| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| D.L. DAVIS & COMPANY INC.3 | 1111 SOUTH MARSHALL ST., SUITE 250 WINSTON SALEM, NC 27101 | HARTFORD LIFE AND ACCIDENT | $17K | $109K | $126K | 2.04% |
| AON CONSULTING INC3 Filed as: AON CONSULTING OF NJ | 29840 NETWORK PLACE CHICAGO, IL 606731299 | HARTFORD LIFE AND ACCIDENT | — | $65K | $65K | 1.05% |
| D.L. DAVIS & COMPANY INC.3 | 1111 SOUTH MARSHALL ST., SUITE 250 WINSTON SALEM, NC 27101 | HARTFORD LIFE AND ACCIDENT | $14K | $92K | $106K | 2.15% |
| AON CONSULTING INC3 Filed as: AON CONSULTING OF NJ | 29840 NETWORK PLACE CHICAGO, IL 606731299 | HARTFORD LIFE AND ACCIDENT | — | $48K | $48K | 0.97% |
| D.L. DAVIS & COMPANY INC.3 | 1111 SOUTH MARSHALL ST., SUITE 250 WINSTON SALEM, NC 27101 | HARTFORD LIFE AND ACCIDENT | $11K | $68K | $79K | 2.09% |
| AON CONSULTING INC3 Filed as: AON CONSULTING OF NJ | 29840 NETWORK PLACE CHICAGO, IL 606731299 | HARTFORD LIFE AND ACCIDENT | — | $37K | $37K | 0.98% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 400 ATRIUM DR SOMERSET, NJ 088734172 | VISION SERVICE PLAN | — | — | $0 | 0.00% |
| D.L. DAVIS & COMPANY INC.3 | 1111 SOUTH MARSHALL ST., SUITE 250 WINSTON SALEM, NC 27101 | HARTFORD LIFE AND ACCIDENT | $4K | $23K | $27K | 2.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PLACE CHICAGO, IL 606731299 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $110K | $345 | $110K | 14.47% |
| D.L. DAVIS & COMPANY INC.3 | 1111 SOUTH MARSHALL ST., SUITE 250 WINSTON SALEM, NC 27101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | -$679 | — | -$679 | -0.09% |
| D.L. DAVIS & COMPANY INC.4 | 1111 SOUTH MARSHALL STREET, STE 250 WINSTON SALEM, NC 27101 | HARTFORD LIFE AND ACCIDENT | $21K | — | $21K | 2.98% |
| AON CONSULTING INC3 Filed as: AON CONSULTING OF NJ | 29840 NETWORK PLACE CHICAGO, IL 606731299 | HARTFORD LIFE AND ACCIDENT | — | $3K | $3K | 0.45% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTERAL | 75 REMITTANCE DRIVE #1446 CHICAGO, IL 60675 | HARTFORD LIFE AND ACCIDENT | — | $620 | $620 | 0.09% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CONNECTICUT GENERAL LIFE INSURANCE CLAIMS PROCESSING | Float revenue; Participant communication; Direct payment from the plan; Other services; Named fiduciary; Contract Administrator; Claims processing; Non-monetary compensation Service code 12 | 5089 COLLECTION CENTER DR CHICAGO, IL 60693 | $9.1M |
| AON EIN 23-2293237 CONSULTING | Consulting (general) Service code 16 | — | $747K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 CLAIMS PROCESSING | Contract Administrator; Claims processing Service code 12 | — | $547K |
| VSP EIN 06-1227840 CLAIMS PROCESSING | Claims processing Service code 12 | — | $356K |
| WOMBLE CARLYLE SANDRIDGE & RICE LLC EIN 56-0308470 LEGAL | Legal Service code 29 | — | $36K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 ACCOUNTING | Accounting (including auditing) Service code 10 | — | $22K |
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 | 20,077 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 28 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 20,105 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 15,900 | $2.7M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 21,750 | $4.9M |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 12,374 | $3.8M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 18,314 | $6.2M |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 9,562 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 21,750 | — |
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.