| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JRP AGENCY LLC3 Filed as: JRP AGENCY, LLC | 6287 COOPER RD, NE VALDOSTA, GA 31605 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $625 | $6K | 6.82% |
| PARKERZ INSURANCE LLC3 | 4676 SAN SABA DR. HAHIRA, GA 31632 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 6.44% |
| GERALD L URSREY3 | 180 LIBRARY RD. STE 102 PONTE VEDRA BEACH, FL 32082 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 5.71% |
| TJ OBRIEN AND ASSOCIATES, INC.3 | 1899 POWERS FERRY RD. SE STE 232 ATLANTA, GA 30339 | STANDARD INSURANCE COMPANY | $736 | — | $736 | 1.36% |
| BRETT O'BRIEN3 | 3382 RIVENDELL CT. ROSWELL, GA 30075 | STANDARD INSURANCE COMPANY | $343 | — | $343 | 0.64% |
| PARTNERS BENEFIT GROUP LLC3 | 1476 CARPENTER RD., S TIFTON, GA 31793 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| PARTNERS BENEFIT GROUP LLC3 | 1476 CARPENTER RD TIFTON, GA 31793 | SUN LIFE ASSURANCE COMPANY OF CANADA | $572 | — | $572 | 10.07% |
| PARTNERS BENEFIT GROUP LLC3 | 2040 CLAYBURN DR. CUMMING, GA 30040 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $67 | $67 | 1.18% |
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 | 163 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 163 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EDISON HEALTH SOLUTIONS, LLC | 64 | $387K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 111 | $38K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 68 | $6K |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 163 | $137K |
| Other(3 contracts, 3 carriers) | EDISON HEALTH SOLUTIONS, LLC | 68 | $476K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 163 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.