| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | MINNESOTA LIFE INSURANCE COMPANY | $0 | $197K | $197K | 2.33% |
| AON CONSULTING INC3 Filed as: AON HEWITT | 8182 MARYLAND AVE SUITE 1500 ST. LOUIS, MO 63105 | MINNESOTA LIFE INSURANCE COMPANY | $0 | $8K | $8K | 0.10% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM, P | 2350 WEST WESLEY RD ATLANTA, GA 30327 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $168K | $2K | $170K | 5.44% |
| WORKSITE BENEFIT SERVICES3 Filed as: WORKSITE BENEFIT SERVICES INC | 246 INVERNESS CENTER DR BIRMINGHAM, AL 35242 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $136K | $4K | $140K | 4.48% |
| ENROLLMENT RESOURCES GROUP3 Filed as: ENROLLMENT ADVISORS INC. | 120 18TH ST S STE 102 BIRMINGHAM, AL 35233 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $22 | $3 | $25 | 0.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5 | — | $5 | 0.00% |
| DG3 NORTH AMERICA INC5 | P.O. BOX 83090 CHICAGO, IL 606913010 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $4K | $4K | 0.18% |
| DSI INTERNATIONAL LANGUAGE5 Filed as: DSI INTL LANGUAGE CONSULTANTS INC | P.O. BOX 236 CHATHAM, NJ 07928 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $515 | $515 | 0.02% |
| WORKSITE BENEFITS GROUP INC3 Filed as: WORKSITE BENEFITS SERVICES INC | 246 INVERNESS CENTER DR BIRMINGHAM, AL 35242 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $57K | $1K | $59K | 2.82% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM, P | 2350 W WESLEY RD ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $22K | $322 | $22K | 1.06% |
| CUSTOM BENEFIT PROGRAMS INC3 | 897 12TH ST HAMMONTON, NJ 08037 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $8K | $9K | $17K | 0.80% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM, P | 2350 W WESLEY RD ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $14K | — | $14K | 0.68% |
| GRIFFIN, STEVEN, RAY3 | STE 1400 2000 MORRIS AVE BIRMINGHAM, AL 35203 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $8K | $191 | $8K | 0.40% |
| PANTALONE, JO, ANN3 Filed as: PANTALONE, LOUIS, J | CUSTOM BENEFIT PROGRAMS INC P.O. BOX 1116 HAMMONTON, NJ 08037 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $7K | — | $7K | 0.34% |
| HERRING, RICHARD, FULLER3 Filed as: HERRING, RICHARD, FULLER, SR | 246 INVERNESS CENTER DR BIRMINGHAM, AL 35242 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $562 | — | $562 | 0.03% |
| EIDSON, DARELL, LAWAYNE3 | 246 INVERNESS CENTER DR BIRMINGHAM, AL 35242 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $142 | — | $142 | 0.01% |
| LIFE OF THE SOUTH AGENCY3 | 205 DOGWOOD DR NASHVILLE, GA 31639 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $35 | — | $35 | 0.00% |
| WHITE, LARRY - BOR3 | P.O. BOX 11502 CHATTANOOGA, TN 374012502 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $146K | — | $146K | 8.81% |
| WHITE, LARRY - BOR3 | P.O. BOX 11502 CHATTANOOGA, TN 374012502 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $134K | — | $134K | 10.01% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM P | 2350 WEST WESLEY RD ATLANTA, GA 30327 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $180K | — | $180K | 19.84% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM, P | 2350 WEST WESLEY RD ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $28K | $14K | $42K | 17.91% |
| BOURKE, WILLIAM, PATRICK3 | 2350 WEST WESLEY RD ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 0.77% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM, P | 2350 WEST WESLEY RD ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $6K | $12K | 38.42% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM, P | 2350 WEST WEASLEY RD ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $1K | $3K | 21.74% |
| WHITE, LARRY - BOR3 | P.O. BOX 11502 CHATTANOOGA, TN 374012502 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $684 | — | $684 | 8.46% |
| WHITE, LARRY - BOR3 | P.O. BOX 11502 CHATTANOOGA, TN 374012502 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $758 | — | $758 | 9.67% |
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 | 18,326 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 255 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 18,581 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL INSURANCE COMPANY | 17,160 | $0 |
| Vision(4 contracts) | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | 20,660 | $3.0M |
| Life insurance(2 contracts, 2 carriers) | MINNESOTA LIFE INSURANCE COMPANY | 21,556 | $10.5M |
| Short-term disability(2 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 15,710 | $6.9M |
| Long-term disability(2 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 15,710 | $6.9M |
| Other(7 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 18,326 | $6.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 21,556 | — |
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.