| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MATTHEW OLIN GOODWIN3 | 5445 TRIANGLE PKWY STE 325 PEACHTREE COR, GA 30092 | NORTHWESTERN MUTUAL | $2K | $61K | $63K | 45.34% |
| MICHAEL ATZ3 Filed as: MICHAEL ANTHONY FINELLO | 2859 PACES FERRY RD SE STE 1200 ATLANTA, GA 30339 | NORTHWESTERN MUTUAL | $4K | $910 | $5K | 3.25% |
| DWAAN C BLACK3 | 2859 PACES FERRY RD SE STE 1200 ATLANTA, GA 30339 | NORTHWESTERN MUTUAL | $1K | $303 | $2K | 1.08% |
| MICHAEL B HENDLEY3 | 2859 PACES FERRY RD STE STE 1200 ATLANTA, GA 30326 | NORTHWESTERN MUTUAL | — | $607 | $607 | 0.44% |
| CALLAWAY BLACK GRP INC3 | 2859 PACES FERRY RD SE STE 1200 ATLANTA, GA 30339 | NORTHWESTERN MUTUAL | — | $173 | $173 | 0.12% |
| GOODWIN WRIGHT INC3 | PHIPPS TOWER STE 1200 3438 PEACHTREE RD NE ATLANTA, GA 30326 | NORTHWESTERN MUTUAL | — | $58 | $58 | 0.04% |
| MICHAEL ATZ3 Filed as: MICHAEL ANTHONY FINELLO | 2859 PACES FERRY RD SE STE 1200 ATLANTA, GA 30339 | NORTHWESTERN MUTUAL | $2K | $437 | $2K | 2.31% |
| MATTHEW OLIN GOODWIN3 | 5445 TRIANGLE PKWY STE 325 PEACHTREE COR, GA 30092 | NORTHWESTERN MUTUAL | $1K | $295 | $1K | 1.56% |
| CALLAWAY BLACK GRP INC3 | 2859 PACES FERRY RD SE STE 1200 ATLANTA, GA 30339 | NORTHWESTERN MUTUAL | $703 | $84 | $787 | 0.84% |
| DWAAN C BLACK3 | 2859 PACES FERRY RD SE STE 1200 ATLANTA, GA 30339 | NORTHWESTERN MUTUAL | $608 | $153 | $761 | 0.81% |
| MICHAEL B HENDLEY3 | 2859 PACES FERRY RD SE STE 1200 ATLANTA, GA 30339 | NORTHWESTERN MUTUAL | — | $295 | $295 | 0.31% |
| GOODWIN WRIGHT INC3 | PHIPPS TOWER STE 1200 3438 PEACHTREE RD NE ATLANTA, GA 30326 | NORTHWESTERN MUTUAL | $234 | $28 | $262 | 0.28% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BLVD STE 200 DULUTH, GA 30096 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 11.40% |
| GROUP RISK SPECIALISTS INC3 Filed as: GROUP RISK SPECIALIST | 3340 PEACHTREE ROAD SUITE 1525 ATLANTA, GA 30326 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $17 | $3K | 4.32% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS RD STE 800 CONCORD, CA 945207924 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 1.64% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BLVD SUITE 200 DULUTH, GA 30096 | GUARDIAN LIFE INSURANCE COMPANY | $18K | $2K | $20K | 52.07% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS RD #800 CONCORD, CA 94520 | EYEMED VISION CARE | $4K | — | $4K | 11.65% |
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 | 279 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 284 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN LIFE INSURANCE COMPANY | 297 | $39K |
| Vision | EYEMED VISION CARE | 491 | $37K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 494 | $69K |
| Short-term disability | NORTHWESTERN MUTUAL | 334 | $94K |
| Long-term disability | NORTHWESTERN MUTUAL | 332 | $139K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 494 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 494 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.