| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES A SCOTT & SON INC3 | 3900 WESTERRE PKWY STE 200 RICHMOND, VA 23233 | HARTFORD LIFE AND ACCIDENT | $7K | $3K | $10K | 15.10% |
| MOSAIC GROUP SERVICES3 Filed as: MOSAIC GROUP SERVICES LLC | 4611 UNIVERSITY DR DURHAM, NC 27702 | HARTFORD LIFE AND ACCIDENT | — | $5K | $5K | 7.00% |
| JAMES A SCOTT & SON INC3 | 628 GREEN VALLEY ROAD GREENSBORO, NC 27408 | DELTA DENTAL OF NORTH CAROLINA | $7K | — | $7K | 11.16% |
| JAMES A SCOTT & SON INC3 | 628 GREEN VALLEY ROAD APT 306 GREENSBORO, NC 27408 | DELTA DENTAL OF NORTH CAROLINA | $1K | — | $1K | 16.90% |
| AON CONSULTING INC3 Filed as: ALLSTATE BENEFIT/SCOTT INSURANCE | — | COMBINED STATES L.S., INC | $666 | — | $666 | 19.62% |
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 | 151 | 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) | 151 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 152 | $751K |
| Dental | DELTA DENTAL OF NORTH CAROLINA | 148 | $63K |
| Vision | DELTA DENTAL OF NORTH CAROLINA | 141 | $8K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 151 | $68K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 151 | $68K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 151 | $68K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 152 | $751K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 151 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 152 | — |
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.