No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS BLUE SHIELD EIN 35-2145715 NONE | Contract Administrator; Participant communication; Named fiduciary; Claims processing; Other services Service code 12 | 3350 PEACHTREE ST ATLANTA, GA 30326 | $414K |
| SOUTHERN BENEFIT ADMINISTRATORS INC EIN 62-1116095 NONE | Plan Administrator; Consulting (general) Service code 14 | P.O. BOX 2449 GOODLETTSVILLE, TN 370701449 | $302K |
| ARNALL GOLDEN GREGORY LLP EIN 58-1423485 NONE | Legal Service code 29 | 171 17TH ST, STE 2100 ATLANTA, GA 30363 | $33K |
| DANIELS, IRWIN & AYLOR CPAS EIN 62-1802605 NONE | Accounting (including auditing) Service code 10 | 223 MADISON ST STE 112 MADISON, TN 371153660 | $18K |
| EMPATHIA, INC. EIN 39-1567366 NONE | Other services; Participant communication Service code 38 | N17 W24100 RIVERWOOD DR WAUKESHA, WI 53188 | $13K |
| REGIONS BANK EIN 63-0371391 NONE | Custodial (other than securities) Service code 18 | 150 FOURTH AVE. NORTH NASHVILE, TN 37219 | $13K |
| ATLANTA CAPITAL MANAGEMENT EIN 58-1882608 NONE | Investment management Service code 28 | 1075 PEACHTREE ST NE ATLANTA, GA 30309 | $11K |
| HORIZON ACTUARIAL SERVICES EIN 26-1370698 NONE | Actuarial Service code 11 | 1040 CROWN POINTE PKWAY ATLANTA, GA 30338 | $9K |
| MONEY MARKET & MUTUAL FUND NONE | Custodial (securities); Investment management Service code 19 | — | $0 |
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 | 1,074 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 90 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 1,164 | $398K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,164 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.