| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SWARTZBAUGH-FARBER & ASSOCIATES INC3 | 1015 N. 98TH STREET SUITE 221 OMAHA, NE 68114 | UNITEDHEALTHCARE INSURANCE COMPANY | $80K | — | $80K | 2.00% |
| SWARTZBAUGH-FARBER & ASSOCIATES INC3 | 1015 N. 98TH STREET SUITE 221 OMAHA, NE 68114 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $0 | $3K | $3K | 2.00% |
| SWARTZBAUGH-FARBER & ASSOCIATES INC3 | 1015 N. 98TH STREET SUITE 221 OMAHA, NE 68114 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 8.29% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST SUITE 900 PORTLAND, OR 97209 | METROPOLITAN LIFE INSURANCE COMPANY | $434 | — | $434 | 2.04% |
| MASTERCARE SOLUTIONS, INC.3 | 10300 SW GREENBURG RD SUITE 380 PORTLAND, OR 97223 | METROPOLITAN LIFE INSURANCE COMPANY | $418 | — | $418 | 1.96% |
| GERALD HILL AND ASSOCIATES3 | 612 PASTEUR DRIVE GREENSBORO, NC 27403 | AFLAC | $927 | — | $927 | 4.66% |
| ANGELA D REYNOLDS3 | 507 CHESAPEAKE LANE ARCHDALE, NC 27263 | AFLAC | $552 | — | $552 | 2.78% |
| C HARVEY KING3 | PO BOX 45 WEST JEFFERSON, NC 28694 | AFLAC | $183 | — | $183 | 0.92% |
| JOHN ARIANSEN3 | PO BOX 18214 GREENSBORO, NC 27419 | AFLAC | $162 | — | $162 | 0.81% |
| J MICHAEL BUTLER3 | 1440 SOLD LENOIR ROAD SUITE A HICKORY, NC 28601 | AFLAC | $69 | — | $69 | 0.35% |
| KELLY LEBSACK3 Filed as: KELLY D LEBSACK | 826 NORTH ELM STREET GREENSBORO, NC 27401 | AFLAC | $62 | — | $62 | 0.31% |
| AMANDA SHUMATE3 | 3020 ROBIN HOOD DRIVE GREENSBORO, NC 27408 | AFLAC | $55 | — | $55 | 0.28% |
| JUDITH CULLER3 | 131 ENGLEWOOD DRIVE ARCHDALE, NC 27263 | AFLAC | $23 | — | $23 | 0.12% |
| CHUCK MARTIN & ASSOC INC3 | 1400 BATTLEGROUND AVE SUITE 158A GREENSBORO, NC 27408 | AFLAC | $12 | — | $12 | 0.06% |
| JAMES R HILL JR3 | 7021 MARSEILLES CT SUMMERFIELD, NC 27358 | AFLAC | $4 | — | $4 | 0.02% |
| ASSURANCE AGENCY LTD3 Filed as: THE ASSURANCE GROUP INC | 5035 PROSPECT STREET ARCHDALE, NC 27263 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | — | $2K | 11.68% |
| STEPHEN J. WORGAN3 | 18741 NAUTICAL DRIVE #204 CORNELIUS, NC 28031 | AMERICAN FIDELITY ASSURANCE COMPANY | $111 | — | $111 | 0.79% |
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 | 934 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 934 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 1,440 | $5.7M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 1,440 | $4.0M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 1,440 | $4.0M |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 934 | $165K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 420 | $32K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 152 | $45K |
| Prescription drug | HEALTH NET | 135 | $1.2M |
| Other(5 contracts, 5 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 934 | $237K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,440 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.