| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHNSON AND BRYAN INC3 | 1575 NORTHSIDE DRIVE BUILDING 100 STE 100 ATLANTA, GA 30318 | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | $42K | $5K | $47K | 4.89% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST INC | P O BOX 20138 ATLANTA, GA 30325 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | 9401 AMERGLEN BLVD BUILDING 1 SUITE 100 AUSTIN, TX 78729 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $171 | $171 | 0.82% |
| JOHNSON AND BRYAN INC3 Filed as: JOHNSON AND BRYAN | 1575 NORTHSIDE DRIVE NW SUITE 100 ATLANTA, GA 30318 | VISION SERVICE PLAN | $963 | — | $963 | 5.58% |
| USI INSURANCE SERVICES LLC3 | 1575 NORTHSIDE DRIVE NW SUITE 100 ATLANTA, GA 30318 | VISION SERVICE PLAN | $99 | — | $99 | 0.57% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST INC | P O BOX 20138 ATLANTA, GA 30325 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | 9401 AMBERGLEN BLVD BUILDING 1 SUITE 100 AUSTIN, TX 78729 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $146 | $146 | 0.88% |
| JOHNSON AND BRYAN INC3 | P O BOX 20138 ATLANTA, GA 30325 | UNION SECURITY INSURANCE COMPANY | $7K | — | $7K | 91.25% |
| USI INSURANCE SERVICES LLC3 | 1575 NORTHSIDE DRIE NW SUITE 100 BUILDING 100 ATLANTA, GA 30318 | UNION SECURITY INSURANCE COMPANY | $700 | — | $700 | 8.76% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST INC | P O BOX 20138 ATLANTA, GA 30325 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $836 | — | $836 | 15.00% |
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 | 141 | 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) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | 141 | $967K |
| Dental | UNION SECURITY INSURANCE COMPANY | 133 | $8K |
| Vision | VISION SERVICE PLAN | 101 | $17K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 45 | $6K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 53 | $21K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 53 | $17K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 45 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 141 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.