| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | MINNESOTA LIFE INSURANCE COMPANY | — | $166K | $166K | 2.25% |
| AON CONSULTING INC3 Filed as: AON HEWITT | 29840 NETWORK PLACE CHICAGO, IL 60673 | MINNESOTA LIFE INSURANCE COMPANY | — | $7K | $7K | 0.10% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM P | 1266 WEST PACES FERRY RD. #552 ATLANTA, GA 30327 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $293K | $24K | $317K | 5.78% |
| WORKSITE BENEFITS GROUP INC3 Filed as: WORKSITE BENEFITS SERVICES INC | 246 INVERNESS CENTER DR BIRMINGHAM, AL 35242 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $252K | $19K | $271K | 4.94% |
| HERRING, RICHARD, FULLER3 Filed as: HERRING, RICHARD FULLER | 246 INVERNESS CENTER DR BIRMINGHAM, AL 35242 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $107K | — | $107K | 1.95% |
| WHITE, LARRY - BOR3 Filed as: WHITE, LARRY E - BOR | P.O. BOX 11502 CHATTANOOGA, TN 37401 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $97K | — | $97K | 4.36% |
| VARIOUS - SEE ATTACHMENT3 | 1 FOUNTAIN SQUARE CHATTANOOGA, TN 37402 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $109K | $9K | $118K | 5.31% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | MINNESOTA LIFE INSURANCE COMPANY | — | $24K | $24K | 2.25% |
| AON CONSULTING INC3 Filed as: AON HEWITT | 29840 NETWORK PLACE CHICAGO, IL 60673 | MINNESOTA LIFE INSURANCE COMPANY | — | $1K | $1K | 0.10% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM P | 1266 WEST PACES FERRY RD. #552 ATLANTA, GA 30327 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $39K | — | $39K | 9.03% |
| WORKSITE BENEFITS GROUP INC3 Filed as: WORKSITE BENEFITS SERVICES INC. | 246 INVERNESS CENTER DR BIRMINGHAM, AL 35242 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $15K | — | $15K | 3.40% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM, P | 1266 WEST PACES FERRY RD. #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $29K | $4K | $32K | 14.29% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $19K | $5K | $25K | 15.56% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM, P | 1266 WEST PACES FERRY RD. #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $26K | $3K | $29K | 21.58% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $17K | $10K | $27K | 22.02% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFIT LLC | 1166 AVE OF AMERICAS 22F NEW YORK, NY 10036 | FEDERAL INSURANCE COMPANY | $8K | — | $8K | 15.00% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3K | $957 | $4K | 9.50% |
| WORKSITE BENEFITS GROUP INC3 Filed as: WORKSITE BENEFITS SERVICES INC. | 246 INVERNESS CENTER RD BIRMINGHAM, AL 35242 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $647 | — | $647 | 2.36% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $611 | — | $611 | 2.23% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $604 | $574 | $1K | 4.44% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $551 | $469 | $1K | 4.52% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM, P | 1266 WEST PACES FERRY RD. #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $283 | $3K | 14.09% |
| WHITE, LARRY - BOR3 Filed as: WHITE, LARRY E - BOR | P.O. BOX 11502 CHATTANOOGA, TN 37401 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $764 | — | $764 | 4.40% |
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 | 17,749 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 190 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 17,939 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 21,847 | $5.5M |
| Vision(2 contracts) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 29,796 | $2.3M |
| Life insurance(3 contracts, 2 carriers) | MINNESOTA LIFE INSURANCE COMPANY | 23,936 | $10.7M |
| Short-term disability(3 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 22,612 | $7.2M |
| Long-term disability(2 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 22,612 | $7.2M |
| Other(13 contracts, 5 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 22,239 | $9.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 29,796 | — |
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."
No prospect flags tripped on this filing.