| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CZAJKOWSKI DUMPEL AND ASSOCIATES3 Filed as: CZAJKOWSKI DUMPEL & ASSOCIATES INC | 3091 HOLCOMB BRIDGE ROAD SUITE N1 NORCROSS, GA 30071 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $0 | $4K | 5.19% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS & WILLIAMS INC | ONE PREMIER PLAZA SUITE 300 5605 GLENRIDGE DRIVE ATLANTA, GA 30342 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $0 | $4K | 5.19% |
| STRONGSIDE SOLUTIONS LLC3 | 12850 HWY 9 N SUITE 600 ALPHARETTA, GA 30004 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $781 | $0 | $781 | 0.97% |
| C ZAJKOWSKI DUMPEL AND ASSOC INC3 | 4329 WHITECAP LANE PEACHTREE CORNERS, GA 30092 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 3.71% |
| 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 | $0 | $2K | 3.71% |
| STRONGSIDE SOLUTIONS LLC3 | 12850 HWY 9 SUITE 600-111 ALPHARETTA, GA 30004 | SUN LIFE ASSURANCE COMPANY OF CANADA | $50 | $0 | $50 | 0.08% |
| GA HEALTH AGENTS AGENCY3 | 3325 PADDOCKS PKWY SUITE 170 SUWANEE, GA 30024 | HUMANA INSURANCE COMPANY | $2K | $420 | $2K | 5.21% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 2211 7TH AVE S BIRMINGHAM, AL 35233 | HUMANA INSURANCE COMPANY | $2K | $0 | $2K | 4.18% |
| WTS CONSULTING INC.3 Filed as: WTS CONSULTING | 5340 AVONSHIRE LANE CUMMING, GA 30040 | HUMANA INSURANCE COMPANY | $683 | $0 | $683 | 1.67% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS | PO BOX 896620 CHARLOTTE, NC 28289 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $327 | $3K | 7.30% |
| CZAJKOWSKI DUMPEL AND ASSOCIATES3 | 4392 WHITECAP LANE NORCROSS, GA 30092 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 6.47% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GA HEALTH AGENTS AGENCY BROKER | Insurance agents and brokers Service code 22 | 3325 PADDOCKS PKWY SUWANEE, GA 30024 | $20K |
| MCGRIFF, SIEBELS & WILLIAMS OF GA BROKER | Insurance agents and brokers Service code 22 | 3400 OVERTON PARK ATLANTA, GA 30339 | $20K |
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 | 396 | 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) | 396 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA HEALTH, INC. | 192 | $911K |
| Dental | HUMANA INSURANCE COMPANY | 227 | $41K |
| Vision | HUMANA INSURANCE COMPANY | 227 | $41K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 508 | $39K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 369 | $61K |
| Other(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 508 | $119K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 508 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.