| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIRST CHOICE BENEFITS3 Filed as: FIRST CHOICE BENEFITS INC | PO BOX 12186 NEW BERN, NC 28561 | SUN LIFE ASSURANCE COMPANY OF CANADA | $207K | $0 | $207K | 15.42% |
| FIRST CHOICE BENEFITS3 Filed as: FIRST CHOICE BENEFITS INC | PO BOX 12186 NEW BERN, NC 28561 | UNION SECURITY INSURANCE COMPANY | $36K | $4K | $40K | 12.22% |
| JAMES A SCOTT & SON INC4 Filed as: JAMES A SCOTT & SON INC-DIANA MASON | PO BOX 10489 LYNCHBURG, VA 24506 | BLUE CROSS BLUE SHIELD | $484K | — | $484K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BCBS OF NORTH CAROLINA EIN 56-0894904 CARRIER | Claims processing Service code 12 | PO BOX 2921 DURHAM, NC 27702 | $484K |
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 | 979 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 979 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 767 | $0 |
| Dental | UNION SECURITY INSURANCE COMPANY | 590 | $331K |
| Vision | BLUE CROSS BLUE SHIELD | 767 | $0 |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 979 | $1.3M |
| Short-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 979 | $1.3M |
| Long-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 979 | $1.3M |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 979 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 979 | — |
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.