No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS BLUE SHIELD EIN 58-1638390 CONTRACT ADMINIST | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Claims processing; Float revenue Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $1.0M |
| SOUTHERN BENEFIT ADMINISTRATORS EIN 62-1116095 CONTRACT ADMINIST | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | P.O.BOX 1449 GOODLETTSVILLE, TN 37070 | $548K |
| MORGAN STANLEY EIN 26-4310844 INVESTMENT ADVISORY | Securities brokerage commissions and fees; Direct payment from the plan; Other investment fees and expenses; Other fees; Other services; Investment advisory (plan); Custodial (securities); Securities brokerage Service code 19 | 777 S FLAGLER DRIVE STE 900 WEST PALM BEACH, FL 33401 | $101K |
| STEVEN D. EISENBERG CPA, P,.A EIN 65-0140643 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | 13790 NW 4 STREET STE 100 SUNRISE, FL 33325 | $43K |
| W ERIC VENABLE PA EIN 59-1824869 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 7402 N 56TH STREET 380 TAMPA, FL 33610 | $35K |
| BHA CONSULTING EIN 58-1910292 CONSULTANT | Actuarial; Direct payment from the plan Service code 11 | 5400 LAUREL SPRINGS PARKWAY 1306 SUWANEE, GA 30024 | $7K |
| CIGNA EIN 06-0303370 CONTRACT ADMINIST | Non-monetary compensation; Direct payment from the plan; Contract Administrator; Other services; Participant communication; Named fiduciary; Claims processing; Float revenue Service code 12 | 3500 PIEDMONT ROAD STE 200 ATLANTA, GA 30305 | $0 |
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 | 2,832 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 94 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,926 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | 0 | $1.9M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | 0 | $1.9M |
| Vision | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | 0 | $849K |
| Life insurance | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | 0 | $849K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | 0 | $1.9M |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE CO | 0 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.