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: NORTHWESTERN BENEFIT CORP OF GA | PHIPPS TOWER SUITE 1100 3438 PEACHTREE ROAD ATLANTA, GA 30326 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 3.53% |
| GROUP BENEFIT CONSULTANTS3 Filed as: GROUP AND BENEFIT CONSULTANTS | PO BOX 16453 AUGUSTA, GA 30919 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 2.42% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: NORTHWESTERN BENEFIT CORP OF GA | PHIPPS TOWER SUITE 1100 3438 PEACHTREE ROAD ATLANTA, GA 30326 | EYEMED | $702 | — | $702 | 6.74% |
| GROUP BENEFITS CONSULTANTS3 Filed as: GROUP AND BENEFITS CONSULTANTS, INC | 3515 WHEELER ROAD AUGUSTA, GA 30909 | EYEMED | $374 | — | $374 | 3.59% |
| MAYER, THOMAS W. - BOR3 | 55 E 5TH STREET, SUITE 500 ST. PAUL, MN 55101 | EYEMED | — | $187 | $187 | 1.80% |
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 | 125 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 125 | $82K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 435 | $82K |
| Vision | EYEMED | 186 | $10K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 435 | $165K |
| Short-term disability | AETNA LIFE INSURANCE CO. | 125 | $82K |
| Long-term disability | AETNA LIFE INSURANCE CO. | 125 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 435 | — |
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.