| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 896620 CHARLOTTE, NC 28289 | AETNA HEALTH, INC. | $52K | $13K | $65K | 2.46% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES A SCOTT AND SON, INC. | 1301 OLD GRAVES MILL RD LYNCHBURG, VA 24502 | AETNA HEALTH, INC. | $29K | — | $29K | 1.11% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 896623 CHARLOTTE, NC 28289 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $17K | $2K | $18K | 9.73% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $3K | $8K | 6.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, LLC | 7701 AIRPORT CENTER DR STE 180 GREENSBORO, NC 27409 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | — | $4K | 3.32% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES A SCOTT AND SON, INC | 7909 GLEN ABBEY CIR STANLEY, NC 28164 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | — | $4K | 3.12% |
| KEVIN L MARTIN3 Filed as: KEVIN LEE MARTIN | 1534 LINKS VIEW DR SALEM, VA 24153 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | — | $7K | 9.14% |
| JBA ENTERPRISES OF ROANOKE INC3 Filed as: JBA ENTERPRISES OF ROANOKE, INC. | 355 STONELEDGE DR ROANOKE, VA 24019 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | — | $7K | 8.75% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES A SCOTT AND SON, INC. | 1301 OLD GRAVES MILL RD LYNCHBURG, VA 24502 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 3.45% |
| CYNTHIA WARE3 | 1291 BENCHMARK LN BEDFORD, VA 24523 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 2.73% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 214 N TRYON ST SUITE 46 CHARLOTTE, NC 28202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.85% |
| JUDY L MCCULLOUGH3 | 5182 THOMAS JEFFERSON RD FOREST, VA 24551 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.71% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 896623 CHARLOTTE, NC 28289 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $433 | $3K | 6.65% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896623 CHARLOTTE, NC 28289 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $287 | $2K | 6.61% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 896620 CHARLOTTE, NC 28289 | AETNA LIFE INSURANCE CO. | $201 | — | $201 | 1.60% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES A SCOTT AND SON, INC. | 1301 OLD GRAVES MILL RD LYNCHBURG, VA 24502 | AETNA LIFE INSURANCE CO. | $100 | $14 | $114 | 0.91% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 896623 CHARLOTTE, NC 28289 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $294 | $46 | $340 | 6.61% |
| TRIVETT WINGO4 | 1218 S WALTERS ST SAN ANTONIO, TX 78210 | PRE-PAID LEGAL SERVICES, INC. | $29 | — | $29 | 15.18% |
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 | 336 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 337 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 1 | $13K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 387 | $133K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 336 | $37K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 247 | $188K |
| Long-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 317 | $182K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 172 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 387 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.