| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | 160 FEDERAL ST 4TH FLOOR BOSTON, MA 02110 | SUN LIFE ASSURANCE COMPANY OF CANADA | $54K | $27K | $81K | 15.04% |
| RSC INSURANCE BROKERAGE INC3 | PO BOX 970069 BOSTON, MA 02297 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $35K | — | $35K | 18.01% |
| SELMAN & COMPANY, LLC3 Filed as: SELMAN & COMPANY LLC | 6110 PARKLAND BLVD CLEVELAND, OH 44124 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $12K | $12K | 6.00% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | 160 FEDERAL STREET BOSTON, MA 02110 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. | $9K | — | $9K | 4.95% |
| 9RSC INSURANCE BROKERAGE INC3 | PO BOX 970069 BOSTON, MA 02297 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $19K | — | $19K | 11.88% |
| SELMAN & COMPANY, LLC3 Filed as: SELMAN & COMPANY LLC | 6110 PARKLAND BLVD CLEVELAND, OH 44124 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $10K | $10K | 5.94% |
| RSC INSURANCE BROKERAGE INC3 | 7500 OLD GEORGETOWN RD STE 1225 BETHESDA, MD 20814 | KAISER FOUNDATION HEALTH PLAN, INC. | $8K | — | $8K | 4.93% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | PO BOX 970069 BOSTON, MA 02297 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $41K | — | $41K | 32.90% |
| SELMAN & COMPANY, LLC3 Filed as: SELMAN & COMPANY LLC | 6110 PARKLAND BLVD CLEVELAND, OH 44124 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $8K | $8K | 5.96% |
| RSC INSURANCE BROKERAGE INC3 | 7500 OLD GEORGETOWN RD STE 1225 BETHESDA, MD 20814 | KAISER FOUNDATION HEALTH PLAN, INC. | $4K | — | $4K | 4.98% |
| RESOURCE SEVEN3 Filed as: RESOURCE SEVEN INC | 500 LANIER AVENUE WEST STE 203 FAYETTEVILLE, GA 30214 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $6K | — | $6K | 7.51% |
| RESOUCE SEVEN INC3 | 500 LANIER AVENUE WEST STE 203 FAYETTEVILLE, GA 30201 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $4K | — | $4K | 7.35% |
| RESOURCE SEVEN3 Filed as: RESOURCE SEVEN INC | 500 LANIER AVENUE WEST STE 203 FAYETTEVILLE, GA 30214 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $4K | — | $4K | 9.40% |
| ELIZABETH H FINCHER4 | PO BOX 1382 ROSWELL, GA 300771382 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $7K | — | $7K | 27.91% |
| RSC INSURANCE BROKERAGE INC4 Filed as: RSC INS BROKERAGE INC DBA RISK STRA | 160 FEDERAL ST FL 4 BOSTON, MA 021101700 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $221 | — | $221 | 0.83% |
| THELMA JEAN CITTA4 | PO BOX 4353 CHERRY HILL, NJ 080340661 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $22 | — | $22 | 0.08% |
| ROGERS BENEFIT GROUP INC4 Filed as: M ROGERS GROUP LLC | PO BOX 853 GEORGETOWN, CO 80440 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $22 | — | $22 | 0.08% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | PO BOX 970069 BOSTON, MA 02297 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $577 | — | $577 | 12.08% |
| SELMANS & COMPANY LLC3 | 6110 PARKLAND BLVD CLEVELAND, OH 44124 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $288 | $288 | 6.03% |
| RSC INSURANCE BROKERAGE INC3 | PO BOX 970069 BOSTON, MA 02297 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $254 | — | $254 | 12.09% |
| SELMAN & COMPANY, LLC3 Filed as: SELMAN & COMPANY LLC | 6110 PARKLAND BLVD CLEVELAND, OH 44124 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $127 | $127 | 6.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ALLIED BENEFIT SYSTEMS, LLC EIN 36-3086057 TPA | Claims processing Service code 12 | — | $333K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 PPO | Claims processing Service code 12 | — | $150K |
| ASSOCIATION FOR CGT SOLUTIONS PPO ACCESS FEES | Claims processing Service code 12 | 450 ORANGE AVE 3RD FLOOR ORLANDO, FL 32801 | $35K |
| AMERICAN HEALTH HOLDING EIN 31-1368946 UTILIZATION REVIEW | Claims processing Service code 12 | — | $11K |
| MARQUEE HEALTH LLC EIN 46-5472798 WELLNESS | Claims processing Service code 12 | — | $11K |
| CURALINC EIN 33-1206383 EAP | Claims processing Service code 12 | — | $9K |
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 | 949 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 949 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. | 36 | $415K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,129 | $539K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,129 | $539K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 354 | $5K |
| Short-term disability(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 354 | $288K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 354 | $162K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | NATIONWIDE LIFE INSURANCE COMPANY | 949 | $552K |
| Other(8 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 889 | $679K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,129 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.