| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGRIFF, A MARSH & MCLENNAN AGENCY | 550 S CALDWELL ST CHARLOTTE, NC 28202 | AETNA LIFE INSURANCE CO. | $6K | — | $6K | 0.43% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | AETNA LIFE INSURANCE CO. | $3K | $315 | $4K | 0.24% |
| MATT A KEISLER3 | PO BOX 1596 WINDER, GA 30680 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 0.22% |
| THE BENEFIT COMPANY INC3 | PO BOX 23127 COLUMBIA, SC 29224 | STANDARD INSURANCE COMPANY | $2K | $3K | $6K | 9.91% |
| MCGRIFF INSURANCE SERVICES INC3 | 2520 NORTHWINDS PKWY STE 600 ALPHARETTA, GA 30009 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 9.56% |
| MATT KEISLER3 | 73 FIRST ST STE C HOSCHTON, GA 30548 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 2.80% |
| MARSH & MCLENNAN AGENCY LLC3 | 711 BROADWAY STE 505 SAN ANTONIO, TX 78215 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 1.83% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | STANDARD INSURANCE COMPANY | $953 | — | $953 | 1.67% |
| MCGRIFF INSURANCE SERVICES INC3 | 7701 AIRPORT CENTER DR STE 1800 GREENSBORO, NC 27409 | STANDARD INSURANCE COMPANY | $303 | — | $303 | 0.53% |
| VARIOUS - SEE ATTACHED3 | C/O AFLAC 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $7K | — | $7K | 16.89% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 10.09% |
| A TEAM BENEFITS OF GA3 | A TEAM BENEFITS OF GA, LLC HOSCHTON, GA 30548 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 3.36% |
| WGB-RABY LP3 Filed as: WGB-RABY, L.P. DBA CHAMPION RISK IN | WGB-RABY, L.P. SAN DIEGO, CA 92130 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $364 | — | $364 | 1.09% |
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 | 224 | 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) | 224 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 314 | $1.5M |
| Dental | AETNA LIFE INSURANCE CO. | 314 | $1.5M |
| Vision | AETNA LIFE INSURANCE CO. | 314 | $1.5M |
| Life insurance | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 224 | $33K |
| Short-term disability | AFLAC | 38 | $42K |
| Other(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 224 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 314 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.