| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DANIEL HYNES3 | 8024 GLENWOOD AVE, SUITE 110 RALEIGH, NC 27612 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $49K | — | $49K | 2.24% |
| MALINDA S OCH3 | 387 MEDINA ROAD, SUITE 500 MEDINA, OH 44256 | PARRISH TIRE CO OF AKRON | $3K | — | $3K | 1.78% |
| THE HYNES COMPANIES INC3 Filed as: HYNES COMPANIES INC | 8024 GLENWOOD AVE, SUITE 110 RALEIGH, NC 27612 | USABLE LIFE | $16K | — | $16K | 9.55% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $9K | — | $9K | 5.19% |
| DANIEL HYNES3 | 8024 GLENWOOD AVE, SUITE 110 RALEIGH, NC 27617 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 5.26% |
| DANIEL HYNES3 | 6127 BLAKEMAN LANE RALEIGH, NC 27617 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | — | $7K | 7.26% |
| ROBERT W. FOXWORTH INC3 | 217 BRANCHSIDE LANE HOLLY SPRINGS, NC 27540 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | — | $4K | 4.51% |
| GLENN ZIMMERMAN INC3 | 1510 HIGH ROCK ROAD GIBSONVILLE, NC 27249 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $462 | $3K | 2.85% |
| SUSAN E. KEELER3 | 9222 54TH CT E PARRISH, FL 34219 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 2.45% |
| JULIAN EMERSON3 | PO BOX 598 GEORGETOWN, SC 29442 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $801 | $860 | $2K | 1.85% |
| STEVEN GRIMES3 | 2375 RAEFORD RD FAYETTEVILLE, NC 28305 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $277 | $1K | 1.53% |
| DEBRA ANN FORMAN3 | 508 ASPEN GROVE DRIVE FUQUAY VARINA, NC 27526 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $937 | $248 | $1K | 1.32% |
| ROBERT WOODFIN3 | 2401 FRASERBURGH DR. MATTHEWS, NC 28105 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $757 | $17 | $774 | 0.86% |
| Z3 ENTERPRISES INC3 | 1510 HIGH ROCK ROAD GIBSONVILLE, NC 27249 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $492 | $32 | $524 | 0.58% |
| KEVIN J MILLER3 | 475 PORLOCK WAY RAEFORD, NC 28376 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $380 | $71 | $451 | 0.50% |
| INSYNC BENEFITS INC3 | PO BOX 1474 CORNELIUS, NC 28031 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $449 | — | $449 | 0.50% |
| MICHAEL N THORN3 Filed as: MICHAEL N. THORN | 3 MAINSAIL CT GREESNBORO, NC 27455 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $79 | — | $79 | 0.09% |
| BENEFITS COUNT INC3 | 1401 CHRISTIMAS COURT RALEIGH, NC 27604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $52 | $1 | $53 | 0.06% |
| HOWARD HOROWITZ3 | 2610 ALCOTT STREET CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.01% |
| PIERCE GROUP BENEFITS LLC3 | 4928 LINKSLAND DRIVE HOLLY SPRINGS, NC 27540 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| LINDA GAIL MANNING3 | 5111 WOODRUN ON TILLERY MT GILEAD, NC 27306 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| GLENN ZIMMERMAN INC3 Filed as: GLENN PIERCE | 5300 TEN-TEN RD APEX, NC 27539 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| DANIEL HYNES3 | 6127 BLAKEMAN LANE RALEIGH, NC 27617 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 9.33% |
| STEVEN GRIMES3 | 2375 RAEFORD RD FAYETTEVILLE, NC 28305 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $918 | $231 | $1K | 6.22% |
| ROBERT W. FOXWORTH INC3 | 217 BRANCHSIDE LANE HOLLY SPRINGS, NC 27540 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $908 | — | $908 | 4.91% |
| Z3 ENTERPRISES INC3 | 1510 HIGH ROCK ROAD GIBSONVILLE, NC 27249 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $757 | $117 | $874 | 4.73% |
| SUSAN E. KEELER3 | 9222 54TH CT E PARRISH, FL 34219 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $575 | — | $575 | 3.11% |
| JULIAN EMERSON3 | PO BOX 598 GEORGETOWN, SC 29442 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $270 | $289 | $559 | 3.03% |
| DEBRA ANN FORMAN3 | 508 ASPEN GROVE DRIVE FUQUAY VARINA, NC 27526 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $388 | $103 | $491 | 2.66% |
| INSYNC BENEFITS INC3 | PO BOX 1474 CORNELIUS, NC 28031 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $96 | — | $96 | 0.52% |
| KJELL T TERRELL3 | 327 GOLF COURSE DR RALEIGH, NC 27610 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 0.05% |
| ROBERT W. FOXWORTH INC3 | 217 BRANCHSIDE LANE HOLLY SPRINGS, NC 27540 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $31 | — | $31 | 4.31% |
| DANIEL P. HYNES3 | 6127 BLAKEMAN LANE RALEIGH, NC 27617 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 1.25% |
| INSYNC BENEFITS INC3 | PO BOX 1474 CORNELIUS, NC 28031 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.56% |
| SUSAN E. KEELER3 | 9222 54TH CT E PARRISH, FL 34219 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.56% |
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 | 314 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 314 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 406 | $2.4M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 526 | $148K |
| Vision | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 406 | $2.2M |
| Life insurance | USABLE LIFE | 314 | $165K |
| Short-term disability | USABLE LIFE | 314 | $165K |
| Long-term disability | USABLE LIFE | 314 | $165K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 406 | $2.2M |
| Other(4 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 406 | $2.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 526 | — |
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.