| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK III BROKERAGE INC3 | 211 GREENWICH RD CHARLOTTE, NC 28211 | AMERITAS LIFE INSURANCE COMPANY | $342K | $3K | $345K | 1.51% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LINCOLN LIFE ASSURANCE CO | — | $367K | $367K | 4.91% |
| MARK III BROKERAGE INC3 Filed as: MARK III BROKERAGE | 211 GREENWHICH RD CHARLOTTE, NC 28211 | LINCOLN LIFE ASSURANCE CO | $285K | $25K | $310K | 4.14% |
| BENEFITS ADVISOR3 | 11426 CORLISS AVE CHARLOTTE, NC 28277 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $167K | — | $167K | 6.00% |
| MARK III BROKERAGE INC3 Filed as: MARK III BROKERAGE, INC. | 10117 HIGHWAY 421 N SHADY VALLEY, TN 37688 | UNITED HEALTHCARE INSURANCE COMPANY | $135K | — | $135K | 4.89% |
| MARK III BROKERAGE INC3 | 211 GREENWICH RD CHARLOTTE, NC 28211 | HARTFORD LIFE AND ACCIDENT | $151K | $1K | $152K | 13.98% |
| MGIS3 Filed as: MGIS, INC | PO BOX 16110 SALT LAKE CITY, UT 84116 | HARTFORD LIFE AND ACCIDENT | — | $81K | $81K | 7.48% |
| MARK III BROKERAGE INC3 | 300 WEST WATAUGA AVE JOHNSON CITY, TN 37604 | MUTUAL OF OMAHA | $49K | — | $49K | 10.00% |
| MARK III BROKERAGE INC3 Filed as: MARK III BROKERAGE | 211 GREENWHICH RD CHARLOTTE, NC 28211 | LINCOLN LIFE ASSURANCE COMPANY | $18K | $24K | $42K | 9.54% |
| MARK III BROKERAGE INC3 | 211 GREENWICH ROAD CHARLOTTE, NC 28211 | HARTFORD LIFE AND ACCIDENT INSURANCE | $50K | $366 | $50K | 13.95% |
| MGIS3 | PO BOX 16110 SALT LAKE CITY, UT 84116 | HARTFORD LIFE AND ACCIDENT INSURANCE | — | $27K | $27K | 7.51% |
| MARSH & MCLENNAN AGENCY LLC3 | 2301 SUGAR BUSH RD STE 600 RALEIGH, NC 27612 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $18K | — | $18K | 15.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN LLC | 3625 N ELM ST STE 200 GREENSBORO, NC 274552604 | PRINCIPAL LIFE INSURANCE COMPANY | $14K | — | $14K | 15.00% |
| BERTRAND HUDNALL3 | 40 CALHOUN ST STE310 CHARLESTON, SC 294013532 | MASSACHUSETTS MUTUAL LIFE INS | — | $238 | $238 | 1.63% |
| MICHAEL WITHROW3 Filed as: MICHAEL C WATERS | 2301 SUGAR BUSH RD STE 600 RALEIGH, NC 27612 | MASSACHUSETTS MUTUAL LIFE INS | $216 | — | $216 | 1.48% |
| BRIAN J RUFF3 | 40 CALHOUN ST STE 310 CHARLESTON, SC 29401 | MASSACHUSETTS MUTUAL LIFE INS | $198 | — | $198 | 1.36% |
| DAVID V COVE3 | 4000 WESTCHASE BLVD STE 400 RALEIGH, NC 27607 | MASSACHUSETTS MUTUAL LIFE INS | — | $78 | $78 | 0.54% |
| TOWNSEND NEWMAN A III3 | 343 E SIX FORKS RD STE 388 RALEIGH, NC 27609 | MASSACHUSETTS MUTUAL LIFE INS | $39 | — | $39 | 0.27% |
| D.L. DAVIS & COMPANY INC.3 Filed as: D.L. DAVIS & CO | 1315 S MAIN ST WINSTONSALEM, NC 27127 | MASSACHUSETTS MUTUAL LIFE INS | $18 | — | $18 | 0.12% |
| TIMOTHY EBERT3 | 100 CLUB OAKS CT STE B WINSTONSALEM, NC 27104 | MASSACHUSETTS MUTUAL LIFE INS | $9 | — | $9 | 0.06% |
| HOLROYD AGENCY3 | 1401 GRANADA DRIVE RALEIGH, NC 27612 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $56 | — | $56 | 4.32% |
| MARK III BROKERAGE INC3 Filed as: MARK III BROKERAGE | 300 W WATAUGA AVE JOHNSON CITY, TN 376045549 | METROPOLITAN LIFE INSURANCE CO. | $4K | $670 | $4K | — |
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 | 37,725 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 225 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 37,950 | 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 | 68,579 | $1.2M |
| Dental | AMERITAS LIFE INSURANCE COMPANY | 71,456 | $22.8M |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 36,934 | $2.8M |
| Life insurance(5 contracts, 4 carriers) | LINCOLN LIFE ASSURANCE CO | 38,321 | $8.0M |
| Short-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 37,146 | $1.2M |
| Long-term disability(4 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT INSURANCE | 1,061 | $496K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 13,160 | $1.1M |
| Other(3 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 10,846 | $3.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 71,456 | — |
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.