| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| C ZAJKOWSKI DUMPEL AND ASSOC INC3 | 4329 WHITECAP LANE PEACHTREE CORNERS, GA 30092 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $862 | $3K | 5.07% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS OF GA | 3400 OVERTON PARK DR SE SUITE 300 ATLANTA, GA 30339 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 3.69% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS | 3400 OVERTON PARK DRIVE SE SUITE 300 ATLANTA, GA 30339 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $34 | $3K | 5.73% |
| CZAJKOWSKI DUMPEL AND ASSOCIATES3 | 4392 WHITECAP LANE NORCROSS, GA 30092 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 5.68% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURACE SERVICES INC | 414 GALLIMORE DAIRY ROAD SUITE F GREENSBORO, NC 27409 | METROPOLITAN LIFE INSURANCE COMPANY | — | $483 | $483 | 0.80% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 2211 7TH AVE S BIRMINGHAM, AL 35233 | METROPOLITAN LIFE INSURANCE COMPANY | — | $213 | $213 | 0.35% |
| MCGRIFF INSURANCE SERVICES INC3 | 3605 GLENWOOD AVE SUITE 201 RALEIGH, NC 27612 | METROPOLITAN LIFE INSURANCE COMPANY | — | $10 | $10 | 0.02% |
| GA HEALTH AGENTS AGENCY3 | 3325 PADDOCKS PKWY SUITE 170 SUWANEE, GA 30024 | HUMANA INSURANCE COMPANY | $1K | $411 | $2K | 4.42% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 2211 7TH AVE S BIRMINGHAM, AL 35233 | HUMANA INSURANCE COMPANY | $1K | — | $1K | 3.42% |
| CZAJKOWSKI DUMPEL AND ASSOCIATES IN3 | 3091 HOLCOMB BRIDGE ROAD SUITE N-1 NORCROSS, GA 30071 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | — | $6K | 60.25% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 3400 OVERTON PARK DRIVE SUITE 300 ATLANTA, GA 30339 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | — | $6K | 60.25% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS | 2211 7TH AVE S BIRMINGHAM, AL 35233 | HUMANA EMPLOYERS HEALTH PLAN OF GA INC | $2K | — | $2K | 125.11% |
| GA HEALTH AGENTS AGENCY3 | 3325 PADDOCKS PKWY SUITE 170 SUWANEE, GA 30024 | HUMANA EMPLOYERS HEALTH PLAN OF GA INC | $2K | — | $2K | 125.11% |
| CZAJKOWSKI DUMPEL AND ASSOCIATES3 Filed as: CZAJKOWSKI DUMPEL AND ASSOC INC | 4329 WHITECAP LANE PEACHTREE CORNERS, GA 30092 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $38 | $38 | — |
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 | 197 | 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) | 197 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA EMPLOYERS HEALTH PLAN OF GA INC | 0 | $2K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 497 | $101K |
| Vision | HUMANA INSURANCE COMPANY | 245 | $41K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 497 | $60K |
| Long-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 497 | $123K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 497 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 497 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.