| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MEDCOST BENEFIT SERVICES3 Filed as: MEDCOST BENEFIT SERVICES, LLC | P.O. BOX 25987 WINSTON-SALEM, NC 27103 | UNIMERICA INSURANCE COMPANY | $32K | — | $32K | 5.00% |
| MEDCOST BENEFIT SERVICES3 Filed as: MEDCOST BENEFIT SERVICES NC | 165 KIMEL PARK DRIVE STE 100 WINSTON-SALEM, NC 27103 | UNIMERICA INSURANCE COMPANY | $13K | — | $13K | 2.00% |
| ROBERT O FLOYD JR.3 Filed as: ROBERT O FLOYD, JR. | PO BOX 309 LENOIR, NC 28645 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $13K | — | $13K | 4.51% |
| ROBERT O FLOYD JR.3 Filed as: ROBERT O FLOYD, JR. | PO BOX 309 LENOIR, NC 28645 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 7.40% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDCOST BENEFIT SERVICES EIN 56-2056821 NONE | Contract Administrator Service code 13 | 165 KIMEL PARK DRIVE WINSTON-SALEM, NC 27103 | $310K |
| THE FLOYD GROUP EIN 56-1182985 NONE | Insurance agents and brokers Service code 22 | 222 HARPER AVE NW STE B LENOIR, NC 28645 | $27K |
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 | 1,336 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,336 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,336 | $355K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,336 | $281K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,336 | $281K |
| Stop-loss / reinsurancereinsurance | UNIMERICA INSURANCE COMPANY | 725 | $633K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,336 | — |
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.