| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS GA | P O BOX 11407 BIRMINGHAM, AL 35246 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | $2K | — | $2K | 0.39% |
| MCGRIFF INSURANCE SERVICES INC3 | P O BOX 10265 BIRMINGHAM, AL 35202 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | $2K | $293 | $2K | 0.30% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 3400 OVERTON PARK DRIVE SE ATLANTA, GA 30339 | AETNA LIFE INSURANCE COMPANY | $13K | — | $13K | 5.77% |
| MCGRIFF INSURANCE SERVICES INC3 | EB COMMISSION P O BOX 896620 CHARLOTTE, NC 28289 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $17K | $2K | $18K | 12.13% |
| MCGRIFF INSURANCE SERVICES INC3 | EB COMMISSION P O BOX 896620 CHARLOTTE, NC 28289 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | $1K | $12K | 12.16% |
| MARY THERESA FISHER4 | 29C OWENS LANDING CT PERRYVILLE, MD 21903 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $4K | — | $4K | 25.74% |
| PATRICIA HUNT4 | 528 LONGHORN CREST ROCKVILLE, MD 20850 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $837 | — | $837 | 5.58% |
| MCGRIFF INSURANCE SERVICES INC4 | P O BOX 896620 CHARLOTTE, NC 28289 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $382 | — | $382 | 2.55% |
| CORY WALKER3 | P O BOX 524 COLLEGE STATION, AR 72053 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $28 | — | $28 | 0.19% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD HEALTH PL GA EIN 58-1638390 NETWORK PHARM MARGIN | Claims processing; Contract Administrator; Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees Service code 12 | — | $683K |
| MCGRIFF SEIBELS AND WILLIAMS OF GA | Insurance brokerage commissions and fees; Insurance agents and brokers; Other commissions Service code 22 | — | $70K |
| MCGRIFF INSURANCE SERVICES INC | Insurance brokerage commissions and fees; Other commissions; Insurance agents and brokers Service code 22 | — | $47K |
| INGENIORX EIN 82-3062245 NETWORK PHARM MGN | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Investment management fees paid indirectly by plan; Claims processing; Contract Administrator Service code 12 | — | -$57K |
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 | 295 | 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) | 295 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE COMPANY | 598 | $223K |
| Vision | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | 551 | $605K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 295 | $95K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 216 | $151K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 216 | $151K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | 551 | $605K |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 295 | $110K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 598 | — |
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."
No prospect flags tripped on this filing.