| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASCENSION BENEFITS ADVISORS3 Filed as: ASCENSION BENEFITS & INSURANCE | 5821 FAIRVIEW ROAD, #500 CHARLOTTE, NC 28209 | RELIANCE STANDARD LIFE INSURANCE | $4K | — | $4K | 2.69% |
| ASCENSION BENEFITS ADVISORS3 Filed as: ASCENSION BENEFITS & INSURANCE | 5821 FAIRVIEW ROAD, #500 CHARLOTTE, NC 28209 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | — | $5K | 7.64% |
| ASCENSION INSURANCE AGENCY3 | 5821 FAIRVIEW ROAD CHARLOTTE, NC 28209 | EYEMED | $4K | — | $4K | 7.41% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICE OF NC | 5821 FAIRVIEW ROAD CHARLOTTE, NC 28209 | EYEMED | $2K | — | $2K | 3.33% |
| ASCENSION BENEFITS ADVISORS3 Filed as: ASCENSION BENEFITS & INSURANCE | 5821 FAIRVIEW ROAD, #500 CHARLOTTE, NC 28209 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $483 | — | $483 | 11.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | — | $642K |
| CIGNA HEALTH & LIFE INSURANCE EIN 59-1031071 DENTAL FEES | Direct payment from the plan; Claims processing; Other services; Named fiduciary; Participant communication; Contract Administrator; Non-monetary compensation; Float revenue Service code 12 | — | $55K |
| RELATION INSURANCE SERVICES EIN 26-3652075 BROKER | Other commissions Service code 55 | 700 SE CENTRAL PKWY STUART, FL 349943967 | $0 |
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 | 908 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 911 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED | 1,194 | $60K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE | 908 | $139K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 901 | $60K |
| Other(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE | 908 | $143K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,194 | — |
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.