Form 5500 · Employee benefit plan · DORAVILLE, GA
SEI GROUP
The filing calls this plan SEI GROUP HEALTH AND WELFARE PLAN.
SEI GROUP of DORAVILLE, GA spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-2478990 · plan 501 · plan year 2025, filed Jan 27, 2026
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160 other employer plans in Georgia have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: death benefits.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 6 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 895 people.
Reported premium across the insured contracts is $8,738,555, with $173,865 in disclosed broker commissions — about 2% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
USI INSURANCE SERVICES LLC is the broker of record on 3 of the 6 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, UNUM LIFE INSURANCE COMPANY OF AMERICA and UNUM INSURANCE COMPANY. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental, Vision | 895 | Jul 1, 2025 | $8,191,470 | $52,351 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 362 | Jul 1, 2025 | $215,934 | $30,102 |
| UNUM INSURANCE COMPANY | — | 157 | Jul 1, 2025 | $55,173 | $26,937 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 386 | Jul 1, 2025 | $180,184 | $25,065 |
| UNUM INSURANCE COMPANY | — | 202 | Jul 1, 2025 | $55,279 | $22,030 |
| UNUM INSURANCE COMPANY | — | 350 | Jul 1, 2025 | $40,515 | $17,380 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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Renewal calendar
160 other employer plans in Georgia are July 1 renewals (policy year ends June).
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