| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SFS FINANCIAL INC3 | 935 HWY 124 SUITE 207 BRASELTON, GA 30517 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $12K | $0 | $12K | 10.81% |
| SFS FINANCIAL INC3 | 935 HIGHLAND 124 SUITE 207 BRASELTON, GA 30517 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | $0 | $11K | 15.00% |
| SFS FINANCIAL INC3 | 935 HWY 134 SUITE 207 BRASELTON, GA 30517 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | $0 | $10K | 15.00% |
| SFS FINANCIAL INC3 | 935 HWY 124 SUITE 207 BRASELTON, GA 30517 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | $0 | $8K | 15.00% |
| SFS FINANCIAL INC3 Filed as: SFS FINANCIAL INC DBA BENEFIT RESOU | 935 HIGHLAND 124 SUITE 207 BRASELTON, GA 30517 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $0 | $1K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LUMINARE HEALTH BENEFITS, INC. EIN 35-1846036 NONE | Claims processing; Plan Administrator; Other services Service code 12 | — | $112K |
| SFS FINANCIAL INC DBA BENEFIT RESOU EIN 58-2587980 NONE | Insurance agents and brokers; Consulting (general) Service code 16 | — | $68K |
| AETNA PPO EIN 06-6033492 NONE | Claims processing; Other services Service code 12 | — | $23K |
| ACS- A XEROX COMPANY EIN 36-4129784 NONE | Other services; Claims processing Service code 12 | — | $7K |
| MULTIPLAN, INC EIN 13-3068979 NONE | Claims processing; Other services; Plan Administrator Service code 12 | — | $6K |
| ADMIN AMERICA, INC FSA/HRA ADMIN | Claims processing Service code 12 | 1720 WINDWARD CONCOURSE SUITE 290 ALPHARETTA, GA 30009 | $2K |
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 | 152 | 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) | 152 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 138 | $109K |
| Vision | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 138 | $109K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 152 | $69K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 128 | $73K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 120 | $50K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 102 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 152 | — |
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.