| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BSC AGENCY LLC3 Filed as: BSC AGENCY, LLC | 1025 ASHWORTH ROAD WEST DES MOINES, IA 50265 | METROPOLITAL LIFE INSURANCE COMPANY | $134K | $0 | $134K | 3.16% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | $83K | $0 | $83K | 5.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | $80K | $0 | $80K | 5.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 Filed as: EDGEWOOD PARTNERS INSURANCE COMPANY | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | VISION SERVICE PLAN | $41K | $0 | $41K | 3.22% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | $7K | $0 | $7K | 1.76% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $8K | $0 | $8K | 2.99% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 200 GLENRIDGE POINT PARKWAY SUITE 400 ATLANTA, GA 30342 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | $5K | $0 | $5K | 2.94% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 200 GLENRIDGE POINT PARKWAY ATLANTA, GA 30342 | ZURICH AMERICAN INSURANCE COMPANY | $8K | $0 | $8K | 15.00% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | ZURICH AMERICAN INSURANCE COMPANY | $8K | $0 | $8K | 15.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 200 GLENRIDGE POINTE PARKWAY SUITE 400 ATLANTA, GA 30342 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | $3K | $0 | $3K | 8.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUM RX EIN 33-0441200 PHARMACY BENEFIT MANAGER | Direct payment from the plan; Float revenue; Other fees; Claims processing Service code 12 | — | $17.6M |
| BLUECROSS BLUESHIELD OF GEORGIA EIN 58-1638390 MEDICAL ADMINISTRATOR | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator; Claims processing Service code 12 | — | $5.8M |
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 | 17,643 | 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) | 17,643 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAL LIFE INSURANCE COMPANY | 13,328 | $4.2M |
| Vision | VISION SERVICE PLAN | 6,088 | $1.3M |
| Life insurance | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | 17,643 | $1.7M |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | 7,383 | $1.6M |
| Stop-loss / reinsurancereinsurance | BLUECROSS BLUESHIELD OF GEORGIA | 13,382 | $1.5M |
| Other(6 contracts, 4 carriers) | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, INC. | 17,643 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 17,643 | — |
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.