| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LISA H MCKINNEY3 Filed as: LISA MCKINNEY | 56 GLEN COVE DRIVE ARDEN, NC 28704 | AFLAC | $4K | $104 | $4K | 5.51% |
| BETTY C PAYNE3 Filed as: BETTY PAYNE | 2771 UPPER PAW PAW ROAD MARSHALL, NC 28753 | AFLAC | $1K | — | $1K | 1.71% |
| ANNA WHISNANT3 | 14 HAMPTON LANE WEAVERVILLE, NC 28787 | AFLAC | $991 | — | $991 | 1.47% |
| SUSAN RUSSELL3 | 120 ROCKWOOD DR HENDERSONVILLE, NC 28792 | AFLAC | $717 | — | $717 | 1.07% |
| JACOB M KIMSEY3 | 101 FOX COVE RD HENDERSONVILLE, NC 28792 | AFLAC | $581 | $41 | $622 | 0.93% |
| DINA MARIE CARDEN3 | 945 PANTEGO BLVD SE BOLIVIA, NC 28422 | AFLAC | $530 | $31 | $561 | 0.83% |
| NATASHA ANN MCCORMICK3 Filed as: NATASHA MCCORMICK | 27 AMY'S WAY BLACK MOUNTAIN, NC 28711 | AFLAC | $533 | $15 | $548 | 0.82% |
| JOHN PAYNE3 | 2771 UPPER PAW PAW ROAD MARSHALL, NC 28753 | AFLAC | $485 | — | $485 | 0.72% |
| KIMBERLY COXE3 | 49 MARLOWE DR ASHEVILLE, NC 28801 | AFLAC | $411 | $34 | $445 | 0.66% |
| CANDICE BRUNO3 | 23 BAILY ROAD CANDLER, NC 28715 | AFLAC | $122 | — | $122 | 0.18% |
| CAROLYN DUNLAP3 | 17 WHITE PINE CIRCLE FLETCHER, NC 28732 | AFLAC | $96 | — | $96 | 0.14% |
| TERRY J SILVERS3 Filed as: TERRY SILVERS | 100 GREENLEAF DR. FLAT ROCK, NC 28731 | AFLAC | $86 | — | $86 | 0.13% |
| J MICHAEL BUTLER3 Filed as: J. MICHAEL BUTLER | 1090 13TH AVE NW HICKORY, NC 28601 | AFLAC | $80 | — | $80 | 0.12% |
| CINDY HANSULT3 | 673 JUSTIC RIDGE ROAD CANDLER, NC 28715 | AFLAC | $66 | $6 | $72 | 0.11% |
| BARBARA VALENTINE3 | PO BOX 193 LAKE JUNALUSKA, NC 28745 | AFLAC | $49 | — | $49 | 0.07% |
| EDWARD BURGIN3 | 1078 AUGUSTA DR. MARION, NC 28752 | AFLAC | $48 | — | $48 | 0.07% |
| PATSY A BLANTON3 Filed as: PATSY BLANTON | 41 HIDDEN CONNOR HOLW SYLVA, NC 28779 | AFLAC | $44 | — | $44 | 0.07% |
| BARBARA SPICER3 | 12509 SPRINGS CRESS COURT MIDLOTHIAN, VA 23114 | AFLAC | $39 | — | $39 | 0.06% |
| DAVID G BAKER3 Filed as: DAVID BAKER | 1531 SUNFLOWER FIELD DR. MATTHEWS, NC 28104 | AFLAC | $38 | — | $38 | 0.06% |
| JOAN TAYLOR3 | 1841 NEEDMORE ROAD WHITESBURG, TN 37891 | AFLAC | $34 | — | $34 | 0.05% |
| LARRY CHESTNUTT, JR3 | 300 LONG SHOALS ROAD APT 16T ARDEN, NC 28704 | AFLAC | $26 | — | $26 | 0.04% |
| WANDA STEPP3 | 4720 FOWLER DRIVE MORRISTOWN, TN 37814 | AFLAC | $22 | — | $22 | 0.03% |
| ACRISURE LLC3 Filed as: ACRISURE WALLSTREET PARTNERS, LLC | 158 PRINTERS LANE NEW LONDON, NC 28127 | AFLAC | $17 | — | $17 | 0.03% |
| JOHN M WASHO3 Filed as: JOHN WASHO | 24956 WOLF BAY TAR ORANGE BEACH, AL 36561 | AFLAC | $16 | — | $16 | 0.02% |
| JANICE ADAMS3 | 92 RIDDLE ROAD SWANNANOA, NC 28778 | AFLAC | $16 | — | $16 | 0.02% |
| DENA JORDAN3 | 9300 HARRIS CORNERS PKWY, STE 100 CHARLOTTE, NC 28269 | AFLAC | $10 | — | $10 | 0.01% |
| EXCEPTIONAL SERVICES INC3 | 158 PRINTERS LANE NEW LONDON, NC 28127 | AFLAC | $9 | — | $9 | 0.01% |
| RONALD MOSTO II3 | 6610 HARVEST DR PAPILLION, NE 68133 | AFLAC | $9 | — | $9 | 0.01% |
| KATRINA D AIKEN3 | 2511 JUDITH STREET LYNCHBURG, VA 24501 | AFLAC | $8 | — | $8 | 0.01% |
| TONY J DELBEN3 Filed as: TONY DELBEN | 143 SANDREED DR MOORESVILLE, NC 28117 | AFLAC | $8 | — | $8 | 0.01% |
| CHARLES F GREER3 Filed as: CHARLES GREER | 9537 PECKY CYPRESS WAY ORLANDO, FL 32836 | AFLAC | $6 | — | $6 | 0.01% |
| ABBIE W COFFMAN3 Filed as: ABBIE COFFMAN | 31 HAWTHORN CIRCLE CROSSVILLE, TN 38555 | AFLAC | $4 | — | $4 | 0.01% |
| JAMES POND3 | 1700 ROBBINS ROAD, LOT 170 GRAND HAVEN, MI 49417 | AFLAC | $3 | — | $3 | 0.00% |
| JULIE W CRAIG3 Filed as: JULIE CRAIG | 10722 NW 20TH DR CORAL SPRINGS, FL 33071 | AFLAC | $3 | — | $3 | 0.00% |
| DEBORAH A WITHEY3 Filed as: DEBORAH WITHEY | 2149 6TH STREET NW HICKORY, NC 28601 | AFLAC | $3 | — | $3 | 0.00% |
| STEPEHN SIBEL3 | 86 MAPLE AVE COLLEGEVILLE, PA 19426 | AFLAC | $1 | — | $1 | 0.00% |
| ERIC MILLER3 | 149 MALIBU RD MOORESVILLE, NC 28117 | AFLAC | $1 | — | $1 | 0.00% |
| GARRETT A ROLL3 Filed as: GARRETT ROLL | 301 MAPLE RIDGE STREET BOWLING GREEN, KY 42101 | AFLAC | $1 | — | $1 | 0.00% |
| KANDI H HECKLER3 Filed as: KANDI HECKLER | 5453 HASELL DR ROCKVALE, TN 37153 | AFLAC | $1 | — | $1 | 0.00% |
| MEGHAN MILLER3 | 149 MALIBU RD MOORESVILLE, NC 28117 | AFLAC | $1 | — | $1 | 0.00% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62819 VIRGINIA BEACH, VA 23466 | HARTFORD LIFE AND ACCIDENT | $7K | — | $7K | 15.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES LLC MIDSOUTH | PO BOX 62889 VIRGINIA BEACH, VA 23466 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 8.40% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES LLC SOUTHEAS | PO BOX 62689 VIRGINIA BEACH, VA 23466 | SUN LIFE ASSURANCE COMPANY OF CANADA | $651 | — | $651 | 1.57% |
| USI INSURANCE SERVICES LLC3 | 6100 FAIRVIEW ROAD STE 1400 CHARLOTTE, NC 28210 | UNITED HEALTHCARE INSURANCE COMPANY | $2K | — | $2K | 10.05% |
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 | 248 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 248 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 248 | $22K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 222 | $42K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 242 | $45K |
| Other(2 contracts, 2 carriers) | AFLAC | 222 | $109K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 248 | — |
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.