| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE HYNES COMPANIES INC3 Filed as: HYNES COMPANIES, INC. | 8024 GLENWOOD AVE STE 250 RALEIGH, NC 27612 | USABLE LIFE | $21K | — | $21K | 9.43% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $11K | — | $11K | 5.13% |
| MULTIPLE BROKERS (SEE APPENDIX)3 Filed as: MULTIPLE BROKERS SEE APPENDIX | POST OFFICE BOX 1365 COLUMBIA, SC 29202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $54K | $17K | $71K | 43.44% |
| THE HYNES COMPANIES INC3 Filed as: THE HYNES COMPANIES, INC. | 8024 GLENWOOD AVE STE 250 RALEIGH, NC 27612 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | — | $9K | 5.40% |
| MULITPLE BROKERS SEE APPENDIX3 | POST OFFICE BOX 1365 COLUMBIA, SC 29202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8K | $2K | $10K | 33.03% |
| MALINDA S OCH3 | 387 MEDINA ROAD SUITE 500 MEDINA, OH 44256 | SUMMACARE, INC. | $100 | — | $100 | 1.61% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF NC EIN 56-0894904 MED/DENTAL ADMIN FEES/PPO | Claims processing Service code 12 | — | $86K |
| DANIEL P HYNES BROKER COMMISSIONS | Insurance agents and brokers Service code 22 | 8024 GLENWOOD AVE STE 110 RALEIGH, NC 27612 | $33K |
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 | 353 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 24 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 377 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SUMMACARE, INC. | 2 | $6K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 548 | $161K |
| Life insurance | USABLE LIFE | 353 | $220K |
| Short-term disability | USABLE LIFE | 353 | $220K |
| Long-term disability | USABLE LIFE | 353 | $220K |
| Other(3 contracts, 2 carriers) | USABLE LIFE | 353 | $414K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 548 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.