Filings through .
History & trajectory Charts need 2 or more years. This plan has 6 years on file; Pro shows them all.
See pricingThe primary carrier changed from the prior filing. The plan is willing to move. Re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. This is either a small-plan minimum fee or an inefficient broker structure open to a counter-bid.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
Schedule A insurance contracts: who carries the risk, for which benefits, and how many people they cover.
| Carrier | Coverage | Premium, renewal |
|---|---|---|
Broker: Oakbridge Insurance Agency LLC DentalVisionStop-loss | DentalVisionStop-loss | Available on Pro |
Broker: Oakbridge Insurance Agency LLC LifeLTDOther | LifeLTDOther | Available on Pro |
See premium, retention and renewal dates for 2 contracts with Pro. Pro shows premium, covered lives, retention, contract numbers and the renewal date for each contract. Free for 7 days, then $49 a month.
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 | 117 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 198 | $684K |
| Vision | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 198 | $684K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 121 | $105K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 121 | $105K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 198 | $684K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 121 | $105K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 198 | - |
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."
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions, fees |
|---|---|
Carrier: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Available on Pro |
Carrier: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Available on Pro |
Carrier: United of Omaha Life Insurance Company | Available on Pro |
Carrier: United of Omaha Life Insurance Company | Available on Pro |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD HEALTHCARE EIN 58-1638390 ADMINISTRATOR | Contract Administrator; Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $113K |
| CARELONRX, INC. EIN 82-3062245 ADMINISTRATOR | Claims processing; Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $0 |
How the health and benefits plan is funded and what that means for risk.
2 contacts
6 filings · 2019 to 2026