| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RELATION INSURANCE INC3 | 5825 MEDLOCK BRIDGE PARKWAY ALPHARETTA, GA 30022 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | $22K | — | $22K | 3.76% |
| RELATION INSURANCE INC3 Filed as: RELATION INSURANCE | 5825 MEDLOCK BRIDGE PARKWAY SUITE 200 JOHNS CREEK, GA 30022 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $16K | — | $16K | 3.63% |
| RELATION INSURANCE INC3 | 5825 MEDLOCK BRIDGE PARKWAY SUITE 200 JOHNS CREEK, GA 30022 | UNITEDHEALTHCARE INSURANCE COMPANY | $13K | — | $13K | 3.04% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC (MA) | 470 ATLANTIC AVENUE FLOOR 13 BOSTON, MA 02210 | UNITEDHEALTHCARE INSURANCE COMPANY | -$24 | — | -$24 | -0.01% |
| RELATION INSURANCE INC3 | 5825 MEDLOCK BRIDGE PKWY SUITE 200 JOHNS CREEK, GA 30022 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $55 | $12K | 9.44% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 470 ATLANTIC AVE FLOOR 13 BOSTON, MA 02210 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 0.79% |
| THE HORTON GROUP3 Filed as: HORTON GROUP | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | METROPOLITAN LIFE INSURANCE COMPANY | $530 | $363 | $893 | 0.68% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | P O BOX 3009 ARLINGTON HEIGHTS, IL 60006 | METROPOLITAN LIFE INSURANCE COMPANY | — | $109 | $109 | 0.08% |
| RELATION INSURANCE INC3 Filed as: RELATION INSURANCE | 5825 MEDLOCK BRIDGE PARKWAY SUITE 200 JOHNS CREEK, GA 30022 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $5K | — | $5K | 9.96% |
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 | 133 | 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) | 133 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | 133 | $1.5M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | 133 | $726K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 0 | $131K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 0 | $131K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 0 | $131K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 0 | $131K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 106 | $442K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 0 | $131K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 133 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.