No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS BLUE SHIELD EIN 63-0103838 NONE | Claims processing Service code 12 | 3350 PEACHTREE ST ATLANTA, GA 30326 | $348K |
| SOUTHERN BENEFIT ADMINISTRATORS INC EIN 62-1116095 NONE | Plan Administrator; Consulting (general) Service code 14 | P O BOX 1440 GOODLETTSVILLE, TN 37071 | $264K |
| ARNALL GOLDEN GREGORY LLP EIN 58-1423485 NONE | Legal Service code 29 | 171 17TH ST STE 2100 ATLANTA, GA 30363 | $28K |
| ATLANTA CAPITAL MANAGEMENT EIN 58-1882608 NONE | Investment management Service code 28 | 1075 PEACHTREES ST NE ATLANTA, GA 30309 | $22K |
| AGH, LLC EIN 58-2588678 NONE | Accounting (including auditing) Service code 10 | 3500 PIEDMONT RD NE STE 500 ATLANTA, GA 30305 | $19K |
| HORIZON ACTUARIAL SERVICES EIN 26-1370698 NONE | Actuarial Service code 11 | 900 ASHWOOD PARKWAY, STE 170 ATLANTA, GA 30338 | $8K |
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 | 897 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 96 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 993 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS BLUE SHIELD | 993 | $0 |
| Life insurance | ANTHEM BLUE CROSS BLUE SHIELD | 993 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 993 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.