| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | HARTFORD LIFE AND ACCIDENT | $56K | $141K | $197K | 1.55% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | PO BOX 955816 ST LOUIS, MO 63195 | HARTFORD LIFE AND ACCIDENT | — | $38K | $38K | 0.30% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS, INC. | 897 12TH STREET PO BOX 1116 HAMMONTON, NJ 08037 | RELIASTAR LIFE INSURANCE COMPANY | $1.3M | — | $1.3M | 25.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | RELIASTAR LIFE INSURANCE COMPANY | $75K | — | $75K | 1.41% |
| VARIOUS - SEE ATTACHMENT3 | 1 FOUNTAIN SQUARE CHATTANOOGA, TN 37402 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $503K | $84K | $586K | 20.80% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES | 4220 DUNCAN AVE SUITE 401 ST LOUIS, MO 63110 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $130K | — | $130K | 5.48% |
| WHITE, LARRY - BOR3 Filed as: WHITE, LARRY E - BOR | P.O. BOX 11502 CHATTANOOGA, TN 374012502 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $34K | — | $34K | 1.44% |
| CUSTOM BENEFITS PROGRAMS3 Filed as: CUSTOM BENEFITS PROGRAMS, INC | 897 12TH STREET PO BOX 1116 HAMMONTON, NJ 08037 | RELIASTAR LIFE INSURANCE COMPANY | $136K | — | $136K | 10.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | RELIASTAR LIFE INSURANCE COMPANY | $25K | — | $25K | 1.83% |
| AON CONSULTING INC3 Filed as: AON CONSULTING - ST. LOUIS | 8182 MARYLAND AVE ST LOUIS, MO 63105 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $103K | — | $103K | 20.05% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $16K | — | $16K | 7.67% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $16K | — | $16K | 7.66% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $21K | — | $21K | 10.51% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $10K | — | $10K | 5.06% |
| GENAMERICA FINANCIAL3 | 1266 WEST PACES FERRY ROAD STE 552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $4 | $4 | 0.00% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM, P | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $18K | — | $18K | 8.80% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $9K | — | $9K | 4.29% |
| WORKSITE BENEFITS GROUP INC3 Filed as: WORKSITE BENEFITS SERVICES INC | 22 INVERNESS CENTER PARKWAY STE 100 BIRMINGHAM, AL 35242 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 2.69% |
| HERRING, RICHARD, FULLER3 | 246 INVERNESS CENTER DR BIRMINGHAM, AL 35242 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 1.62% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD. #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $13K | — | $13K | 8.51% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 2.19% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM P | 1266 WEST PACES FERRY RD. #552 ATLANTA, GA 30327 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $1 | $5K | 5.38% |
| WORKSITE BENEFITS GROUP INC3 Filed as: WORKSITE BENEFITS SERVICES INC. | 22 INVERNESS CENTER PARKWAY STE 100 BIRMINGHAM, AL 35242 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $4 | $4K | 3.92% |
| HERRING, RICHARD, FULLER3 Filed as: HERRING, RICHARD FULLER | 246 INVERNESS CENTER DR BIRMINGHAM, AL 35242 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $708 | — | $708 | 0.78% |
| AON CONSULTING INC3 Filed as: AON CONSULTING - ST. LOUIS | P.O. BOX 905494 CHARLOTTE, NC 28290 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $138 | — | $138 | 0.15% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM PATRICK | #552 1266 WEST PACES FERRY RD ATLANTA, GA 30327 | THE PAUL REVERE LIFE INSURANCE COMPANY | $6K | — | $6K | 8.49% |
| MERCER HEALTH AND BENEFITS, LLC3 | 1166 AVENUE OF THE AMERICAS 22ND FLOOR NEW YORK, NY 10036 | FEDERAL INSURANCE COMPANY | $10K | — | $10K | 15.00% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $550 | — | $550 | 2.15% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES | 4220 DUNCAN AVE SUITE 401 ST LOUIS, MO 63110 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 6.25% |
| WHITE, LARRY - BOR3 Filed as: WHITE, LARRY E - BOR | P.O. BOX 11502 CHATTANOOGA, TN 37401 | FIDELITY SECURITY LIFE INSURANCE COMPANY | -$134 | — | -$134 | -0.53% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $555 | — | $555 | 2.47% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | — | $2K | 6.92% |
| BOURKE, WILLIAM, PATRICK3 Filed as: BOURKE, WILLIAM P | 1266 WEST PACES FERRY ROAD #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 9.06% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $156 | — | $156 | 0.77% |
| WORKSITE BENEFITS GROUP INC3 Filed as: WORKSITE BENEFITS SERVICES INC | 246 INVERNESS CENTER PARKWAY STE 100 BIRMINGHAM, AL 35242 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $277 | — | $277 | 1.81% |
| BOURKE, WILLIAM, PATRICK3 | 1266 WEST PACES FERRY RD #552 ATLANTA, GA 30327 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $266 | — | $266 | 1.74% |
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 | 20,459 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 328 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 20,787 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 11,543 | $5.4M |
| Vision(2 contracts) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 26,397 | $2.4M |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 19,309 | $15.5M |
| Short-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 19,309 | $12.7M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 19,309 | $12.7M |
| Other(17 contracts, 7 carriers) | HARTFORD LIFE AND ACCIDENT | 19,309 | $23.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 26,397 | — |
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.