| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KEITH EMORY GREENSPON3 Filed as: KEITH GREENSPON | 125 COTTAGE PLACE CHARLOTTE, NC 28207 | CONNECTICUT GENRAL LIFE INSURANCE COMPANY AND AFFILIATES | $84K | — | $84K | 14.06% |
| KEITH EMORY GREENSPON3 Filed as: KEITH GREENSPON | SUITE 450 2820 SELWYN AVENUE CHARLOTTE, NC 28210 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 11.77% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | SUITE 1950 200 GALLERIA PARKWAY ATLANTA, GA 30339 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 4.05% |
| CHERYL W CRAWFORD3 | 19701 BETHEL CHURCH RD CORNELIUS, NC 28031 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 3.40% |
| UN HUI SMITH3 | PO BOX 1722 DAVIDSON, NC 28036 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $114 | $1K | 2.31% |
| JOHN L MORRIS3 | 117 ALLISON STREET FORT MILL, SC 29715 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $985 | $59 | $1K | 1.92% |
| R0BERT P MCFARLAND3 | 111 NORTH PINE ISLAND DR PLANTATION, FL 33324 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $990 | — | $990 | 1.82% |
| LEON MARTIN3 | 1520 MARTIN STREET WINSTON SALEM, NC 27103 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $346 | $1 | $347 | 0.64% |
| NANCY CLAUSSEN3 | 196 E 6TH STREET SIOUX FALLS, SD 57104 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $159 | $118 | $277 | 0.51% |
| DONNA N DWYER3 | 1540 WESTBROOK PLAZA DRIVE WINSTON SALEM, NC 27103 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $144 | $91 | $235 | 0.43% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: CHARLES W MARSH | 6155 CHAMBERLAIN PL WINSTON SALEM, NC 27103 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $215 | — | $215 | 0.40% |
| DAVID MASON DOKELL3 | 127 GREAT POINT DR MOORESVILLE, NC 28117 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $173 | $10 | $183 | 0.34% |
| PHIL COLEMAN3 | 18908 RIVERWIND LN DAVIDSON, NC 28036 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $141 | — | $141 | 0.26% |
| INSYNC BENEFITS INC3 | PO BOX 1474 CORNELIUS, NC 28031 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $104 | $11 | $115 | 0.21% |
| WHICKER PARTNERSHIPS INC3 | 215 ESSEX FARM RD ADVANCE, NC 27006 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $44 | $6 | $50 | 0.09% |
| TANYA WISHARD3 | PO BOX 307 CODORUS, PA 17311 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $27 | — | $27 | 0.05% |
| TODD GERALD GECEWICZ3 | 1214 WHITMAN DR CREEDMOOR, NC 27522 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $27 | — | $27 | 0.05% |
| V AND S MARKETING3 | 3147 ELMWOOD AVE ROCK VALLEY, IA 51247 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $20 | $7 | $27 | 0.05% |
| WESLEY DALE GINSBACH3 | 18704 KNUTSON RD NEWELL, SD 57760 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $22 | — | $22 | 0.04% |
| CHRISTINA S OSSI3 | 400 TIMBERWALK CT #1313 PONTE VERDA BEACH, FL 32082 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.03% |
| MAGDALENA RUIZ DE GOMEZ3 | 163 STILLWOOD DR NEWNAN, GA 30265 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $14 | — | $14 | 0.03% |
| WORKSITE BENEFIT SERVICES3 | 1214 WHITMAN DR CREEDMOOR, NC 27522 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.02% |
| MARY JO CHAPPELL3 | 109 COUNTRY ROAD 251 CAMERON, TX 76520 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.02% |
| GERRIT VIS3 | 3147 ELMWOOD AVE ROCK VALLEY, IA 51247 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | $6 | $10 | 0.02% |
| RENAE BILLINGSLEY3 | 1143 EAST 300 SOUTH BOUNTIFUL, UT 84010 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.01% |
| SA GENERAL AGENCY INC3 | 9385 MILLER LANE GARDEN RIDGE, TX 78266 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $1 | $1 | 0.00% |
| CDC CONSULTING SERVICES INC3 | 47 WESTERN AVE DEER PARK, NY 11729 | THE PAUL REVERE LIFE INSURANCE COMPANY | $605 | $253 | $858 | 21.41% |
| BRAD BIEL3 | 1050 WALL STREET WEST LYNDHURST, NJ 07071 | THE PAUL REVERE LIFE INSURANCE COMPANY | $799 | $5 | $804 | 20.06% |
| UN HUI SMITH3 | PO BOX 1722 DAVIDSON, NE 28036 | THE PAUL REVERE LIFE INSURANCE COMPANY | $66 | — | $66 | 1.65% |
| DAVID MASON DOKELL3 | 127 GREAT POINT DR MOORESVILLE, NC 28117 | THE PAUL REVERE LIFE INSURANCE COMPANY | $15 | — | $15 | 0.37% |
| PHIL COLEMAN3 | 18908 RIVERWIND LN DAVIDSON, NC 28036 | THE PAUL REVERE LIFE INSURANCE COMPANY | $9 | — | $9 | 0.22% |
| DONNA N DWYER3 | 1540 WESTBROOK PLAZA DRIVE WINSTON SALEM, NC 27103 | THE PAUL REVERE LIFE INSURANCE COMPANY | $9 | — | $9 | 0.22% |
| INSYNC BENEFITS INC3 | PO BOX 1474 CORNELIUS, NE 28031 | THE PAUL REVERE LIFE INSURANCE COMPANY | $5 | — | $5 | 0.12% |
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 | 360 | 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) | 363 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CONNECTICUT GENRAL LIFE INSURANCE COMPANY AND AFFILIATES | 294 | $601K |
| Dental | CONNECTICUT GENRAL LIFE INSURANCE COMPANY AND AFFILIATES | 294 | $601K |
| Vision | CONNECTICUT GENRAL LIFE INSURANCE COMPANY AND AFFILIATES | 294 | $601K |
| Life insurance(4 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 357 | $314K |
| Short-term disability(3 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 357 | $226K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 357 | $168K |
| Other(3 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 121 | $146K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 357 | — |
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.