| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL E STARKIE3 | 2706 GREGORY COURT WINTERVILLE, NC 28590 | AFLAC | $14K | $2K | $16K | 16.45% |
| CECIL JACKSON3 | 422 CASTLEFORD DRIVE WINTERVILLE, NC 28590 | AFLAC | $5K | $530 | $5K | 5.48% |
| STEPHEN STOX3 | 702 CROMWELL DRIVE SUITE F GREENVILLE, NC 27858 | AFLAC | $3K | $504 | $3K | 3.33% |
| KATHERINE PATE3 | 702 CROMWELL DRIVE SUITE F GREENVILLE, NC 27858 | AFLAC | $1K | — | $1K | 1.43% |
| CHELSEA SCOTT3 | 2909 BEDDARD ROAD GRIMESLAND, NC 27837 | AFLAC | $38 | $21 | $59 | 0.06% |
| GARY W GREENE3 | 505 GOLF VIEW DRIVE GREENVILLE, NC 27834 | AFLAC | $5 | — | $5 | 0.01% |
| JANE W BARNHILL3 | 536 DOVEFILED DRIVE INDIAN TRAIL, NC 28079 | AFLAC | $1 | — | $1 | 0.00% |
| JILL R LAMBERT3 Filed as: JILL W DENTON | 3500 WESTGATE DRIVE SUITE 602 DURHAM, NC 27707 | AFLAC | $1 | — | $1 | 0.00% |
| LAUREN E SKINNER3 Filed as: LAUREN E SKINNGER | 1225 NORRIS STREET RALEIGH, NC 27604 | AFLAC | $1 | — | $1 | 0.00% |
| EBENCONCENPTS COMPANY3 | 15305 DALLAS PARKWAY SUITE 800 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $428 | $6K | 7.73% |
| JAMES A SCOTT & SON INC3 | 1301 OLD GRAVES MILL ROAD LYNCHBURG, VA 24502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 2.86% |
| EBENCONCENPTS COMPANY3 | 15305 DALLAS PARKWAY SUITE 800 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $166 | $1K | 8.25% |
| JAMES A SCOTT & SON INC3 | 1301 OLD GRAVES MILL ROAD LYNCHBURG, VA 24502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $421 | — | $421 | 2.89% |
| EBENCONCEPTS COMPANY3 | 15305 DALLAS PARKWAY SUITE 800 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| EBENCONCENPTS COMPANY3 | 15305 DALLAS PARKWAY SUITE 800 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| EBENCONCEPTS COMPANY3 | 639 EXECUTIVE PLACE SUITE 202 FAYETTEVILLE, NC 28305 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $47 | $47 | 0.39% |
| EBENCONCENPTS COMPANY3 | 15305 DALLAS PARKWAY SUITE 800 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $685 | $527 | $1K | 12.28% |
| JAMES A SCOTT & SON INC3 | 1301 OLD GRAVES MILL ROAD LYNCHBURG, VA 24502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $302 | — | $302 | 3.06% |
| EBENCONCEPTS COMPANY3 | 15305 DALLAS PARKWAY SUITE 800 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $277 | — | $277 | 10.01% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | HARTFORD LIFE AND ACCIDENT | $311 | $501 | $812 | 39.46% |
| MOSAIC GROUP SERVICES3 Filed as: MOSAIC GROUP SERVICES, LLC | 4611 UNIVERSITY DRIVE DURHAM, NC 27702 | HARTFORD LIFE AND ACCIDENT | — | $144 | $144 | 7.00% |
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 | 213 | 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) | 213 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 163 | $87K |
| Vision(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 161 | $17K |
| Life insurance(4 contracts, 3 carriers) | AFLAC | 252 | $123K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 252 | $2K |
| Stop-loss / reinsurancereinsurance | GERBER LIFE INSURANCE COMPANY | 165 | $271K |
| Other(4 contracts, 3 carriers) | AFLAC | 252 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 252 | — |
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.