| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK III BROKERAGE INC3 Filed as: MARK S BOYNTON | 3731 LATROBE DRIVE STE 200 CHARLOTTE, NC 28211 | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | $38K | $0 | $38K | 10.54% |
| ROBERT E LOWDER3 | 9747 PINE TREE ROAD NORWOOD, NC 28128 | GUARDIAN | $7K | $0 | $7K | 6.63% |
| JOHNNY C HUNEYCUTT3 Filed as: JOHNNY C HUNNEYCUTT | PO BOX 520 BADIN, NC 28009 | GUARDIAN | $5K | $0 | $5K | 4.42% |
| TUCKER BOYNTON COMPANY INC3 | 3731 LATROBE DRIVE STE 200 CHARLOTTE, NC 28211 | USABLE LIFE | $2K | $0 | $2K | 9.93% |
| MOSAIC GROUP SERVICES3 | P.O. BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $1K | $0 | $1K | 4.96% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF NC EIN 56-0894904 CLAIMS PROVIDER | Claims processing Service code 12 | — | $50K |
| MARK S BOYNTON BROKER | Insurance agents and brokers Service code 22 | 3731 LATROBE DRIVE, STE 200 CHARLOTTE, NC 28211 | $38K |
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 | 179 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 179 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | 110 | $356K |
| Dental | GUARDIAN | 108 | $112K |
| Vision | GUARDIAN | 108 | $112K |
| Life insurance(2 contracts, 2 carriers) | GUARDIAN | 179 | $133K |
| Short-term disability | GUARDIAN | 108 | $112K |
| Other(2 contracts, 2 carriers) | GUARDIAN | 179 | $133K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 179 | — |
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.