No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ADMIN. CONSULTING SERVICED OF TN. EIN 62-1408699 NONE | Plan Administrator; Direct payment from the plan Service code 14 | 661 ERICSON ROAD CORDOVA, TN 38018 | $1.4M |
| RELIANT HEALTH PARTNERS, LLC NONE | Other services; Direct payment from the plan Service code 49 | 209 WASHINGTON ST COLLIERVILLE, TN 38017 | $270K |
| HORIZON ACTUARIAL SERVICES LLC EIN 26-1370698 NONE | Actuarial; Direct payment from the plan Service code 11 | 1040 CROWN POINTE PARKWAY ATLANTA, GA 30338 | $168K |
| ARNALL GOLDEN GREGORY EIN 58-0543673 NONE | Legal; Direct payment from the plan Service code 29 | 171 17TH ST NW ATLANTA, GA 30363 | $104K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $33K |
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 | 84 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 84 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH & LIFE INSURANCE COMPANY | 80 | $0 |
| Vision(2 contracts, 2 carriers) | GROUP VISION SERVICES | 84 | $330K |
| Life insurance | BOSTON MUTUAL LIFE INSURANCE | 84 | $126K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 84 | — |
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.