| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: STERLING SEACREST PARTNERS, INC | 2500 CUMBERLAND PARKWAY SUITE 400 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH OF GA | $40K | — | $40K | 4.15% |
| MCGRIFF INSURANCE SERVICES INC3 | 43 S BROAD ST SUITE B WINDER, GA 30680 | KAISER FOUNDATION HEALTH OF GA | $8K | — | $8K | 0.85% |
| ASSUREDPARTNERS3 Filed as: STERLING SEACREST PARTNERS, INC | 2500 CUMBERLAND PARKWAY SUITE 400 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $3K | $6K | 14.46% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 1887 HWY 20SE SUITE 20 CONYERS, GA 30013 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $742 | — | $742 | 1.80% |
| ASSUREDPARTNERS3 Filed as: STERLING SEACREST PARTNERS, INC | 2500 CUMBERLAND PARKWAY SUITE 400 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $773 | $2K | 14.28% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 1887 HWY 20SE SUITE 20 CONYERS, GA 30013 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $228 | — | $228 | 1.79% |
| ASSUREDPARTNERS3 Filed as: STERLING SEACREST PARTNERS, INC | 2500 CUMBERLAND PARKWAY SUITE 400 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $392 | $294 | $686 | 14.48% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 1887 HWY 20SE SUITE 20 CONYERS, GA 30013 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $82 | — | $82 | 1.73% |
| STERLING AND STERLING, INC.3 Filed as: STERLING RISK ADVISORS | 2500 CUMBERLAND PARKWAY SUITE 400 ATLANTA, GA 30339 | UNITED CONCORDIA INSURANCE COMPANY | — | — | $0 | — |
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 | 122 | 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) | 122 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH OF GA | 253 | $974K |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 0 | $0 |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 122 | $46K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 61 | $13K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 122 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 253 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
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.