| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 203510 DALLAS, TX 75320 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $87K | $10K | $97K | 16.78% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 203417 DALLAS, TX 75320 | DELTA DENTAL OF NORTH CAROLINA | $45K | — | $45K | 9.92% |
| SHEILA B. BAXTER3 | PO BOX 642 TABOR CITY, NC 28463 | AFLAC | $12K | $486 | $13K | 11.47% |
| STEPHANIE K NUCKOLLS3 Filed as: STEPHANIE NUCKOLLS AND OTHER AGENTS | 284 KESWICK DRIVE CHATSWORTH, GA 30705 | AFLAC | $3K | $134 | $3K | 2.66% |
| MARTIN D ADAMS3 Filed as: MARTIN D. ADAMS | PO BOX 1927 CLINTON, NC 28329 | AFLAC | $2K | $85 | $3K | 2.33% |
| MAURICE WATSON3 Filed as: MAURICE R. WATSON | 408 WALKING STICK TRAIL CLINTON, NC 28328 | AFLAC | $2K | $55 | $2K | 1.60% |
| JOEL S WADDELL3 Filed as: JOEL S. WADDELL | 354 NC 581 HIGHWAY SOUTH GOLDSBORO, NC 27530 | AFLAC | $848 | $10 | $858 | 0.79% |
| DANIEL DUNNE III3 Filed as: DANIEL J. DUNNE III | 3421 DIXIANA LANE PFAFFTOWN, NC 27040 | AFLAC | $310 | — | $310 | 0.28% |
| THOMAS E HATCHER JR3 Filed as: THOMAS E. HATCHER, JR. | 717 GREEN VALLEY ROAD, SUITE 200 GREENSBORO, NC 27408 | AFLAC | $307 | — | $307 | 0.28% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 203510 DALLAS, TX 75320 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $8K | — | $8K | 9.94% |
| SHEILA B. BAXTER3 | PO BOX 642 TABOR CITY, NC 28463 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.94% |
| MAURICE WATSON3 Filed as: MAURICE R. WATSON | 408 WALKING STICK TRAIL CLINTON, NC 28328 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.80% |
| MARTIN D ADAMS3 Filed as: MARTIN D. ADAMS | PO BOX 1927 CLINTON, NC 28329 | CONTINENTAL AMERICAN INSURANCE COMPANY | $509 | — | $509 | 1.32% |
| JILL R LAMBERT3 Filed as: JILL W. DENTON | 3500 WESTGATE DRIVE, SUITE 602 DURHAM, NC 27707 | CONTINENTAL AMERICAN INSURANCE COMPANY | $319 | — | $319 | 0.83% |
| LARRY A WESTON JR3 Filed as: LARRY A. WESTON, JR. | 209 BRISTOL COURT GREENVILLE, NC 27834 | CONTINENTAL AMERICAN INSURANCE COMPANY | $261 | — | $261 | 0.68% |
| STEVEN STRICKLAND AND OTHER AGENTS3 | UNKNOWN WILMINGTON, NC 28405 | CONTINENTAL AMERICAN INSURANCE COMPANY | $51 | — | $51 | 0.13% |
| GORDON K VANN3 Filed as: GORDON K. VANN | 2156 WESLEY LANE GREENVILLE, NC 27858 | CONTINENTAL AMERICAN INSURANCE COMPANY | $32 | — | $32 | 0.08% |
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 | 730 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 738 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AFLAC | 226 | $148K |
| Dental | DELTA DENTAL OF NORTH CAROLINA | 1,282 | $456K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 1,110 | $78K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 644 | $578K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 644 | $578K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 644 | $578K |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 644 | $617K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,282 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.