| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: HAROLD WELLS & SONS | 1 NORTH 3RD STREET WILMINGTON, NC 28401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 10.00% |
| ASSUREDPARTNERS3 Filed as: HAROLD WELLS & SONS | 1 NORTH 3RD STREET WILMINGTON, NC 28401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| ASSUREDPARTNERS3 Filed as: HAROLD WELLS & SONS | 1 NORTH 3RD STREET WILMINGTON, NC 28401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| ENROLLMENT ALLIANCE LLC5 | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 6.51% |
| ASSUREDPARTNERS3 Filed as: HAROLD WELLS & SONS | 1 NORTH 3RD STREET WILMINGTON, NC 28401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| ENROLLMENT ALLIANCE LLC5 | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 6.67% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CORPORATE BENEFITS SERVICES, INC. EIN 56-1167792 NONE | Contract Administrator Service code 13 | PO BOX 11937 CHARLOTTE, NC 28220 | $74K |
| HAROLD W. WELLS & SONS, INC. EIN 56-0957752 NONE | Insurance brokerage commissions and fees Service code 53 | 1 NORTH 3RD STREET WILMINGTON, NC 28401 | $48K |
| PAYER COMPASS, LLC EIN 46-2047081 NONE | Other services Service code 49 | PO BOX 844701 BOSTON, MA 02284 | $27K |
| TELADOC HEALTH INC. EIN 04-3705970 NONE | Insurance services Service code 23 | PO BOX 123417 DALLAS, TX 75312 | $6K |
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 | 247 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 247 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 88 | $19K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 225 | $61K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 226 | $51K |
| Stop-loss / reinsurancereinsurance | EXCESS RE | 218 | $172K |
| Other(3 contracts, 2 carriers) | HCC LIFE INSURANCE CO. | 247 | $72K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 247 | — |
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."
No prospect flags tripped on this filing.