| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| E POWERED BENEFITS LLC3 | 108 LANGTREE VILLAGE DRIVE SUITE 301 MOORSEVILLE, NC 28117 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $12K | — | $12K | 1.09% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF NORTH CAROLINA LLC | 331 ALCOVE RD SUITE 200 MOORESVILLE, NC 28117 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | — | $702 | $702 | 0.06% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD 2ND FLOOR HAUPPAUGE, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $15K | $15K | 4.94% |
| LAKE NORMAN BENEFITS INC3 Filed as: LAKE NORMAN BENEFITS | 331 ALCOVE RD SUITE 200 MOORESVILLE, NC 28117 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $10K | — | $10K | 3.46% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD 2ND FLOOR HAUPPAUGE, NY 11788 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $8K | $1K | $9K | 14.09% |
| HP PLANNING LLC3 | 535 CONNECTICUT AVENUE SUITE 502 NORWALK, CA 06854 | SHELTER POINT LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD 2ND FLOOR HAUPPAUGE, NY 11788 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $2K | $4K | 9.27% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD 2ND FLOOR HAUPPAUGE, NY 11788 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $5K | $760 | $6K | 13.31% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF NORTH CAROLINA LLC | 150 FAIRVIEW RD SUITE 320 MOORESVILLE, NC 28117 | EYE MED VISION CARE | $5K | — | $5K | 12.84% |
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 | 533 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 533 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 262 | $1.1M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 533 | $300K |
| Vision | EYE MED VISION CARE | 693 | $42K |
| Life insurance | FIRST RELIANCE STANDARD LIFE INS COMPANY | 1,011 | $43K |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INS COMPANY | 1,011 | $67K |
| Other(3 contracts, 3 carriers) | SHELTER POINT LIFE INSURANCE COMPANY | 1,948 | $133K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,948 | — |
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.