| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REGIONS INSURANCE INC3 Filed as: REGIONS INSURANCE INC. | PO BOX 81308 ATHENS, GA 30608 | SUN LIFE ASSURANCE COMPANY OF CANADA | $29K | — | $29K | 13.98% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INSURANCE, INC. | 1900 5TH AVE. N. 19TH FLOOR BIRMINGHMA, AL 35203 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $20K | $4K | $24K | 30.18% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INSURANCE INC. | 6000 POPLAR STE 300 MEMPHIS, TN 38119 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | $2K | $83 | $2K | 11.24% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 PHARMACY BENEFIT MNGMT | Float revenue; Other fees; Direct payment from the plan; Claims processing Service code 12 | 2300 MAIN STREET IRVINE, CA 92614 | $303K |
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $190K |
| REGIONS INSURANCE INC EIN 58-2510431 BROKER | Other commissions Service code 55 | PO BOX 80568 ATHENS, GA 30608 | $46K |
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 | 296 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 298 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 304 | $80K |
| Vision | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | 286 | $20K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 304 | $80K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 306 | $207K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 306 | $207K |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 304 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 306 | — |
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.