| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BLAKE V WELLER3 Filed as: BLAKE V. WELLER | 3318 W. FRIENDLY AVE, STE 400 GREENSBORO, NC 27410 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $12K | — | $12K | 1.48% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 3605 GLENWOOD AVE #201 RALEIGH, NC 27612 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $3K | — | $3K | 4.17% |
| GERALD HILL AND ASSOCIATES3 | 612 PASTEUR CIR., SUITE 100 GREENSBORO, NC 27403 | AFLAC | $2K | $61 | $2K | 6.96% |
| JOHN ARIANSEN3 | PO BOX 18214 GREENSBORO, NC 27419 | AFLAC | $474 | $15 | $489 | 1.70% |
| ANGELA D REYNOLDS3 Filed as: ANGELA D. REYNOLDS | 507 CHESAPEAKE LANE ARCHDALE, NC 27263 | AFLAC | $456 | — | $456 | 1.58% |
| MAUREEN E PETERSON3 Filed as: MAUREEN E. PETERSON | PO BOX 39462 GREENSBORO, NC 27438 | AFLAC | $195 | $31 | $226 | 0.79% |
| C HARVEY KING3 Filed as: C. HARVEY KING | PO BOX 1370 MT. PLEASANT, SC 29465 | AFLAC | $169 | — | $169 | 0.59% |
| J MICHAEL BUTLER3 Filed as: J. MICHAEL BUTLER | 1440 OLD LENOIR RD., STE. A HICKORY, NC 28601 | AFLAC | $102 | $15 | $117 | 0.41% |
| DANIEL L HOPSON3 | 530 TRILLIUMPLACE DR. KERNERSVILLE, NC 27284 | AFLAC | $103 | — | $103 | 0.36% |
| DUANE VESTAL3 | 5035 PROSPECT ST. ARCHDALE, NC 27263 | AFLAC | $98 | — | $98 | 0.34% |
| JAMES R HILL JR3 Filed as: JAMES R. HILL, JR. | 7021 MARSEILLES CT SUMMERFIELD, NC 27358 | AFLAC | $53 | — | $53 | 0.18% |
| KELLY LEBSACK3 Filed as: KELLY D. LEBSACK | 826 NORTH ELM ST. GREENSBORO, NC 27401 | AFLAC | $37 | — | $37 | 0.13% |
| KATHY HILL3 Filed as: KATHY B. HILL | 8806 DAPPLE GREY RD. OAK RIDGE, NC 27310 | AFLAC | $36 | — | $36 | 0.13% |
| JUSTIN HOWARD3 | 3610 SPANISH PEAK DR, APT. 1C HIGH POINT, NC 27265 | AFLAC | $36 | — | $36 | 0.13% |
| MARTHA SPAGNARDI3 Filed as: MARTHA S. SPAGNARDI | 291 BENT CREEK DRIVE LEXINGTON, NC 27295 | AFLAC | $32 | — | $32 | 0.11% |
| ANTHONY MOSCHETTI3 Filed as: ANTHONY P. MOSCHETTI | 905 OLD WINSTON ROAD HIGH POINT, NC 27265 | AFLAC | $29 | — | $29 | 0.10% |
| SUSAN MCGOWAN3 Filed as: SUSAN L. MCGOWAN | 838 S. MAIN STREET, APT. 109 MOUNT AIRY, NC 27030 | AFLAC | $22 | — | $22 | 0.08% |
| TUCKER HILL3 Filed as: TUCKER J. HILL | 8806 DAPPLE GREY RD. OAK RIDGE, NC 27310 | AFLAC | $19 | — | $19 | 0.07% |
| DAVID SCHERER3 Filed as: DAVID J. SCHERER | 1028 WATER LANE JONESVILLE, NC 28642 | AFLAC | $17 | — | $17 | 0.06% |
| VICKIE E LEWIS3 Filed as: VICKIE D. WHITAKER | — | AFLAC | $12 | — | $12 | 0.04% |
| JOANNE SCHERER3 | 1028 WATER LANE JONESVILLE, NC 28642 | AFLAC | $8 | — | $8 | 0.03% |
| AMANDA SHUMATE3 | 3020 ROBIN HOOD DR. GREENSBORO, NC 27408 | AFLAC | $4 | — | $4 | 0.01% |
| MARY MELINDA BELL3 Filed as: MARY MELINDA RAY BELL | PO BOX 3054 TUPELO, MS 38803 | AFLAC | $4 | — | $4 | 0.01% |
| JOHN D ARIANSEN3 Filed as: JOHN D. ARIANSEN | 3602 TURNBERRY LANE GREENSBORO, NC 27410 | AFLAC | $4 | — | $4 | 0.01% |
| RICHARD BELL3 | PO BOX 3054 TUPELO, MS 38803 | AFLAC | $1 | — | $1 | 0.00% |
| EXSEPTIONAL SERVICES INC3 Filed as: EXSEPTIONAL SERVICES, INC. | 158 PRINTERS LANE NEW LONDON, NC 28127 | AFLAC | $1 | — | $1 | 0.00% |
| JAYNE A STALLINGS3 Filed as: JAYNE A. STALLINGS | 8056 TIGER PALM WAY FORT MYERS, FL 33966 | AFLAC | $1 | — | $1 | 0.00% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 3605 GLENWOOD AVE FL 2 RALEIGH, NC 27612 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $7K | — | $7K | 46.43% |
| MOSAIC GROUP SERVICES3 Filed as: MOSAIC GROUP SVCS LLC | PO BOX 2291 DURHAM, NC 27702 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $2K | — | $2K | 10.75% |
| BLAKE V WELLER3 Filed as: BLAKE V. WELLER | 3318 W. FRIENDLY AVE, STE 400 GREENSBORO, NC 27410 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $1K | — | $1K | 9.13% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 1020 DRAYTON STREET, SUITE 200 SAVANNAH, GA 37401 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $599 | — | $599 | 9.27% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 3605 GLENWOOD AVE RALEIGH, NC 27612 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 24.99% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 3605 GLENWOOD AVE RALEIGH, NC 27612 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $965 | — | $965 | 25.00% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 3605 GLENWOOD AVE RALEIGH, NC 27612 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $354 | — | $354 | 10.98% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 3605 GLENWOOD AVE RALEIGH, NC 27612 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $501 | — | $501 | 21.02% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 3605 GLENWOOD AVE RALEIGH, NC 27612 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $78 | — | $78 | 19.90% |
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 | 131 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 131 | $799K |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 123 | $71K |
| Vision | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 104 | $14K |
| Life insurance(3 contracts, 2 carriers) | AMERICAN GENERAL LIFE INSURANCE COMPANY | 151 | $22K |
| Short-term disability(3 contracts, 2 carriers) | AMERICAN GENERAL LIFE INSURANCE COMPANY | 151 | $19K |
| Long-term disability(2 contracts, 2 carriers) | AMERICAN GENERAL LIFE INSURANCE COMPANY | 151 | $18K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 131 | $784K |
| Other(4 contracts, 4 carriers) | AFLAC | 151 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.