| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 62819 VIRGINIA BEACH, VA 23466 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $33K | $0 | $33K | 2.92% |
| USI INSURANCE SERVICES LLC3 | 1 CONCOURSE PARKWAY NE SUITE 700 ATLANTA, GA 30328 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $16K | $0 | $16K | 1.44% |
| PEARLEAN WASHINGTON3 | 2518 DULUTH HIGHWAY 120 SUITE 202 DULUTH, GA 30097 | AFLAC | $5K | $0 | $5K | 4.63% |
| GEORGE LEE WASHINGTON3 | 2518 DULUTH HIGHWAY 120 SUITE 202 DULUTH, GA 30097 | AFLAC | $4K | $237 | $4K | 3.92% |
| MJ INSURANCE3 Filed as: JACKSON BOYUM AND VARIOUS AGENTS | 2040 SKYLER LEIGH DRIVE BUFORD, GA 30518 | AFLAC | $1K | $38 | $1K | 1.30% |
| JAMES DAVIS3 Filed as: JAMES E. DAVIS | 5300 OAKBROOK PARKWAY, SUITE 350 NORCORSS, GA 30093 | AFLAC | $1K | $0 | $1K | 1.10% |
| CORETHA F PARRIS3 Filed as: CORETHA F. PARRIS | 5005 LAWRENCEVILLE HIGHWAY NE SUITE B LILBURN, GA 30047 | AFLAC | $577 | $10 | $587 | 0.60% |
| MAGWOOD WARE & ASSOCIATES3 Filed as: MAGWOOD WARE AND ASSOCIATES | 333 MCCOOK CIRCLE NW KENNESAW, GA 30144 | AFLAC | $567 | $17 | $584 | 0.59% |
| MARIAN HORNE3 | 2008 SUMMERWALK PARKWAY TUCKER, GA 30084 | AFLAC | $363 | $0 | $363 | 0.37% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | $0 | $4K | 10.00% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62937 VIRGINIA BEACH, VA 23466 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $1K | $1K | 3.56% |
| USI INSURANCE SERVICES LLC3 | 1 CONCOURSE PARKWAY NE SUITE 700 ATLANTA, GA 30328 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | $2K | $6K | 18.89% |
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 | 55 | 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) | 55 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 224 | $1.1M |
| Dental | AFLAC | 68 | $98K |
| Vision | AFLAC | 68 | $98K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 68 | $133K |
| Short-term disability | AFLAC | 68 | $98K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 67 | $30K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 224 | $1.1M |
| Other(2 contracts, 2 carriers) | AFLAC | 68 | $133K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 224 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.