| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC | PO BOX 896620 CHARLOTTE, NC 28289 | CIGNA | $42K | $4K | $46K | 10.69% |
| MCGRIFF INSURANCE SERVICES INC | PO BOX 896620 CHARLOTTE, NC 282896620 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $10K | $5K | $15K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC | PO BOX 896620 CHARLOTTE, NC 28289 | USABLE LIFE | $5K | $1K | $7K | 12.71% |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $4K | — | $4K | 7.95% |
| MCGRIFF INSURANCE SERVICES INC | PO BOX 896620 CHARLOTTE, NC 28289 | USABLE LIFE | $3K | $964 | $4K | 12.83% |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $2K | — | $2K | 5.01% |
| MCGRIFF INSURANCE SERVICES INC | 7391 HODGSON MEMORIAL DR, STE 100 SAVANNAH, GA 31046 | GUARDIAN | $3K | $1K | $4K | 14.11% |
| MCGRIFF INSURANCE SERVICES INC | PO BOX 896620 DURHAM, NC 28289 | USABLE LIFE | $4K | $799 | $5K | 18.09% |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $3K | — | $3K | 10.02% |
| DREW M. LAMB Filed as: DREW M LAMB | 5925 CARNEGIE BLVD, STE 400 CHARLOTTE, NC 28209 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $2K | — | $2K | 9.23% |
| MCGRIFF INSURANCE SERVICES INC | PO BOX 896620 CHARLOTTE, NC 28289 | USABLE LIFE | $311 | $55 | $366 | 13.77% |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $249 | — | $249 | 9.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OMADA HEALTH, INC. EIN 45-2355015 | Named fiduciary; Other services; Claims processing; Direct payment from the plan; Non-monetary compensation; Participant communication; Float revenue; Contract Administrator Service code 12 | 500 SANSOME ST., 200 SAN FRANCISCO, CA 94111 | $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 | 162 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 162 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA | 138 | $428K |
| Dental | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 102 | $100K |
| Vision | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 105 | $19K |
| Life insurance(2 contracts) | USABLE LIFE | 162 | $29K |
| Short-term disability | USABLE LIFE | 137 | $51K |
| Long-term disability | USABLE LIFE | 162 | $34K |
| Prescription drug | CIGNA | 138 | $428K |
| Other(2 contracts, 2 carriers) | GUARDIAN | 162 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 162 | — |
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.