| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC DBA INTEGRO INS BRK | 2300 CONTRA COSTA BLVD STE 375 PLEASANT HILL, CA 945233976 | METROPOLITAN LIFE INSURANCE COMPANY | — | $13K | $13K | 0.71% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC DBA INTEGRO INS BRK | 3333 PIEDMONT RD NE STE 1400 ATLANTA, GA 303051811 | METROPOLITAN LIFE INSURANCE COMPANY | — | $26 | $26 | 0.00% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC DBA INTEGRO INS BRK | 2300 CONTRA COSTA BLVD STE 375 PLEASANT HILL, CA 945233976 | METROPOLITAN LIFE INSURANCE COMPANY | — | $5K | $5K | 0.71% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC DBA INTEGRO INS BRK | 3333 PIEDMONT RD NE STE 1400 ATLANTA, GA 303051811 | METROPOLITAN LIFE INSURANCE COMPANY | — | $26 | $26 | 0.00% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | FEDERAL INSURANCE COMPANY | $70K | — | $70K | 15.00% |
| INTEGRO INSURANCE BROKERS3 | 3333 PIEDMONT RD NE STE 1400 ATLANTA, GA 30305 | FEDERAL INSURANCE COMPANY | $70K | — | $70K | 15.00% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC DBA INTEGRO INS BRK | PO BOX 5682 CAROL STREAM, IL 60197 | METLIFE LEGAL PLANS | $6K | — | $6K | 6.63% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 5682 CAROL STREAM, IL 601975682 | METLIFE LEGAL PLANS | $2K | — | $2K | 2.47% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 5682 CAROL STREAM, IL 60197 | METLIFE LEGAL PLANS | $711 | — | $711 | 0.83% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC - DOMINIUM | PO BOX 5682 CAROL STREAM, IL 60197 | METLIFE LEGAL PLANS | — | $462 | $462 | 0.54% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 511398 LOS ANGELES, CA 90051 | METLIFE LEGAL PLANS | — | $89 | $89 | 0.10% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | PO BOX 6180 CAROL STREAM, IL 60197 | METLIFE LEGAL PLANS | — | $26 | $26 | 0.03% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER H&B ADMINISTRATION LLC | PO BOX 310502 DES MOINES, IA 503310502 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 9.57% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | PO BOX 5682 CAROL STREAM, IL 601975682 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $56 | — | $56 | 0.22% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | FEDERAL INSURANCE COMPANY | $3K | — | $3K | 20.00% |
| INTEGRO INSURANCE BROKERS3 | 3333 PIEDMONT RD NE STE 1400 ATLANTA, GA 30305 | FEDERAL INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| DOMINIUM BENEFITS, LLC3 | 3500 LENOX ROAD, SUITE 1600 ATLANTA, GA 30326 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 13.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF VIRGINIA INC EIN 54-0357120 CLAIMS PROCESSOR | Claims processing; Other services; Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $2.7M |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 | Contract Administrator; Claims processing Service code 12 | — | $103K |
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 | 4,208 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,208 | 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 | $26K |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 8,784 | $515K |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 9,075 | $2.6M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 4,182 | $918K |
| Other(5 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 9,075 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,075 | — |
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.