| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GROUP RESOURCES3 Filed as: GROUP RESOURCES INC | 3080 PREMIERE PARKWAY SUITE 100 DULUTH, GA 300978911 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $795 | — | $795 | 3.34% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN INSURANCE OF GA | 1165 NORTHCHASE PARKWAY SUITE 195 MARIETTA, GA 300676430 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $795 | — | $795 | 3.34% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: NORTHWESTERN BENEFIT CORP OF GA | 3438 PEACHTREE ROAD NE SUITE 1100 ATLANTA, GA 303261555 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $787 | — | $787 | 3.31% |
| GROUP RESOURCES3 Filed as: GROUP RESOURCES INC | 3080 PREMIER PARKWAY SUITE 100 DULUTH, GA 300978911 | UNITED OF OMAHA LIFE INSURANCE COMAPNY | $790 | — | $790 | 3.34% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN INSURANCE OF GA | 1165 NORTHCHASE PARKWAY SUITE 195 MARIETTA, GA 30067 | UNITED OF OMAHA LIFE INSURANCE COMAPNY | $790 | — | $790 | 3.34% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: NORTHWESTERN BENEFIT CORP OF GA | 3438 PEACHTREE ROAD NE SUITE 1100 ATLANTA, GA 303261555 | UNITED OF OMAHA LIFE INSURANCE COMAPNY | $787 | — | $787 | 3.32% |
| GROUP RESOURCES3 Filed as: GROUP RESOURCES INC | 3080 PREMIER PARKWAY SUITE 100 DULUTH, GA 300978911 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 6.73% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN INSURANCE OF GA | 1165 NORTHCHASE PARKWAY SUITE 195 MARIETTA, GA 30067 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 6.73% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: NORTHWESTERN BENEFIT CORP OF GA | 3438 PEACHTREE ROAD NE SUITE 1100 ATLANTA, GA 303261555 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 6.54% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH EIN 16-1264154 CLAIMS ADMIN | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Plan Administrator; Claims processing Service code 12 | — | $98K |
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 | 103 | 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) | 103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 103 | $45K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMAPNY | 103 | $24K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 103 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 103 | — |
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.