| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUTCHINSON-TRAYLOR AGENCY3 Filed as: HUTCHINSON-TARYLOR | PO BOX 1049 LAGRANGE, GA 302410019 | STANDARD INSURANCE COMPANY | $8K | $0 | $8K | 10.00% |
| HUTCHINSON-TRAYLOR AGENCY3 Filed as: HUTCHINSON-TRAYLOR | PO BOX 1049 LAGRANGE, GA 30240 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | $2K | $0 | $2K | 5.00% |
| HUTCHINSON-TRAYLOR AGENCY3 Filed as: HUTCHINSON-TRAYLOR | PO BOX 1049 LAGRANGE, GA 302410019 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| MARILYNN DECKER3 | 5173 JOHN HAGAR RD HERMITAGE, TN 37076 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $57 | $1K | 6.87% |
| VXTRA PARTNERS3 Filed as: VXTRA PARTNERS LLC | 2700 CUMBERLAND PKWY ATLANTA, GA 30339 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $813 | $0 | $813 | 4.12% |
| DENNIS E TRAYWICK3 | 4701 TROUSDALE DR NASHVILLE, TN 37202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $640 | $134 | $774 | 3.93% |
| BENEFIT ENROLLMENT SERVICES INC3 | 4701 TROUSDALE DRIVE NASHVILLE, TN 37220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $344 | $254 | $598 | 3.03% |
| KENNETH SLEDGE3 | 2100 WEST END AVE NASHVILLE, TN 37203 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $71 | $0 | $71 | 0.36% |
| DAVID EVANS3 | 2711 YORK CT SOUTHLAKE, TX 76092 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.02% |
| MARK HOLLAND3 | PO BOX 38366 GERMANTOWN, TN 38183 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.02% |
| TED BENNETT3 | 1830 DESTINY LANE BOWLING GREEN, KY 42104 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.01% |
| THOMAS WALLACE JR3 | 57 WYN OAK DRIVE NASHVILLE, TN 37220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.01% |
| HUTCHINSON-TRAYLOR AGENCY3 Filed as: HUTCHINSON-TRAYLOR INS AGENCY | PO BOX 1049 LAGRANGE, GA 30240 | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | $205 | $0 | $205 | 9.76% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| VXTRA PARTNERS EIN 02-0677823 BROKER | Insurance agents and brokers Service code 22 | — | $51K |
| HUTCHINSON TRAYLOR INSURANCE EIN 58-0297410 BROKER | Insurance agents and brokers Service code 22 | — | $20K |
| ALLIED BENEFIT SYSTEMS INC, EIN 38-3086057 TPA | Contract Administrator Service code 13 | — | $11K |
| AETNA LIFE INSURANCE COMPANY SERVICE PROVIDER | Insurance services Service code 23 | — | $11K |
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 | 87 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 87 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | 60 | $50K |
| Vision | BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. | 14 | $2K |
| Life insurance | STANDARD INSURANCE COMPANY | 87 | $22K |
| Long-term disability | STANDARD INSURANCE COMPANY | 87 | $76K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 70 | $170K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 23 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 87 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.