| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AI GROUP3 Filed as: THE AI GROUP, INC. | 12725 MORRIS RD, BLDG 100 STE 200 ALPHARETTA, GA 30004 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | $52K | — | $52K | 5.42% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INSURANCE INC. | 6000 POPLAR AVE. STE. 300 MEMPHIS, TN 38119 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $15K | — | $15K | 15.02% |
| AI GROUP3 Filed as: THE AI GROUP INC. | 1150 JULIAN DR. STE. 100 WATKINSVILLE, GA 30677 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 1.17% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INS. INC. | 1500 RIVERFRONT DR., STE. 200 LITTLE ROCK, AR 72202 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $784 | $4K | 5.75% |
| AI GROUP3 Filed as: THE AI GROUP, INC. | PO BOX 80568 ATHENS, GA 30608 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 4.35% |
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 | 258 | 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) | 258 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | 231 | $954K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 258 | $74K |
| Vision | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | 231 | $954K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 177 | $102K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 177 | $102K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 177 | $102K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 177 | $102K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 258 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.