| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM SCHAAKE3 | 2137 DEER PARK AVENUE DEER PARK, NY 11729 | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | $130K | $0 | $130K | 4.29% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FIN SER | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | $6K | $0 | $6K | 0.21% |
| FRANCISCO COMBES3 | 3508 VERNADEAN DRIVE SE ATLANTA, GA 03339 | TRUSTMARK INSURANCE COMPANY | $45K | $0 | $45K | 11.72% |
| PROPEL INSURANCE AGENCY LLC3 Filed as: PROPEL INSURANCE AGENCY, LLC | 1201 PACIFIC AVENUE, SUITE 1000 TACOMA, WA 98402 | TRUSTMARK INSURANCE COMPANY | $41K | $0 | $41K | 10.62% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 7701 AIRPORT CENTER DRIVE SUITE 1800 GREENSBORO, NC 27409 | TRUSTMARK INSURANCE COMPANY | $4K | $0 | $4K | 1.10% |
| PROPEL INSURANCE AGENCY LLC3 Filed as: PROPEL INSURANCE AGENCY, LLC | 1201 PACIFIC AVENUE, SUITE 1000 TACOMA, WA 98402 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $17K | $5K | $22K | 11.83% |
| FRANCISCO COMBES3 | 3508 VERNADEAN DRIVE SE ATLANTA, OH 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $17K | $0 | $17K | 9.19% |
| NATIONAL BENEFIT CENTER3 | 3700 PARK E DRIVE, SUITE 350 BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $8K | $8K | 4.52% |
| WILLIAM SCHAAKE3 | 2137 DEER PARK AVENUE DEER PARK, NY 11729 | HUMANA INSURANCE COMPANY | $7K | $600 | $8K | 8.69% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FIN SER | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | HUMANA INSURANCE COMPANY | $235 | $0 | $235 | 0.26% |
No Schedule C service providers reported on this filing.
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 | 310 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 15 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 327 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | 195 | $3.0M |
| Dental | HUMANA INSURANCE COMPANY | 196 | $89K |
| Vision | HUMANA INSURANCE COMPANY | 196 | $89K |
| Life insurance(3 contracts, 3 carriers) | TRUSTMARK INSURANCE COMPANY | 310 | $662K |
| Short-term disability | TRUSTMARK INSURANCE COMPANY | 310 | $385K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 162 | $187K |
| Prescription drug | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | 195 | $3.0M |
| Other(3 contracts, 3 carriers) | TRUSTMARK INSURANCE COMPANY | 310 | $662K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 310 | — |
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."
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.