| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FLOYD ROBERT3 | P.O. BOX 309 LENOIR, NC 28645 | SUNLIFE ASSURANCE COMPANY OF CANADA | $33K | — | $33K | 5.00% |
| EMPLOYEE BENEFIT SERVICES3 | 534 RIVERCROSSING DR FORT MILL, SC 29715 | SUNLIFE ASSURANCE COMPANY OF CANADA | — | $6K | $6K | 0.96% |
| ROBERT O FLOYD JR.3 Filed as: ROBERT O FLOYD, JR. | PO BOX 309 LENOIR, NC 28645 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $47K | $4K | $50K | 10.75% |
| ROBERT O FLOYD JR.3 Filed as: ROBERT O FLOYD, JR. | PO BOX 309 LENOIR, NC 28645 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $16K | $1K | $17K | 11.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDCOST BENEFIT SERVICES EIN 56-2056821 NONE | Contract Administrator Service code 13 | 165 KIMEL PARK DRIVE WINSTON-SALEM, NC 27103 | $301K |
| THE FLOYD GROUP EIN 56-1182985 NONE | Insurance agents and brokers Service code 22 | 222 HARPER AVE NW STE B LENOIR, NC 28645 | $28K |
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 | 822 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 822 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 822 | $615K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 822 | $467K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 822 | $467K |
| Stop-loss / reinsurancereinsurance | SUNLIFE ASSURANCE COMPANY OF CANADA | 748 | $667K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 822 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.