| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC4 | 2300 RENAISSANCE BOULEVARD KING OF PRUSSIA, PA 19406 | UNUM GROUP | $66K | — | $66K | 10.00% |
| MARSH & MCLENNAN AGENCY LLC3 | 8144 WALNUT HILL LN DALLAS, TX 75231 | RELIASTAR LIFE INSURANCE COMPANY | $56K | — | $56K | 13.06% |
| MARSH & MCLENNAN AGENCY LLC3 | 300 W 10TH STREET WEST POINT, GA 318331212 | RELIASTAR LIFE INSURANCE COMPANY | — | $13K | $13K | 3.00% |
| WILLIAM F SALMON3 Filed as: WILLIAM F. SALMON | 2301 SUGAR BUSH RD STE 22 RALEIGH, NC 27612 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $15K | — | $15K | — |
| MARSH & MCLENNAN AGENCY LLC3 | ONE S JEFFERSON ST ROANOKE, VA 24011 | DELTA DENTAL OF NORTH CAROLINA | $26K | $5K | $31K | — |
| MARSH & MCLENNAN AGENCY LLC3 | 2301 SUGAR BUSH RD STE 600 RALEIGH, NC 27612 | VISION SERVICE PLAN | — | $6K | $6K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MARSH & MCLENNAN AGENCY, LLC EIN 26-3237576 ADMINISTRATOR | Contract Administrator Service code 13 | 2300 RENAISSANCE BOULEVARD KING OF PRUSSIA, PA 19406 | $51K |
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 | 1,129 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 1,078 | $0 |
| Dental | DELTA DENTAL OF NORTH CAROLINA | 1,129 | $0 |
| Vision | VISION SERVICE PLAN | 486 | $0 |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 1,029 | $429K |
| Short-term disability | RELIASTAR LIFE INSURANCE COMPANY | 1,029 | $429K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 1,029 | $429K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 1,078 | $0 |
| Stop-loss / reinsurancereinsurance | UNUM GROUP | 630 | $657K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 1,029 | $429K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,129 | — |
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.