| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SHELLEY L MCLEAN3 | 400 GALLERIA PARKWAY ATLANTA, GA 30339 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $43K | — | $43K | 1.77% |
| WELLS FARGO INSURANCE SERVICES3 | 6100 FAIRVIEW ROAD, SUITE 1400 CHARLOTTE, NC 28210 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $20K | $2K | $22K | 11.88% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 1.09% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | UNION SECURITY INSURANCE COMPANY | $4K | $10K | $14K | 8.53% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | PO BOX 203510 DALLAS, TX 753203510 | UNION SECURITY INSURANCE COMPANY | $9K | — | $9K | 5.54% |
| LAYNE FINANCIAL INC3 Filed as: LAYNE FINANCIAL | 315 GREEN RIDGE RD STE H1 NEW CASTLE, PA 06105 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $19K | — | $19K | 22.61% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SVCS USA | 6100 FAIRVIEW RD STE 1400 CHARLOTTE, NC 28210 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $435 | $5K | 6.19% |
| WELLS FARGO INSURANCE SERVICES3 | 600 HIGHWAY 169 SOUTH, SUITE 1200 SAINT LOUIS, MN 55426 | EYEMED VISION CARE | $3K | — | $3K | 9.93% |
| ENROLLEASE3 Filed as: DIGITAL BENEFIT ADVISORS | 400 GALLERIA PKWY #300 ATLANTA, GA 30339 | EYEMED VISION CARE | $327 | — | $327 | 0.96% |
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 | 487 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 496 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 853 | $2.4M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 853 | $2.6M |
| Vision | EYEMED VISION CARE | 398 | $34K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 763 | $183K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 763 | $183K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 763 | $183K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 853 | $2.4M |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 763 | $265K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 853 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.