| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES OF N | PO BOX 601478 CHARLOTTE, NC 282611478 | RELIANCE STANDARD LIFE INSURANCE | $157K | — | $157K | 7.50% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: INGRAM-BROWN ASSOCIATES, INC | 4620 GRANDOVER PKWY GREENSBORO, NC 27407 | UNITED HEALTHCARE INSURANCE COMPANY | — | $88K | $88K | 5.00% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES OF N | PO BOX 601478 CHARLOTTE, NC 282611478 | RELIANCE STANDARD LIFE INSURANCE | $65K | — | $65K | 5.39% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE COMPANY EIN 36-2739571 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | — | $10.2M |
| INGRAM-BROWN ASSOCIATES BROKER | Other commissions Service code 55 | — | $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 | 15,709 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 15,709 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 9,588 | $1.8M |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE | 15,709 | $3.3M |
| Stop-loss / reinsurancereinsurance | WESTPORT INSURANCE CORPORATION | 6,184 | $1.7M |
| Other | RELIANCE STANDARD LIFE INSURANCE | 15,709 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 15,709 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.