| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: DIGITAL INSURANCE INC-GA | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 303395946 | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | $30K | $4K | $34K | 6.65% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | P.O. BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $2K | $12K | 19.22% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $1K | $4K | 7.05% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 303395946 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $727 | $727 | 1.14% |
| HICKS LEIGHNER & ASSOCS3 | 1025 LILLIAN DR ALPHARETTA, GA 30004 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 15.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | 9401 AMBERGLEN BLVD AUSTIN, TX 78729 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $1K | $1K | 5.00% |
| MARK S METTILLE3 Filed as: MARK S. METTILLE | 107 CANDELIGHT LANE MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 5.00% |
| GIS BENEFITS INC3 Filed as: GIS | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $115 | $115 | 0.51% |
| 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 ADMINISTRATORS3 | 9401 AMBERGLEN BLVD BLDG 1 STE 100 AUSTIN, TX 78729 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $964 | $964 | 5.00% |
| MARK METTILLE3 | 107 CANDELIGHT LANE MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $964 | — | $964 | 5.00% |
| GIS BENEFITS INC3 Filed as: GIS | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $100 | $100 | 0.52% |
| SEE ATTACHMENT3 | 35 SASSAFRAS TRL SAVANNAH, GA 31404 | AFLAC | $2K | $16 | $2K | 11.58% |
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 | 95 | 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) | 95 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | 89 | $505K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 137 | $64K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 137 | $64K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 137 | $64K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 39 | $19K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 35 | $23K |
| Prescription drug | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | 89 | $505K |
| Other(3 contracts, 3 carriers) | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA INC | 137 | $585K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 137 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.