| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 3400 OVERTON PARK DRIVE SUITE 300 ATLANTA, GA 30339 | METROPOLITAN LIFE INSURANCE COMPANY | $21K | $34 | $21K | 1.57% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 2211 7TH AVE S BIRMINGHAM, AL 35233 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 0.18% |
| MCGRIFF INSURANCE SERVICES INC3 | 414 GALLIMORE DAIRY ROAD SUITE F GREENSBORO, NC 27409 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 0.14% |
| MCGRIFF INSURANCE SERVICES INC3 | 3605 GLENWOOD AVENUE SUITE 201 RALEIGH, NC 27612 | METROPOLITAN LIFE INSURANCE COMPANY | — | $54 | $54 | 0.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 3400 OVERTON PARK DRIVE SUITE 300 ATLANTA, GA 30339 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $22K | $4K | $26K | 2.90% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 2211 7TH AVE S BIRMINGHAM, AL 35233 | HUMANA INSURANCE COMPANY | $16K | — | $16K | 10.07% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF FL EIN 59-2015694 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $15.7M |
| BRUCE HARRIS CONSULTING FEES | Consulting (general) Service code 16 | 1416 ROYALSHIRE DRIVE DALLAS, TX 75230 | $59K |
| PAN-AMERICAN LIFE PLAN ADMINISTRATION | Contract Administrator; Plan Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 601 POYDRAS STREET NEW ORLEANS, LA 70130 | $27K |
| PAN-AMERICAN BENEFIT SOLUTIONS NETWORK ACCESS FEES | Other fees Service code 99 | 1778 NO PLANO ROAD #310 RICHARDSON, TX 75081 | $24K |
| RXEDO PHARM BENE MGR | Other fees Service code 99 | P O BOX 678586 DALLAS, TX 75267 | $444 |
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 | 2,774 | 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) | 2,774 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,778 | $893K |
| Vision | HUMANA INSURANCE COMPANY | 1,579 | $158K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 3,709 | $1.3M |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 3,709 | $1.3M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 3,709 | $1.3M |
| Stop-loss / reinsurancereinsurance | PAN-AMERICAN LIFE INSURANCE COMPANY | 411 | $194K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,709 | — |
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."
No prospect flags tripped on this filing.