| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC | PO BOX 896620 CHARLOTTE, NC 28289 | CIGNA | $43K | — | $43K | 7.87% |
| MCGRIFF INSURANCE SERVICES INC | PO BOX 896620 CHARLOTTE, NC 282896620 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $12K | $6K | $17K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC | 7701 AIRPORT CENTER DRIVE, STE 1800 GREENSBORO, NC 27409 | USABLE LIFE | $8K | — | $8K | 9.74% |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $6K | — | $6K | 7.79% |
| MCGRIFF INSURANCE SERVICES INC | 7701 AIRPORT CENTER DRIVE, STE 1800 GREENSBORO, NC 27409 | USABLE LIFE | $5K | — | $5K | 9.84% |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $2K | — | $2K | 4.92% |
| MARSH & MCLENNAN AGENCY LLC | 7391 HODGSON MEMORIAL DR, STE 100 SAVANNAH, GA 31046 | GUARDIAN | $3K | $1K | $4K | 14.03% |
| MCGRIFF INSURANCE SERVICES INC | 7701 AIRPORT CENTER DRIVE, STE 1800 GREENSBORO, NC 27409 | USABLE LIFE | $4K | $121 | $4K | 15.40% |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $3K | — | $3K | 9.96% |
| 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 | 10.80% |
| MCGRIFF INSURANCE SERVICES INC | 7701 AIRPORT CENTER DRIVE, STE 1800 GREENSBORO, NC 27409 | USABLE LIFE | $287 | — | $287 | 9.97% |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $230 | — | $230 | 7.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 | Claims processing; Contract Administrator; Float revenue; Non-monetary compensation; Named fiduciary; Participant communication; Direct payment from the plan; Other services Service code 12 | — | $125K |
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 | 176 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 176 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA | 155 | $543K |
| Dental | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 113 | $116K |
| Vision | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 110 | $16K |
| Life insurance(2 contracts) | USABLE LIFE | 176 | $29K |
| Short-term disability | USABLE LIFE | 158 | $81K |
| Long-term disability | USABLE LIFE | 175 | $47K |
| Prescription drug | CIGNA | 155 | $543K |
| Other(2 contracts, 2 carriers) | GUARDIAN | 176 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 176 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.