| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARVIN O ROBISON3 Filed as: MARVIN ROBINSON | 3301 WRIGHTSVILLE AVENUE WILMINGTON, NC 28403 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $14K | $1K | $15K | 3.14% |
| STEPHEN YATES3 | 4225 AFTONSHRE DRIVE WILMINGTON, NC 28412 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 4.39% |
| MARVIN O ROBISON3 Filed as: MARVIN ROBISON | 2226 ACACIA DRIVE WILMINGTON, NC 28403 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 4.39% |
| MARTIN D ADAMS3 Filed as: MARTIN ADAMS | PO BOX 1927 CLINTON, NC 28329 | AFLAC | $2K | $229 | $2K | 9.22% |
| CAMERON ADAMS3 | 335 SPRUNT DR CLINTON, NC 28328 | AFLAC | $702 | $153 | $855 | 4.05% |
| GRAHAM MOZINGO3 | 418 TWIN CREEKS DR GOLDSBORO, NC 27530 | AFLAC | $828 | $8 | $836 | 3.96% |
| JOAN MOORE3 | PO BOX 25 HARRELLS, NC 28444 | AFLAC | $556 | $14 | $570 | 2.70% |
| MAURICE WATSON3 | 408 WALKING STICK TRAIL CLINTON, NC 28328 | AFLAC | $356 | $69 | $425 | 2.01% |
| JOEL S WADDELL3 Filed as: JOEL WADDELL | 354 NC 581 HWY S GOLDSBORO, NC 27530 | AFLAC | $294 | $9 | $303 | 1.44% |
| GARY GREENE3 | 1609 W ARLINTON BLVD SUITE 102 GREENVILLE, NC 27858 | AFLAC | $119 | $79 | $198 | 0.94% |
| HANNAH BROCK3 | 188 JIM SAULS RD WARSAW, NC 28398 | AFLAC | $126 | $15 | $141 | 0.67% |
| PAULETTE WATSON3 | 408 WALKING STICK TRL CLINTON, NC 28328 | AFLAC | $97 | $40 | $137 | 0.65% |
| PATRICIA GAREY3 Filed as: PATRICIA G GAREY | 11285 HARRELLS HWY HARRELLS, NC 28444 | AFLAC | $63 | $5 | $68 | 0.32% |
| MICHAEL R BROCK3 | 188 JIM SAULS RD WARSAW, NC 28388 | AFLAC | $32 | $5 | $37 | 0.18% |
| BRADLEY BOLICK3 | 6433 FALL BRANCH DR COLUMBUS, GA 31904 | AFLAC | $5 | — | $5 | 0.02% |
| ROBERT GOBLE3 | 1410 4TH STREET DR NW UNIT 208 HICKORY, NC 28601 | AFLAC | $3 | — | $3 | 0.01% |
| AMANDA BOLICK3 | 6433 FALL BRANCH DR COLUMBUS, GA 31904 | AFLAC | $2 | — | $2 | 0.01% |
| D AND V BUTLER INC3 Filed as: J BUTLER | 1440 OLD LENOIR RD STE A HICKORY, NC 28601 | AFLAC | $1 | — | $1 | 0.00% |
| GRIFFIN ESTEP BENEFIT GROUP3 Filed as: GRIFFIN-ESTEP BENEFIT GROUP INC | 122 YORKSHIRE LN WILMINGTON, NC 28409 | AMERICAN FIDELITY ASSURANCE COMPANY | $96 | — | $96 | 7.01% |
| BARTLEY INSURANCE SERVICES, INC.3 Filed as: BARTLEY INS SERV INC | 3684 A HENDERSON DR JACKSONVILLE, NC 28546 | AMERICAN FIDELITY ASSURANCE COMPANY | $39 | — | $39 | 2.85% |
| THE CASON GROUP INC3 Filed as: CASON GROUP INC | PO BOX 11229 COLUMBIA, SC 29211 | AMERICAN FIDELITY ASSURANCE COMPANY | $32 | — | $32 | 2.34% |
| RONALD E SWINDLER3 | 6 WHITEHORN WAY BLYTHEWOOD, SC 29016 | AMERICAN FIDELITY ASSURANCE COMPANY | $6 | — | $6 | 0.44% |
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 | 89 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 93 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 86 | $512K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 111 | $151K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 111 | $151K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 111 | $151K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 111 | $151K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 111 | $151K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 86 | $491K |
| Other | AMERICAN FIDELITY ASSURANCE COMPANY | 3 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 111 | — |
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.
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.