| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALAN B OVERBEY3 | 333 N GREENE ST., STE. 400 GREENSBORO, NC 27401 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $25K | — | $25K | 2.04% |
| JOHN M. ADAIR3 Filed as: JOHN M ADAIR | 218 TRADE ST., STE. G GREER, SC 29651 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $9K | — | $9K | 0.74% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF SOUTH CAROLINA | 218 TRADE ST., STE. G GREER, SC 29651 | HUMANA INSURANCE COMPANY | $5K | — | $5K | 8.63% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF SOUTH CAROLINA | 218 TRADE ST., STE. G. GREER, SC 29651 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 3.04% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 939 BURLINGTON, NC 27216 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $426 | — | $426 | 0.77% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD. | 2430 MALL DR., STE. 280 NORTH CHARLESTON, SC 29406 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12K | — | $12K | 22.25% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF NORTH CAROLINA LLC | 4010 OLEANDER DRIVE WILMINGTON, NC 28403 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.33% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NORTH CAROLINA | 7621 LITTLE AVE., STE. 113 CHARLOTTE, NC 28226 | COMMUNITY EYE CARE | $2K | — | $2K | 8.39% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF SOUTH CAROLINA | 218 TRADE ST., STE. G GREER, SC 29651 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $310 | — | $310 | 5.68% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 939 BURLINGTON, NC 27216 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $235 | — | $235 | 4.31% |
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 | 418 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 420 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 237 | $1.2M |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 418 | $118K |
| Vision | COMMUNITY EYE CARE | 351 | $27K |
| Life insurance(3 contracts, 3 carriers) | HUMANA INSURANCE COMPANY | 418 | $122K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 221 | $54K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 237 | $1.2M |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 403 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 418 | — |
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.