| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DANIEL D NELSON3 Filed as: DANIEL D. NELSON | 8753 E. BELL ROAD, SUITE 110 SCOTTSDALE, AZ 85260 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $30K | — | $30K | 4.51% |
| DANIEL DAVID NELSON3 | 8753 E. BELL ROAD, SUITE 110 SCOTTSDALE, AZ 85260 | PRINCIPAL LIFE INSURANCE COMPANY | $9K | — | $9K | 10.98% |
| IBSI HOLDINGS INC3 Filed as: IBSI HOLDINGS INC. | P.O. BOX 24337 WINSTON SALEM, NC 27114 | PRINCIPAL LIFE INSURANCE COMPANY | — | $4K | $4K | 5.16% |
| MOSAIC GROUP SERVICES3 Filed as: MOSAIC GROUP SERVICES LLC | P.O. BOX 2291 DURHAM, NC 27702 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $311 | $4K | 4.87% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | PRINCIPAL LIFE INSURANCE COMPANY | $396 | $3K | $4K | 4.22% |
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 | 187 | 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) | 187 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 149 | $656K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 234 | $84K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 234 | $84K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 234 | $84K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 149 | $656K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 234 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.