| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: J SMITH LANIER & CO | 11330 LAKEFIELD DR STE 200 DULUTH, GA 30097 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $40K | $93K | $134K | 31.62% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: J SMITH LANIER & CO | 11330 LAKEFIELD DR STE 100 DULUTH, GA 300971578 | STANDARD INSURANCE COMPANY | $8K | $880 | $8K | 13.60% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: J SMITH LANIER & CO | PO BOX 70 DULUTH, GA 30097 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE | $1K | — | $1K | 10.80% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERICAN SPECIALTY HEALTH | Contract Administrator; Claims processing; Participant communication; Direct payment from the plan; Non-monetary compensation; Other services; Float revenue; Named fiduciary Service code 12 | 10221 WATERIDGE CIRCLE, STE 201 SAN DIEGO, CA 92121 | $0 |
| AMPLIFON USA, INC. | Participant communication; Contract Administrator; Non-monetary compensation; Claims processing; Named fiduciary; Float revenue; Other services; Direct payment from the plan Service code 12 | 5000 CHESHIRE PARKWAY N PLYMOUTH, MN 55446 | $0 |
| CARECORE D/B/A/ EVICORE | Other services; Contract Administrator; Direct payment from the plan; Claims processing; Named fiduciary; Float revenue; Participant communication; Non-monetary compensation Service code 12 | 400 BUCKWALTER PLACE BLVD BLUFFON, SC 29910 | $0 |
| GAIAM | Other services; Contract Administrator; Named fiduciary; Participant communication; Claims processing; Non-monetary compensation; Float revenue; Direct payment from the plan Service code 12 | 833 W SOUTH BOULDER RD LOUISVILLE, CO 800272452 | $0 |
| LUXOTTICA (EYEMED & COLE NAT'L) | Claims processing; Contract Administrator; Float revenue; Non-monetary compensation; Named fiduciary; Participant communication; Direct payment from the plan; Other services Service code 12 | 4000 LUXOTTICA PLACE MASON, OH 45040 | $0 |
| MEDSOLUTIONS D/B/A/ EVICORE. INC, | Other services; Claims processing; Direct payment from the plan; Participant communication; Non-monetary compensation; Float revenue; Named fiduciary; Contract Administrator Service code 12 | 730 COOL SPRINGS BLVD, #800 FRANKLIN, TN 37067 | $0 |
| U.S. BANK NATIONAL ASSOCIATION, | Participant communication; Float revenue; Contract Administrator; Claims processing; Non-monetary compensation; Direct payment from the plan; Named fiduciary; Other services Service code 12 | 800 NICHOLLET MALL MINNEAPOLIS, MN 55402 | $0 |
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 | 214 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 214 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 181 | $423K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 119 | $74K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE | 214 | $13K |
| Life insurance | STANDARD INSURANCE COMPANY | 127 | $62K |
| Short-term disability | STANDARD INSURANCE COMPANY | 127 | $62K |
| Long-term disability | STANDARD INSURANCE COMPANY | 127 | $62K |
| Other | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 3 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 214 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.