| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ELF VENTURES, LLC3 Filed as: ELF VENTURES LLC DBA INTREPID | 400 INTERSTATE NORTH PARKWAY ATLANTA, GA 30339 | AETNA | $32K | — | $32K | 3.26% |
| ELF VENTURES, LLC3 Filed as: ELF VENTURES LLC D/B/A INTREPID | 400 INTERSTATE NORTH PARKWAY SOUTH SUITE 300 ATLANTA, GA 30339 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $2K | $8K | 12.69% |
| ELF VENTURES, LLC3 Filed as: ELF VENTURES LLC | 400 INTERSTATE NORTH PARKWAY SOUTH SUITE 600 ATLANTA, GA 30339 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | — | $7K | 10.44% |
| HENRY DUNN INC3 Filed as: HENRY HIGGISON | 1832 MEREDITH DRIVE NORTHWEST ATLANTA, GA 30318 | CONTINENTAL AMERICAN INSURANCE COMPANY | $846 | — | $846 | 4.03% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES (IL BRANCH) | 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55402 | CONTINENTAL AMERICAN INSURANCE COMPANY | $803 | — | $803 | 3.82% |
| ELF VENTURES, LLC3 Filed as: ELF VENTURES LLC | 500 INTERSTATE NORTH PARKWAY SUITE 300 ATLANTA, GA 30339 | CONTINENTAL AMERICAN INSURANCE COMPANY | $762 | — | $762 | 3.63% |
| NICHOLAS STILLS3 Filed as: NICHOLAS B STILLS | 1906 COURTSIDE LANE APARTMENT 102 CHARLOTTE, NC 28270 | CONTINENTAL AMERICAN INSURANCE COMPANY | $261 | — | $261 | 1.24% |
| GBC INS SERVICES3 Filed as: GBC INSURANCE SERVICES | 6190 POWERS FERRY ROAD SUITE 400 ATLANTA, GA 30339 | CONTINENTAL AMERICAN INSURANCE COMPANY | $220 | — | $220 | 1.05% |
| ANDREW D KOWN3 | 710 CREEKGARDEN COURT ATLANTA, GA 30339 | CONTINENTAL AMERICAN INSURANCE COMPANY | $206 | — | $206 | 0.98% |
| CHARLES B MILLER3 | 2551 NORTH ARBOR TRAIL MARIETTA, GA 30066 | CONTINENTAL AMERICAN INSURANCE COMPANY | $198 | — | $198 | 0.94% |
| SANDEE K CARROLL3 | 121 CREEK HOLLOW DRIVE WOODSTOCK, GA 30188 | CONTINENTAL AMERICAN INSURANCE COMPANY | $99 | — | $99 | 0.47% |
| SHIRLEY M LLOYD3 | 1176 ADAH COURT LAWRENCEVILLE, GA 30043 | CONTINENTAL AMERICAN INSURANCE COMPANY | $47 | — | $47 | 0.22% |
| FRANC C HARGARTEN III3 | 1140 MOSSY ROCK ROAD NORTHWEST KENNESAW, GA 30152 | CONTINENTAL AMERICAN INSURANCE COMPANY | $42 | — | $42 | 0.20% |
| JOHN P KOWN II3 | 1275 SHILOH ROAD SUITE 2260 KENNESAW, GA 30144 | CONTINENTAL AMERICAN INSURANCE COMPANY | $42 | — | $42 | 0.20% |
| ELENI A NIKOLAS3 Filed as: ELENI A KRAUSE | 2110 CHARMARIE COURT MARIETTA, GA 30062 | CONTINENTAL AMERICAN INSURANCE COMPANY | $28 | — | $28 | 0.13% |
| ELF VENTURES, LLC3 Filed as: ELF VENTURES, DBA INTREPID LLC | 400 INTERSTATE NORTH PARKWAY #600 ATLANTA, GA 30339 | EYEMED VISION CARE | $888 | — | $888 | 9.12% |
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 | 119 | 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA | 86 | $971K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 317 | $66K |
| Vision | EYEMED VISION CARE | 144 | $10K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 115 | $63K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 115 | $63K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 115 | $63K |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 115 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 317 | — |
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."
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.