| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT O FLOYD JR. Filed as: ROBERT O FLOYD JR | PO BOX 309 LENOIR, NC 28645 | COMPANION LIFE | $3K | $5 | $3K | 3.60% |
| THE BROKERAGE RESOURCE INC3 | 1502 WEST HIGHWAY 54 SUITE 401 DURHAM, NC 27707 | COMPANION LIFE | $2K | $5 | $2K | 2.37% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | COMPANION LIFE | $513 | $5 | $518 | 0.58% |
| POWER BENEFITS | 200 FIRST ST STE 404 HICKORY, NC 28601 | COMPANION LIFE | $496 | $5 | $501 | 0.56% |
| ROBERT O FLOYD JR.3 Filed as: ROBERT O FLOYD JR | PO BOX 309 LENOIR, NC 28645 | VISION SERVICE PLAN | $901 | — | $901 | 4.16% |
| POWER BENEFITS3 | 200 1ST AVE STE 404 HICKORY, NC 28601 | VISION SERVICE PLAN | $189 | — | $189 | 0.87% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | VISION SERVICE PLAN | $65 | — | $65 | 0.30% |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 125 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | COMPANION LIFE | 122 | $89K |
| Vision | VISION SERVICE PLAN | 125 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 125 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.