| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIVERSIFIED BENEFIT ADMINISTRATORS5 | 2024 E. PINETREE BLVD. SUITE D THOMASVILLE, GA 31792 | AMERICAN NATIONAL LIFE INSURANCE | — | $57K | $57K | 11.03% |
| DOVER INSURANCE AGENCY3 | 20 S. HARNEY STREET CAMILLA, GA 31730 | AMERICAN NATIONAL LIFE INSURANCE | $26K | — | $26K | 4.96% |
| INETICO0 | DEPT. 3786 P. O. BOX 123786 DALLAS, TX 75312 | AMERICAN NATIONAL LIFE INSURANCE | — | $16K | $16K | 3.05% |
| OPTUM TRANSPLANT SOLUTIONS0 | 62725 COLLECTION CENTER DRIVE CHICAGO, IL 60693 | AMERICAN NATIONAL LIFE INSURANCE | — | $14K | $14K | 2.65% |
| PHOEBE HEALTH PARTNERS0 | 533 THIRD AVENUE ALBANY, GA 31701 | AMERICAN NATIONAL LIFE INSURANCE | — | $8K | $8K | 1.46% |
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 | 135 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 135 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMERICAN NATIONAL LIFE INSURANCE | 135 | $519K |
| Dental | AMERICAN NATIONAL LIFE INSURANCE | 135 | $519K |
| Prescription drug | AMERICAN NATIONAL LIFE INSURANCE | 135 | $519K |
| Stop-loss / reinsurancereinsurance | AMERICAN NATIONAL LIFE INSURANCE | 135 | $519K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 135 | — |
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.
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.