| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 6.34% |
| THE BENEFIT COMPANY INC3 | PO BOX 211486 SUITE 200 COLUMBIA, SC 29221 | STANDARD INSURANCE COMPANY | — | $2K | $2K | 2.64% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 4.21% |
| THE BENEFIT COMPANY INC3 | PO BOX 211486 SUITE 200 COLUMBIA, SC 29221 | STANDARD INSURANCE COMPANY | — | $2K | $2K | 2.66% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | STANDARD LIFE INSURANCE | $2K | — | $2K | 3.07% |
| THE BENEFIT COMPANY INC3 | PO BOX 211486 SUITE 200 COLUMBIA, SC 29221 | STANDARD LIFE INSURANCE | — | $969 | $969 | 1.83% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 4.62% |
| THE BENEFIT COMPANY INC3 | PO BOX 211486 SUITE 200 COLUMBIA, SC 29221 | STANDARD INSURANCE COMPANY | — | $1K | $1K | 2.66% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282171960 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 5.97% |
| LONA BISHOP3 | PO BOX 20753 ROANOKE, VA 24018 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 5.45% |
| MARK WARE3 Filed as: MARK A WARE | 310 SHOREWOOD DR MINERAL, VA 23117 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $135 | — | $135 | 0.50% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282171984 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 5.89% |
| LONA BISHOP3 | PO BOX 20753 ROANOKE, VA 24018 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 5.36% |
| MARK WARE3 Filed as: MARK A WARE | 310 SHOREWOOD DR MINERAL, VA 23117 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $110 | — | $110 | 0.55% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | STANDARD INSURANCE COMPANY | $284 | — | $284 | 2.48% |
| THE BENEFIT COMPANY INC3 | PO BOX 211486 SUITE 200 COLUMBIA, SC 29221 | STANDARD INSURANCE COMPANY | — | $210 | $210 | 1.84% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282171964 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $462 | — | $462 | 5.66% |
| LONA BISHOP3 | PO BOX 20753 ROANOKE, VA 24018 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $419 | — | $419 | 5.14% |
| MARK WARE3 Filed as: MARK A WARE | 310 SHOREWOOD DR MINERAL, VA 23117 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $42 | — | $42 | 0.51% |
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 | 140 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA HEALTH, INC. | 227 | $1.3M |
| Dental | STANDARD LIFE INSURANCE | 105 | $53K |
| Vision | STANDARD INSURANCE COMPANY | 97 | $11K |
| Life insurance | STANDARD INSURANCE COMPANY | 145 | $66K |
| Short-term disability | STANDARD INSURANCE COMPANY | 89 | $51K |
| Long-term disability | STANDARD INSURANCE COMPANY | 145 | $66K |
| Other(5 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 208 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 227 | — |
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."
No prospect flags tripped on this filing.