| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM J CREWS3 | 261 KAREN COURT CHERRYVILLE, NC 28021 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $52K | $0 | $52K | 2.49% |
| JUSTICE-CREWS INSURANCE AGENCY INC.3 Filed as: JUSTICE-CREWS INSURANCE AGENCY INC | PO BOX 819 CHERRYVILLE, NC 28021 | HARTFORD LIFE AND ACCIDENT | $30K | $0 | $30K | 13.19% |
| MOSIAC GROUP SERVICES3 Filed as: MOSIAC GROUP SERVICES, LLC | 4611 UNIVERSITY DR DURHAM, NC 27702 | HARTFORD LIFE AND ACCIDENT | $0 | $16K | $16K | 6.80% |
| SHERRY R CREWS3 | 106 ACER PL APT 106 MOORESVILLE, NC 28117 | AFLAC | $707 | $0 | $707 | 4.66% |
| REBECCA K BOXFORD3 | 5205 DUSTY LN GRANITE FALLS, NC 28630 | AFLAC | $306 | $0 | $306 | 2.02% |
| CINDY K CHILDERS3 | 88 STARMOUNT LN TAYLORSVILLE, NC 28681 | AFLAC | $233 | $0 | $233 | 1.53% |
| GWEN NICHOLS BUTLER3 | 203 29TH AVE NE HICKORY, NC 28601 | AFLAC | $129 | $0 | $129 | 0.85% |
| C HARVEY KING3 | 1024 BENNIGTON DR CHARLESTON, SC 29492 | AFLAC | $103 | $0 | $103 | 0.68% |
| AUDREY HESTER JENKINS3 | 5031 ARBORDALE WAY MOUNT HOLLY, NC 28120 | AFLAC | $85 | $0 | $85 | 0.56% |
| NANCY HUFF3 | 306 BARBEE BLVD OAK ISLAND, NC 28465 | AFLAC | $78 | $0 | $78 | 0.51% |
| J MICHAEL BUTLER3 | 1090 13TH AVE NW HICKORY, NC 28601 | AFLAC | $72 | $0 | $72 | 0.47% |
| GLORIA K KRISS3 | 913 42ND AVE LN NE HICKORY, NC 28601 | AFLAC | $52 | $0 | $52 | 0.34% |
| JADON BERNHARDT3 | 2139 6TH ST NW HICKORY, NC 28601 | AFLAC | $47 | $0 | $47 | 0.31% |
| NANCY C WINKLER3 | 5017 KENNEDY ST HICKORY, NC 28602 | AFLAC | $45 | $0 | $45 | 0.30% |
| TERRY J SILVERS3 | 100 GREENLEAF DR FLATROCK, NC 28731 | AFLAC | $14 | $0 | $14 | 0.09% |
| KIMBRA K PENDLEY3 | 116 CRESTVIEW LN MORGANTON, NC 28655 | AFLAC | $14 | $0 | $14 | 0.09% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: JOHN H BROWN | PO BOX 501 JEFFERSON, NC 28640 | AFLAC | $13 | $0 | $13 | 0.09% |
| ANDREW T STORY3 | 3702 PINECREST DR NE HICKORY, NC 28601 | AFLAC | $12 | $0 | $12 | 0.08% |
| TONY D MATTHEWS3 | 3260 WASHINGTON WAY HUDSON, NC 28638 | AFLAC | $12 | $0 | $12 | 0.08% |
| TENA C DAVIS3 | PO BOX 1135 LENIOR, NC 28645 | AFLAC | $12 | $0 | $12 | 0.08% |
| NICHOLAS R SAUNDERS3 | 471 BLUEMIST WAY ARDEN, NC 28704 | AFLAC | $8 | $0 | $8 | 0.05% |
| KATRINA D AIKEN3 | 2511 JUDITH ST LYNCHBURG, VA 24501 | AFLAC | $6 | $0 | $6 | 0.04% |
| DEBORAH A WITHEY3 | 2149 6TH ST NW HICKORY, NC 28601 | AFLAC | $3 | $0 | $3 | 0.02% |
| ERIC BROGAN3 Filed as: ERIC E MILLER | 149 MALIBU RD MOORESVILLE, NC 28117 | AFLAC | $2 | $0 | $2 | 0.01% |
| MEGHAN MOFFATT LUCAS3 Filed as: MEGHAN M MILLER | 149 MALIBU RD MOORESVILLE, NC 28117 | AFLAC | $2 | $0 | $2 | 0.01% |
| TONY J DELBEN3 | 143 SANDREED DR MOORESVILLE, NC 28117 | AFLAC | $1 | $0 | $1 | 0.01% |
| STEPHEN C SIBEL3 | 86 MAPLE AVE COLLEGEVILLE, PA 19426 | AFLAC | $1 | $0 | $1 | 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 | 149 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 177 | $2.1M |
| Dental | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 177 | $2.1M |
| Vision | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 177 | $2.1M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 265 | $228K |
| Short-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 265 | $244K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 265 | $228K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 177 | $2.1M |
| Other(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 265 | $2.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 265 | — |
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.