| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USBC LLC3 | 3050 ROYAL BLVD S STE 185 ALPHARETTA, GA 300221417 | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | $21K | $2K | $23K | 5.17% |
| ENROLLEASE3 Filed as: DIGITAL INSURANCE INC-GA | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 303395946 | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | $15K | $510 | $15K | 3.42% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | 9401 AMBERGLEN BLVD BLDG 1 STE 100 AUSTIN, TX 787290006 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $3K | $14K | 20.59% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $3K | $8K | 11.45% |
| USBC LLC3 | 3050 ROYAL BLVD STE 185 ALPHARETTA, GA 300221417 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4K | $4K | 5.82% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 303395946 | METROPOLITAN LIFE INSURANCE COMPANY | — | $281 | $281 | 0.40% |
| HICKS LEIGHNER & ASSOCS3 | 1025 LILLIAN DR ALPHARETTA, GA 30004 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | 9401 AMBERGLEN BLVD BLDG 1 STE 100 AUSTIN, TX 78729 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $76 | $76 | 0.34% |
| HICKS LEIGHNER & ASSOCS3 Filed as: HICKS LEIGHNER & ASSOS | 1025 LILLIAN DR ALPHARETTA, GA 30004 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | 9401 AMBERGLEN BLVD BLDG 1 STE 100 AUSTIN, TX 78729 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $68 | $68 | 0.40% |
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 | 102 | 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) | 102 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | 102 | $444K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 142 | $70K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 142 | $70K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 142 | $70K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 36 | $17K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 36 | $22K |
| Prescription drug | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | 102 | $444K |
| Other(4 contracts, 3 carriers) | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | 142 | $554K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 142 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.