| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAHN MONIQUE3 | 217 SAVANNAH AVENUE STATESBORO, GA 30458 | KANSAS CITY LIFE INSURANCE COMPANY | $35K | — | $35K | 13.38% |
| SB&W LLC3 | 2629 RESERVE COURT VESTAVIA, AL 35243 | TRANSAMERICA LIFE INSURANCE COMPANY | $21K | — | $21K | 21.05% |
| WEB TPA3 | 8500 FREEPORT PARKWAY SOUTH IRVING, TX 75063 | TRANSAMERICA LIFE INSURANCE COMPANY | $11K | — | $11K | 10.73% |
| LAKESHORE BENEFIT ALLIANCE LLC3 Filed as: LAKESHORE BENEFIT ALLIANCE | 700 37TH STREET SOUTH BIRMINGHAM, AL 35222 | TRANSAMERICA LIFE INSURANCE COMPANY | $9K | — | $9K | 9.02% |
| AMWINS3 Filed as: AMWINS GROUP BENEFITS LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 3.48% |
| IMPACT INTERACTIVE LLC3 | P.O. BOX 603188 CHARLOTTE, NC 28260 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 3.08% |
| LBA SERVICE LLC3 | 700 37TH STREET SOUTH BIRMINGHAM, AL 35222 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 3.01% |
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 | 263 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 265 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 214 | $1.8M |
| Dental | AFLAC | 256 | $183K |
| Vision | AFLAC | 256 | $183K |
| Life insurance | KANSAS CITY LIFE INSURANCE COMPANY | 291 | $263K |
| Short-term disability | KANSAS CITY LIFE INSURANCE COMPANY | 291 | $263K |
| Long-term disability | KANSAS CITY LIFE INSURANCE COMPANY | 291 | $263K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 214 | $1.8M |
| Other(4 contracts, 4 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 291 | $2.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 291 | — |
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.