| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES LLC | 7701 AIRPORT CENTER DRIVE SUITE 1800 GREENSBORO, NC 27409 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | $3K | — | $3K | 0.30% |
| MARSH & MCLENNAN AGENCY LLC3 | 161 WASHINGTON STREET SUITE 1200 CONSHOHOCKEN, PA 19428 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | $2K | — | $2K | 0.21% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGRIFF, A MARSH & MCLENNAN AGENCY | 7701 AIRPORT CENTER DRIVE SUITE 1800, ATTN ACCOUNTING GREENSBORO, NC 27409 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $22K | $4K | $26K | 15.28% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGRIFF A MARSH & MCLENNAN | 7701 AIRPORT CENTER DRIVE SUITE 1800, ATTN ACCOUNTING GREENSBORO, NC 27409 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $15K | $2K | $17K | 15.14% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGRIFF A MARSH AND MCLENNAN AGENCY | 550 SOUTH CALDWELL STREET CHARLOTTE, NC 28202 | AETNA LIFE INSURANCE COMPANY | $1K | — | $1K | 3.88% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | PO BOX 896620 CHARLOTTE, NC 28289 | AETNA LIFE INSURANCE COMPANY | $884 | $90 | $974 | 3.07% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 7701 AIRPORT CENTER DRIVE SUITE 1800 GREENSBORO, NC 27409 | UNUM INSURANCE COMPANY | $4K | $702 | $4K | 19.20% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGRIFF A MARSH & MCLENNAN | 7701 AIRPORT CENTER DRIVE SUITE 1800, ATTN ACCOUNTING GREENSBORO, NC 27409 | UNUM INSURANCE COMPANY | $3K | $554 | $3K | 19.40% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 7701 AIRPORT CENTER DRIVE SUITE 1800 GREENSBORO, NC 27409 | UNUM INSURANCE COMPANY | $3K | $526 | $3K | 19.48% |
| MARY THERESA FISHER4 | 898 UNION CHURCH ROAD TOWNSEND, DE 19734 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $2K | — | $2K | 11.69% |
| PATRICIA HUNT4 | 528 LONGHORN CRES ROCKVILLE, MD 20850 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $110 | — | $110 | 0.78% |
| MCGRIFF INSURANCE SERVICES INC4 Filed as: MCGRIFF INSURANCE SERVICES | PO BOX 896620 CHARLOTTE, NC 28289 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $71 | — | $71 | 0.50% |
| BARKING UP THE RIGHT TREE INC.4 Filed as: BARKING UP THE RIGHT TREE | 6888 VICAR ROAD ATLANTA, GA 30360 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $28 | — | $28 | 0.20% |
| CORY WALKER4 | 4606 N LOCUST ST NORTH LITTLE ROCK, AR 72116 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $26 | — | $26 | 0.18% |
| TODAYS THE DAY LLC4 Filed as: TODAYS THE DAY LLC DBA NATALIE GUTI | 7312 SEAWALL BLVD APT 209 GALVESTON, TX 77551 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $20 | — | $20 | 0.14% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD HEALTH PL GA EIN 58-1638390 ADMIN SERVICES | Contract Administrator; Float revenue; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $470K |
| MCGRIFF INSURANCE SERVICES LLC | Insurance agents and brokers; Other commissions; Non-monetary compensation; Insurance brokerage commissions and fees Service code 22 | — | $97K |
| MARSH & MCLENNAN AGENCY LLC EIN 26-3237576 BROKER | Insurance services; Other commissions; Insurance agents and brokers; Insurance brokerage commissions and fees; Non-monetary compensation Service code 22 | — | $72K |
| CENTERSTONE INSURANCE & FIN SERVICE | Insurance agents and brokers; Other commissions; Non-monetary compensation Service code 22 | — | $37K |
| CARELON RX INC EIN 82-3062245 PRESCRIP DRUG REBATES | Other fees Service code 99 | — | $0 |
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 | 341 | 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) | 341 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | 533 | $1.1M |
| Dental | AETNA LIFE INSURANCE COMPANY | 1,354 | $32K |
| Vision | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | 533 | $1.1M |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 341 | $114K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 211 | $167K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 211 | $167K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | 533 | $1.1M |
| Other(5 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 341 | $185K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,354 | — |
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.