| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FREDRICK E. ANGLE III3 Filed as: FREDRICK E. ANGLE | 1011 CLUB DRIVE CIRCLE GREENSBORO, GA 30642 | HARTFORD LIFE AND ACCIDENT | $76K | — | $76K | 5.93% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 4250 CONGRESS STREET SUITE 200 CHARLOTTE, NC 28209 | COMMUNITY EYE CARE | $14K | — | $14K | 10.00% |
| PHILLIP GOODRUM3 | 131 HILLSIDE AVE CHARLOTTE, NC 28209 | METROPOLITAN LIFE INSURANCE COMPANY | $45K | — | $45K | 32.65% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | METROPOLITAN LIFE INSURANCE COMPANY | $30K | $573 | $31K | 22.18% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 1111 SUPERIOR AVE E STE 1601 CLEVELAND, OH 44114 | METROPOLITAN LIFE INSURANCE COMPANY | — | $21 | $21 | 0.02% |
| PHILLIP GOODRUM3 | 131 HILLSIDE AVE CHARLOTTE, NC 28209 | METROPOLITAN LIFE INSURANCE COMPANY | $35K | — | $35K | 32.61% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | METROPOLITAN LIFE INSURANCE COMPANY | $23K | $461 | $24K | 22.17% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 1111 SUPERIOR AVE E STE 1601 CLEVELAND, OH 44114 | METROPOLITAN LIFE INSURANCE COMPANY | — | $16 | $16 | 0.01% |
| PHILLIP GOODRUM3 | 131 HILLSIDE AVE CHARLOTTE, NC 28209 | METROPOLITAN LIFE INSURANCE COMPANY | $26K | — | $26K | 32.63% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | METROPOLITAN LIFE INSURANCE COMPANY | $18K | $359 | $18K | 22.20% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 1111 SUPERIOR AVE E STE 1601 CLEVELAND, OH 44114 | METROPOLITAN LIFE INSURANCE COMPANY | — | $12 | $12 | 0.01% |
| VARIOUS - SEE ATTACHED3 | — | AFLAC | $2K | — | $2K | 14.17% |
| GALLAGHER BENEFIT SERVICES, INC.4 Filed as: ARTHUR J GALLAGHER | STE 300 2056 VISTA PKWY WEST PALM BEACH, FL 33411 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $883 | — | $883 | 9.98% |
| VARIOUS - SEE ATTACHED3 | — | AFLAC | $1K | — | $1K | 18.25% |
| VARIOUS - SEE ATTACHED3 | — | AFLAC | $860 | — | $860 | 17.72% |
| VARIOUS - SEE ATTACHED3 | — | AFLAC | $8 | — | $8 | 10.81% |
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 | 1,538 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,552 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 883 | $327K |
| Vision | COMMUNITY EYE CARE | 1,888 | $140K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,547 | $1.3M |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 1,547 | $1.3M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 1,547 | $1.3M |
| Other(6 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 1,547 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,888 | — |
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.