| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AI GROUP3 Filed as: AI GROUP INC | 12725 MORRIS RD SUITE 200 ALPHARETTA, GA 30004 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | $58K | $58K | 2.56% |
| REGIONS INSURANCE INC3 | 6000 POPLAR AVENUE 3RD FL MEMPHIS, TN 38119 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | $16K | $16K | 0.70% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INS INC | PO BOX 2153 BIRMINGHAM, AL 35287 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.80% |
| AI GROUP3 Filed as: AI GROUP INC | 12725 MORRIS ROAD SUITE 200 BLDG ALPHARETTA, GA 30004 | METROPOLITAN LIFE INSURANCE COMPANY | $757 | $0 | $757 | 0.82% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INS INC | 1500 RIVERFRONT DRIVE SUITE 200 LITTLE ROCK, AR 72202 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $213 | $213 | 0.23% |
| AI GROUP3 Filed as: AI GROUP INC | 12725 MORRIS RD BLDG 100 SUITE 200 ALPHARETTA, GA 30004 | CIGNA LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | $0 | $7K | 15.00% |
| AI GROUP3 Filed as: AI GROUP INC | 12725 MORRIS RD BLDG 100 SUITE 200 ALPHARETTA, GA 30004 | CIGNA LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | $0 | $7K | 15.00% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INS INC | PO BOX 2153 BIRMINGHAM, AL 35287 | SAFEGUARD HEALTH PLANS INC | $2K | $0 | $2K | 5.74% |
| AI GROUP3 | 12725 MORRIS ROAD SUITE 200 BLDG 100 ALPHARETTA, GA 30004 | SAFEGUARD HEALTH PLANS INC | $894 | $0 | $894 | 3.30% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INS INC | 1500 RIVERFRONT DRIVE SUITE 200 LITTLE ROCK, AR 72202 | SAFEGUARD HEALTH PLANS INC | $0 | $173 | $173 | 0.64% |
| AI GROUP3 Filed as: AI GROUP INC | 12725 MORRIS ROAD BUILDING 100 STE 200 ALPHARETTA, GA 30004 | CIGNA LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $0 | $4K | 15.00% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INS INC | PO BOX 2153 BIRMINGHAM, AL 35287 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $192 | $8K | 44.38% |
| AI GROUP3 Filed as: AI GROUP INC | 12725 MORRIS ROAD SUITE 200 BLDG 100 ALPHARETTA, GA 30004 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 15.61% |
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 | 196 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 199 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 204 | $2.3M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 369 | $120K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 369 | $92K |
| Life insurance | CIGNA LIFE INSURANCE COMPANY OF NORTH AMERICA | 231 | $47K |
| Short-term disability | CIGNA LIFE INSURANCE COMPANY OF NORTH AMERICA | 125 | $43K |
| Long-term disability | CIGNA LIFE INSURANCE COMPANY OF NORTH AMERICA | 230 | $26K |
| Other | CIGNA LIFE INSURANCE COMPANY OF NORTH AMERICA | 231 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 369 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.