| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | 200 GLENRIDGE POINT PKWY SUITE 400 ATLANTA, GA 30342 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $12 | $12 | 0.00% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | 200 GLENRIDGE POINT PKWY SUITE 400 ATLANTA, GA 30342 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $12 | $12 | 0.00% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | PO BOX 5682 CAROL STREAM, IL 60197 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 0.37% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | FEDERAL INSURANCE COMPANY | $47K | — | $47K | 15.00% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO BENEFITS | 3500 LENOX ROAD ATLANTA, GA 30326 | FEDERAL INSURANCE COMPANY | $43K | — | $43K | 13.73% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | DBA INTEGRO INSURANCE BROKERS PO BOX 5682 CAROL STREAM, IL 60197 | HYATT LEGAL PLANS | $7K | $422 | $7K | 10.61% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | DBA INTEGRO BROKERS PO BOX 10189 PASADENA, CA 91189 | HYATT LEGAL PLANS | $0 | $56 | $56 | 0.08% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER H&B ADMINISTRATION LLC | PO BOX 310502 DES MOINES, IA 50331 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5K | — | $5K | 8.95% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | DOMINIUM A DIV OF INTEGRO USA INC PO BOX 5682 CAROL STREAM, IL 60197 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $274 | — | $274 | 0.53% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | FEDERAL INSURANCE COMPANY | $3K | — | $3K | 20.00% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO BENEFITS | 3500 LENOX ROAD ATLANTA, GA 30326 | FEDERAL INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| DOMINIUM BENEFITS, LLC3 Filed as: DOMINIUM BENEFITS LLC | 3500 LENOX RD SUITE 1600 ATLANTA, GA 30326 | CONTINENTAL AMERICAN INSURANCE COMPANY | $73 | — | $73 | 9.86% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | PO BOX 5682 CAROL STREAM, IL 60197 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $2 | — | $2 | 0.34% |
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 | 4,153 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 215 | $53K |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 2,844 | $442K |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 8,924 | $2.8M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 4,134 | $592K |
| Other(5 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 8,924 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,924 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.