| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | 3100 ROYAL BLVD S ALPHARETTA, GA 30022 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $8K | — | $8K | 9.87% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | 1020 DRAYTON STREET SUITE 200 SAVANNAH, GA 31401 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | — | $7K | 13.72% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | 1020 DRAYTON SUITE 200 SAVANNAH, GA 31401 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 13.85% |
| MCGRIFF INSURANCE SERVICES INC3 | 1020 DRAYTON SUITE 200 SAVANNAH, GA 31401 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 13.82% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | 1020 DRAYTON SUITE 200 SAVANNAH, GA 31401 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $882 | — | $882 | 13.79% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | 1020 DRAYTON STREET SUITE 200 SAVANNAH, GA 31401 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $584 | — | $584 | 13.74% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | 1020 DRAYTON STREET STE 200 SAVANNAH, GA 31401 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $432 | — | $432 | 13.62% |
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 | 176 | 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) | 176 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 120 | $80K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 120 | $80K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 251 | $19K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 230 | $52K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 28 | $11K |
| Other(3 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 227 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 251 | — |
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.