| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MULTIPLE BENEFITS CORPORATION3 | P.O. BOX 1205 LAWRENCEVILLE, GA 30046 | UNUM LIFE INSURANCE COMPANY | $5K | $0 | $5K | 2.68% |
| BENEFITS ADVISORY GROUP3 | 3715 NORTHSIDE PKWY BLDG 200 SUITE 400 ATLANTA, GA 30327 | UNUM LIFE INSURANCE COMPANY | $5K | $0 | $5K | 2.68% |
| MULTIPLE BENEFITS CORPORATION3 | P.O. BOX 1205 LAWRENCEVILLE, GA 30046 | BLUE CROSS BLUE SHIELD OF GEORGIA | $2K | $0 | $2K | 1.18% |
| BENEFITS ADVISORY GROUP3 | — | BLUE CROSS BLUE SHIELD OF GEORGIA | $2K | $0 | $2K | 1.18% |
| MULTIPLE BENEFITS CORPORATION3 | P.O. BOX 1205 LAWRENCEVILLE, GA 30046 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 2.49% |
| BENEFITS ADVISORY GROUP3 | 3715 NORTHSIDE PKWY BLDG 200 SUITE 400 ATLANTA, GA 30327 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 2.49% |
| MULTIPLE BENEFITS CORPORATION3 | P.O. BOX 1205 LAWRENCEVILLE, GA 30046 | BLUE CROSS BLUE SHIELD OF GEORGIA, INC | $1K | $0 | $1K | 5.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 300 WEST 10TH STREET WEST POINT, GA 31833 | BLUE CROSS BLUE SHIELD OF GEORGIA, INC | $1K | $0 | $1K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD HEALTHCARE EIN 58-1638390 CARRIER | Claims processing; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other fees; Contract Administrator Service code 12 | — | $356K |
| MEDCOM SERVICES FSA ADMIN | Contract Administrator; Claims processing Service code 12 | 1061 RIVERSIDE AVENUE JACKSONVILLE, FL 32204 | $4K |
| BENEFIT ADVISORY GROUP AGENT | Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 1600 PARKWOOD CIRCLE ATLANTA, GA 30329 | $0 |
| MARSH & MCLELLAN AGENT | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | $0 |
| MULTIPLE BENEFITS CORP EIN 20-3581707 BROKER | Insurance brokerage commissions and fees; Insurance agents and brokers; Other commissions Service code 22 | 30 LUMPKIN STREET LAWRENCEVILLE, GA 30045 | $0 |
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 | 378 | 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) | 378 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUE CROSS BLUE SHIELD OF GEORGIA | 230 | $194K |
| Vision | BLUE CROSS BLUE SHIELD OF GEORGIA, INC | 233 | $22K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY | 377 | $253K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY | 377 | $196K |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY | 377 | $253K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 377 | — |
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."
No prospect flags tripped on this filing.