| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 | 5605 GLENRIDGE DR NE SUITE 300 ATLANTA, GA 30342 | DELTA DENTAL INSURANCE COMPANY | $69K | — | $69K | 2.86% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS & WILLIAMS OF GA | 5605 GLENRIDGE DR NE SUITE 300 ATLANTA, GA 30342 | DELTA DENTAL INSURANCE COMPANY | $51K | — | $51K | 2.13% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BCBS HEALTHCARE PLAN OF GA, INC NONE | Other services; Claims processing; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 3350 PEACHTREE ROAD NE ATLANTA, GA 30326 | $2.7M |
| NAVITUS HEALTH SOLUTIONS NONE | Claims processing; Contract Administrator; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 1025 W NAVITUS DR APPLETON, WI 54913 | $248K |
| IBM CORPORATION NONE | Other services Service code 49 | 1 NEW ORCHARD ROAD ARMONK, NY 105041722 | $88K |
| TALX CORPORATION NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | AKA EQUIFAX WORKFORCE SOLUTIONS 11432 LACKLAND ROAD SAINT LOUIS, MO 63577 | $80K |
| MAULDIN & JENKINS NONE | Accounting (including auditing) Service code 10 | 200 GALLERIA PARKWAY SE, STE 1700 ATLANTA, GA 303395946 | $37K |
| WEX HEALTH, INC. NONE | Other services Service code 49 | 4321 20TH AVENUE S FARGO, ND 58103 | $22K |
| INGENIO RX, INC NONE | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services Service code 12 | 450 HEADQUARTERS PLAZA 7TH FLOOR EAST TOWER MORRISTOWN, NJ 07960 | $4K |
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 | 9,150 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 9,150 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL INSURANCE COMPANY | 8,934 | $2.4M |
| Vision | VISION SERVICE PLAN | 5,173 | $461K |
| Life insurance | SUN LIFE ASSURANCE CO OF CANADA | 5,410 | $3.0M |
| Short-term disability | SUN LIFE ASSURANCE CO OF CANADA | 5,410 | $3.0M |
| Long-term disability | SUN LIFE ASSURANCE CO OF CANADA | 5,410 | $3.0M |
| Prescription drug | NAVITUS HEALTH SOLUTIONS | 4,019 | $0 |
| Stop-loss / reinsurancereinsurance | BCBS HEALTHCARE PLAN OF GA, INC. | 4,366 | $171K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,934 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.