| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT RD NE SUITE 1400 ATLANTA, GA 30305 | VISION SERVICE PLAN | $29K | $0 | $29K | 2.82% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT RD NE SUITE 1400 ATLANTA, GA 30305 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | $41K | $0 | $41K | 5.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT RD NE SUITE 1400 ATLANTA, GA 30305 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | $40K | $0 | $40K | 5.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT RD NE SUITE 1400 ATLANTA, GA 30305 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $10K | $0 | $10K | 2.99% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT RD NE SUITE 1400 ATLANTA, GA 30305 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $0 | $12K | 10.04% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PEIDMONT RD NE SUITE 1400 ATLANTA, GA 30305 | ZURICH AMERICAN INSURANCE COMPANY | $6K | $0 | $6K | 14.38% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | ZURICH AMERICAN INSURANCE COMPANY | $6K | $0 | $6K | 14.38% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT RD NE SUITE 1400 ATLANTA, GA 30305 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | $3K | $0 | $3K | 7.80% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT RD NE ATLANTA, GA 30305 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | $685 | $0 | $685 | 3.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF GA EIN 58-1638390 ASO PROVIDER | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator; Claims processing Service code 12 | — | $4.0M |
| MATRIX ABSENCE MANAGEMENT EIN 77-0493584 NONE | Claims processing Service code 12 | — | $60K |
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 | 16,934 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 16,934 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HAWAII MEDICAL ASSURANCE ASSOCIATION | 71 | $342K |
| Vision | VISION SERVICE PLAN | 5,054 | $1.0M |
| Life insurance | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | 16,934 | $810K |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | 6,838 | $807K |
| Stop-loss / reinsurancereinsurance | PARTNERRE AMERICA INSURANCE COMPANY | 6,838 | $880K |
| Other(4 contracts, 4 carriers) | CORPCARE ASSOCIATES | 6,838 | $344K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 16,934 | — |
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.