| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 5605 GLENRIDGE DRIVE NE SUITE 300 ATLANTA, GA 30342 | METROPOLITAN LIFE INSURANCE COMPANY | $35K | $33 | $35K | 4.15% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 5605 GLENRIDGE DRIVE SUITE 300 ATLANTA, GA 30342 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $19K | — | $19K | 2.46% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS | 5605 GLENRIDGE DRIVE SUITE 300 ATLANTA, GA 30342 | TRANSAMERICA LIFE INSURANCE COMPANY | $23K | — | $23K | 13.11% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 5605 GLENRIDGE DRIVE NE SUITE 300 ATLANTA, GA 30342 | HUMANA INSURANCE COMPANY OF NE | $11K | — | $11K | 6.56% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 2211 7TH AVE S BIRMINGHAM, AL 35233 | HUMANA INSURANCE COMPANY OF NE | $1K | — | $1K | 0.72% |
| HARDEN & ASSOCIATES3 Filed as: HARDEN AND ASSOCIATES INC | 501 RIVERSIDE AVENUE SUITE 1000 JACKSONVILLE, FL 32202 | HUMANA INSURANCE COMPANY OF NE | $1K | — | $1K | 0.69% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA EIN 59-2015694 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $947K |
| WESTPORT INSURANCE CORPORATION EIN 48-0921045 STOP LOSS PROVIDER | Claims processing; Contract Administrator; Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $129K |
| THE LOOMIS COMPANY EIN 23-2238132 CLAIMS PROCESSING | Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Plan Administrator Service code 12 | — | $81K |
| MCGRIFF SEIBELS AND WILLIAMS OF GA EIN 58-1834091 INSURANCE BROKER | Insurance agents and brokers; Insurance services Service code 22 | — | $58K |
| MITCHELL BESVINICK EIN 26-6943343 INSURANCE BROKER | Insurance agents and brokers; Insurance services Service code 22 | — | $38K |
| FIRST HEALTH GROUP CORPORATION EIN 20-1736437 CLAIMS ADMIN | Insurance services; Insurance agents and brokers Service code 22 | — | $13K |
| NATIONAL EMPLOYEE BENEFIT COMPANIES EIN 05-0461576 PLAN ADMINISTRATION | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Plan Administrator; Contract Administrator Service code 12 | — | $10K |
| WEB TPA EMPLOYER SERVICES LLC EIN 75-2611444 PLAN ADMINISTRATION | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Plan Administrator Service code 12 | — | $9K |
| MITCH BESVINICK INSURANCE BROKER | Insurance agents and brokers; Insurance services Service code 22 | 1280 BRIGHTON WAY NEWTOWN SQUARE, PA 19073 | $4K |
| NEW BENEFITS LTC EIN 75-2343577 PLAN ADMINISTRATION | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Plan Administrator; Claims processing Service code 12 | — | $2K |
| ZELIS CLAIMS INTEGRITY INC EIN 86-1040704 CLAIMS ADMIN | Recordkeeping and information management (computing, tabulating, data processing, etc.); Plan Administrator; Contract Administrator; Claims processing Service code 12 | — | $268 |
| PREMIER HEALTHCARE EXCHANGE INC EIN 86-1040704 CLAIMS ADMIN | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Plan Administrator Service code 12 | — | $56 |
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 | 2,725 | 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) | 2,725 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRANSAMERICA LIFE INSURANCE COMPANY | 123 | $175K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,588 | $769K |
| Vision | HUMANA INSURANCE COMPANY OF NE | 1,362 | $162K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 3,551 | $833K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 3,551 | $833K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 3,551 | $833K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,551 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.