| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL STREET 2ND FL BOSTON, MA 02110 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8K | $151 | $8K | 11.34% |
| RJK & ASSOCIATES INC3 Filed as: RJK & ASSOCIATES | 777 DREWRY ST NE ATLANTA, GA 30306 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $630 | $7K | 9.28% |
| TARA MADDOX3 | 5183 OXBOW ROAD STONE MOUNTAIN, GA 30087 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $725 | $0 | $725 | 1.02% |
| CORDALA LARON MOORE3 | 4312 PINE HEIGHTS DR NE ATLANTA, GA 30324 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $513 | $0 | $513 | 0.72% |
| SANTE CONCEPTS INC3 | 94 BARTLETT WAY DALLAS, GA 30157 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $175 | $0 | $175 | 0.25% |
| B V STONE INC3 | 5470 TECHNOLOGY PKWY BRASELTON, GA 30517 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $150 | $0 | $150 | 0.21% |
| KLD INSURANCE BENEFITS INC3 Filed as: KLD INSURANCE BENEFITS | 9085 BETHEL ROAD GAINESVILLE, GA 30506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $64 | $0 | $64 | 0.09% |
| EOB CONSULTING LLC3 | 2500 NORTHWINDS PARKWAY ALPHARETTA, GA 30009 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | $0 | $7 | 0.01% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL STREET BOSTON, MA 02110 | AETNA LIFE INSURANCE COMPANY | $7K | $0 | $7K | 9.98% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL STREET 2ND FLOOR BOSTON, MA 02110 | TRUSTMARK INSURANCE COMPANY | $13K | $0 | $13K | 89.73% |
| RJK & ASSOCIATES INC3 Filed as: RJK & ASSOCIATES | 777 DREWRY STREET NE ATLANTA, GA 30306 | TRUSTMARK INSURANCE COMPANY | $1K | $0 | $1K | 9.97% |
| RJK & ASSOCIATES INC3 Filed as: RJK AND ASSOCIATES INC | — | AMERICAN UNITED LIFE INSURANCE COMPANY | $675 | $0 | $675 | 7.50% |
| RSC INSURANCE BROKERAGE INC3 | — | AMERICAN UNITED LIFE INSURANCE COMPANY | $675 | $0 | $675 | 7.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $55K |
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 | 205 | 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) | 205 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE COMPANY | 205 | $70K |
| Vision | AETNA LIFE INSURANCE COMPANY | 205 | $70K |
| Life insurance | TRUSTMARK INSURANCE COMPANY | 15 | $15K |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 88 | $661K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 123 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 205 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.