| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEALTH PARTNER GROUP LLC | 18700 N HAYDEN RD STE 405 SCOTTSDALE, AZ 85255 | SYMETRA LIFE INSURANCE CO | — | $29K | $29K | 4.32% |
| CAPITAL PEAK LLC | 1390 N MCDOWELL BLVD STE G-283 PEALUMA, CA 94954 | SYMETRA LIFE INSURANCE CO | $8K | $8K | $15K | 2.27% |
| USI INSURANCE SERVICES LLC3 | 6100 FAIRVIEW RD SUITE 1400 CHARLOTTE, NC 28210 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $13K | — | $13K | 10.00% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62819 VIRGINIA BEACH, VA 23466 | VISION SERVICE PLAN | $2K | — | $2K | 3.21% |
| USI INSURANCE SERVICES LLC3 | 6100 FAIRVIEW RD SUITE 1400 CHARLOTTTE, NC 28210 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHGRAM INC EIN 56-1449504 | Claims processing Service code 12 | PO BOX 11088 CHARLOTTE, NC 28220 | $331K |
| B V HEDRICK GRAVEL & SAND COMPANY EIN 56-0257665 PLAN SPONSOR | Accounting (including auditing); Plan Administrator Service code 10 | PO BOX 1040 SALISBURY, NC 28145 | $16K |
| ANDERSON SMITH & WIKE PLLC EIN 27-1473864 | Accounting (including auditing) Service code 10 | 9541 JULIAN CLARK AVE SUITE 202 HUNTERSVILLE, VA 28078 | $7K |
| USI INSURANCE SERVICES LLC EIN 13-3771734 | Consulting (general); Insurance agents and brokers Service code 16 | PO BOX 32819 VIRGINIA BEACH, VA 23466 | $0 |
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 | 702 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 705 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 623 | $63K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 764 | $35K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 583 | $218K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 557 | $127K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE CO | 634 | $676K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 764 | — |
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.