| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 | 3318 W. FRIENDLY AVE. STE. 400 GREENSBORO, NC 27410 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $38K | $91K | $130K | 33.03% |
| MARSH & MCLENNAN AGENCY LLC3 | 7701 AIRPORT CENTER DR, STE 1800 GREENSBORO, NC 274099047 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $4K | $0 | $4K | 0.90% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282896620 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | $2K | $15K | 13.49% |
| THE BENEFIT COMPANY INC3 | PO BOX 211486 COLUMBIA, SC 292216486 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $3K | $3K | 2.97% |
| MCGRIFF INSURANCE SERVICES INC3 | 3318 W. FRIENDLY AVE. STE. 400 GREENSBORO, NC 27410 | AMERICAN UNITED LIFE INSURANCE COMPANY | $6K | $0 | $6K | 9.31% |
| THE BENEFIT COMPANY INC3 | PO BOX 211486 COLUMBIA, SC 29221 | AMERICAN UNITED LIFE INSURANCE COMPANY | $0 | $3K | $3K | 5.00% |
| MARSH & MCLENNAN AGENCY LLC3 | 7701 AIRPORT CENTER DR, STE 1800 GREENSBORO, NC 274099047 | AMERICAN UNITED LIFE INSURANCE COMPANY | $1K | $1K | $3K | 3.69% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 9.23% |
| MARSH & MCLENNAN AGENCY LLC3 | 7701 AIRPORT CENTER DR, STE 1800 GREENSBORO, NC 274099047 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 12.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH & LIFE INS COMPANY EIN 59-1031071 NONE | Participant communication; Direct payment from the plan; Non-monetary compensation; Claims processing; Contract Administrator; Other services; Float revenue; Named fiduciary Service code 12 | — | $64K |
| FLORES AND ASSOCIATES EIN 56-1542307 NONE | Legal Service code 29 | — | $5K |
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 | 201 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 201 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 201 | $392K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 326 | $108K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 165 | $17K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 170 | $69K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 170 | $69K |
| Other(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 170 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 326 | — |
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.