No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DEBRA BAILEY EIN 58-1164035 EMPLOYEE | Employee (plan) Service code 30 | P.O. BOX 641 MABLETON, GA 30126 | $94K |
| SABRINA WALKER EIN 58-1164035 EMPLOYEE | Employee (plan) Service code 30 | P.O. BOX 641 MABLETON, GA 30126 | $62K |
| INDIA BREWSTER EIN 58-1164035 EMPLOYEE | Employee (plan) Service code 30 | P.O. BOX 641 MABLETON, GA 30126 | $61K |
| JENKINS & ASSOCIATES EIN 58-1596154 CONSULTANT | Consulting (general) Service code 16 | 1299 BATTLE CREEK ROAD JONESBORO, GA 30236 | $15K |
| GREG HAMILTON CPA LLC EIN 81-0952071 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | 11342 77TH STREET EAST PARRISH, FL 34219 | $15K |
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 | 295 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 295 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | BOSTON MUTUAL LIFE | 0 | $65K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.