| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| C.B. WOOD FINANCIAL LLC.3 Filed as: CB WOOD FINANCIAL LLC | 6428 W WILKINSON BLVD #329 BELMONT, NC 28012 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $19K | $4K | $23K | 15.49% |
| SHEALY BENEFITS SERVICES INC3 | 201 CAUGHMAN FARM LN LEXINGTON, SC 29072 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $752 | $752 | 0.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ALLIED BENEFIT SYSTEMS EIN 36-3086057 SERVICE VENDOR | Claims processing Service code 12 | — | $60K |
| C.B. WOOD FINANCIAL LLC EIN 85-4189306 BROKER | Insurance agents and brokers Service code 22 | — | $55K |
| SHARX LLC SERVICE VENDOR | Other fees Service code 99 | 600 MASON RIDGE CENTER DR SAINT LOUIS, MO 63141 | $27K |
| FIRST HEALTH EIN 20-1736437 PPO | Insurance services Service code 23 | — | $8K |
| KISX CARD LLC SERVICE VENDOR | Other fees Service code 99 | 1 KACEY CT STE 100 MECHANICSBURG, PA 17055 | $7K |
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 | 98 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 98 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 83 | $150K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 83 | $150K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 83 | $150K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 83 | $150K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 83 | $150K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | PAN-AMERICA LIFE INSURANCE COMPANY | 101 | $285K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 101 | — |
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.