| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALLACE H DAWSON Filed as: WALLACE E DAWSON | 4325 LAKE BOONE SUITE 220 RALEIGH, NC 27607 | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | $28K | — | $28K | 3.10% |
| DIGITAL INSURANCE LLC Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY ATLANTA, GA 30339 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $8K | $606 | $8K | 9.28% |
| JOHN SWIDERSKI | 3316 SINGLELEAF LANE RALEIGH, NC 27616 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $1K | $6K | 6.57% |
| TIMOTHY J SWIDERSKI Filed as: TIMOTHY SWIDERSKI | 3316 SINGLELEAF LANE RALEIGH, NC 27616 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $325 | $3K | 3.73% |
| WORKSITE BENEFIT SERVICES | 8133 ROBINCREST COURT FUQUAY VARINA, NC 27526 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $994 | — | $994 | 1.13% |
| JOHN MATTHEW MUMPOWER | 7211 WALKING HORSE COURT WILMINGTON, NC 28411 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $510 | $87 | $597 | 0.68% |
| HARRIS WINTERS | 4004 KNICKERBOCKER PARKWAY RALEIGH, NC 27612 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $364 | — | $364 | 0.41% |
| TODD GECEWICZ | 8133 ROBINCREST COURT FUQUAY VARINA, NC 27526 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $139 | — | $139 | 0.16% |
| REGENCY 21 INSURANCE AGENCY INC Filed as: REGENCY 21 INSURANCE AGENCY | 4928 LINKSLAND DRIVE HOLLY SPRINGS, NC 27540 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $25 | — | $25 | 0.03% |
| PIERCE GROUP BENEFITS LLC Filed as: PIERCE GROUP BENEFITS | 4928 LINKSLAND DRIVE HOLLY SPRINGS, NC 27540 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $20 | — | $20 | 0.02% |
| WENDY ALEXANDER | 308 BRADSON ROAD MORRISVILLE, NC 27560 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.01% |
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 | 94 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 94 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 100 | $88K |
| Life insurance | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 100 | $88K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 100 | $88K |
| Stop-loss / reinsurancereinsurance | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 100 | $88K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 100 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.