| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST 4TH FLOOR BOSTON, MA 02110 | SUN LIFE ASSURANCE COMPANY OF CANADA | $23K | $3K | $25K | 17.74% |
| RESOURCE SEVEN3 | 500 W LANIER AVE SUITE 203 FAYETTEVILLE, GA 30214 | SUN LIFE ASSURANCE COMPANY OF CANADA | $9K | $1K | $11K | 7.58% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PHY W VEVA 16 SUITE 320 BLUE BELL, PA 19422 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $6K | $6K | 4.46% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST 4TH FLOOR BOSTON, MA 02110 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | $0 | $8K | 7.31% |
| RESOURCE SEVEN3 Filed as: RESOURCE SEVEN INC | 500 LANIER AVENUE W SUITE 203 FAYETTEVILLE, GA 30214 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | $0 | $6K | 5.19% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| RSC INSURANCE BROKERAGE INC BROKER | Insurance agents and brokers Service code 22 | 160 FEDERAL STREET BOSTON, MA 02110 | $61K |
| SUN LIFE ASSURANCE COMPANY OF CANAD EIN 38-1082080 EAP | Claims processing Service code 12 | — | $16K |
| ADMIN AMERICA FSA/HSA/COBRA ADMIN | Claims processing Service code 12 | 1720 WINDWARD CONCOURSE SUITE 290 ALPHARETTA, GA 30005 | $7K |
| RESOURCE SEVEN INC BROKER | Insurance agents and brokers Service code 22 | 240 E LANIER AVE FAYETTEVILLE, GA 30214 | -$140 |
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 | 196 | 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) | 196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 229 | $1.1M |
| Dental(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 196 | $257K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 196 | $113K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 52 | $143K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 52 | $143K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 52 | $143K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 52 | $143K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 229 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.